Drug interactions
Metformin-repaglinide + Thioridazine
Severity: Moderate
Metformin-repaglinide and Thioridazine: 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
Phenothiazines such as thioridazine may cause hyperglycemia and reduce glycemic control. Glucose may fall again when the antipsychotic is stopped.
What this interaction means in plain words
Metformin-repaglinide and Thioridazine 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; Thioridazine belongs to Central Nervous System.
Why it happens
Antipsychotic-induced impairment of insulin secretion and sensitivity opposes antidiabetic effect.
What to do
Monitor blood glucose when starting or stopping thioridazine and adjust antidiabetic doses.
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?
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Other interactions of Metformin-repaglinide
Other interactions of Thioridazine
- Abiraterone + Thioridazine Contraindicated
- Adagrasib + Thioridazine Contraindicated
- Amiodarone + Thioridazine Contraindicated
- Amisulpride + Thioridazine Contraindicated
- Amitriptyline + Thioridazine Contraindicated
- Amoxapine + Thioridazine Contraindicated
Frequently asked questions
Can I take Metformin-repaglinide with Thioridazine?
MediHelp rates the interaction as moderate. Metformin-repaglinide and Thioridazine 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. Phenothiazines such as thioridazine may cause hyperglycemia and reduce glycemic control. Glucose may fall again when the antipsychotic is stopped.
How serious is the interaction between Metformin-repaglinide and Thioridazine?
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 or stopping thioridazine and adjust antidiabetic doses.
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.
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