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Drug interactions

Metformin-repaglinide + Torsemide

Severity: Moderate

Metformin-repaglinide and Torsemide: 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

Loop diuretics may raise blood glucose modestly and cause volume depletion that can impair renal function, raising metformin accumulation risk.

What this interaction means in plain words

Metformin-repaglinide and Torsemide 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; Torsemide belongs to Cardiovascular.

Evidence level: Low

Why it happens

Diuretic-related impairment of glucose tolerance and potential volume depletion reducing renal metformin clearance.

What to do

Monitor blood glucose and renal function; hold metformin during dehydration or acute kidney injury.

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 Torsemide?

MediHelp rates the interaction as moderate. Metformin-repaglinide and Torsemide 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. Loop diuretics may raise blood glucose modestly and cause volume depletion that can impair renal function, raising metformin accumulation risk.

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

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 and renal function; hold metformin during dehydration or acute kidney injury.

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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