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Drug interactions

Metformin + Progesterone

Severity: Minor

Metformin and Progesterone: minor interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Progestogens can modestly impair glucose tolerance and may slightly reduce the glucose-lowering effect of metformin. The effect with natural progesterone is generally small.

What this interaction means in plain words

Metformin and Progesterone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Metformin belongs to Endocrine; Progesterone belongs to Endocrine.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism through progestogen-related reduction in insulin sensitivity.

What to do

Monitor blood glucose or HbA1c when progesterone is started or stopped, and adjust antidiabetic therapy if control changes.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Metformin with Progesterone?

MediHelp rates the interaction as minor. Metformin and Progesterone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Progestogens can modestly impair glucose tolerance and may slightly reduce the glucose-lowering effect of metformin. The effect with natural progesterone is generally small.

How serious is the interaction between Metformin and Progesterone?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose or HbA1c when progesterone is started or stopped, and adjust antidiabetic therapy if control changes.

What other medicines interact with Progesterone?

MediHelp also lists interactions of Progesterone with, for example, Apalutamide, Carbamazepine, Enzalutamide. The full list is on the Progesterone page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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