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Drug interactions

Metformin-repaglinide + Octreotide

Severity: Moderate

Metformin-repaglinide and Octreotide: moderate 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

Octreotide suppresses insulin, glucagon and growth hormone secretion, so it can cause either hypoglycemia or hyperglycemia. Antidiabetic requirements may change after octreotide is started or adjusted.

What this interaction means in plain words

Metformin-repaglinide and Octreotide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Metformin-repaglinide belongs to Endocrine; Octreotide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Octreotide inhibits insulin and counter-regulatory hormone release, altering glycemic control.

What to do

Monitor blood glucose when starting, changing or stopping octreotide and adjust antidiabetic doses accordingly.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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-repaglinide with Octreotide?

MediHelp rates the interaction as moderate. Metformin-repaglinide and Octreotide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Octreotide suppresses insulin, glucagon and growth hormone secretion, so it can cause either hypoglycemia or hyperglycemia. Antidiabetic requirements may change after octreotide is started or adjusted.

How serious is the interaction between Metformin-repaglinide and Octreotide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose when starting, changing or stopping octreotide and adjust antidiabetic doses accordingly.

What other medicines interact with Metformin-repaglinide?

MediHelp also lists interactions of Metformin-repaglinide with, for example, Gemfibrozil, Apalutamide, Clarithromycin. The full list is on the Metformin-repaglinide page.

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

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