Drug interactions
Metformin-pioglitazone + Trilaciclib
Severity: Major
Metformin-pioglitazone and Trilaciclib: major 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
Trilaciclib inhibits OCT2, MATE1 and MATE-2K, reducing metformin renal clearance and increasing its concentrations. This raises the risk of lactic acidosis.
What this interaction means in plain words
Metformin-pioglitazone and Trilaciclib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Metformin-pioglitazone belongs to Endocrine; Trilaciclib belongs to Oncology.
Why it happens
Trilaciclib inhibits renal OCT2 and MATE transporters, decreasing metformin elimination.
What to do
Avoid metformin around trilaciclib dosing as per labeling and monitor renal function and blood glucose.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Metformin-pioglitazone
Other interactions of Trilaciclib
Frequently asked questions
Can I take Metformin-pioglitazone with Trilaciclib?
MediHelp rates the interaction as major. Metformin-pioglitazone and Trilaciclib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Trilaciclib inhibits OCT2, MATE1 and MATE-2K, reducing metformin renal clearance and increasing its concentrations. This raises the risk of lactic acidosis.
How serious is the interaction between Metformin-pioglitazone and Trilaciclib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid metformin around trilaciclib dosing as per labeling and monitor renal function and blood glucose.
What other medicines interact with Metformin-pioglitazone?
MediHelp also lists interactions of Metformin-pioglitazone with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diatrizoate. The full list is on the Metformin-pioglitazone page.
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