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Drug interactions

Metformin-sitagliptin + Sarecycline

Severity: Minor

Metformin-sitagliptin and Sarecycline: 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

Sarecycline is described as a weak P-glycoprotein inhibitor, which could modestly raise sitagliptin exposure. Sitagliptin has a wide safety margin, so a clinically important effect is unlikely.

What this interaction means in plain words

Metformin-sitagliptin and Sarecycline 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-sitagliptin belongs to Endocrine; Sarecycline belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Possible inhibition of P-glycoprotein-mediated efflux of sitagliptin.

What to do

No dose change is normally needed. Be aware of the potential for increased sitagliptin adverse effects.

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-sitagliptin with Sarecycline?

MediHelp rates the interaction as minor. Metformin-sitagliptin and Sarecycline have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Sarecycline is described as a weak P-glycoprotein inhibitor, which could modestly raise sitagliptin exposure. Sitagliptin has a wide safety margin, so a clinically important effect is unlikely.

How serious is the interaction between Metformin-sitagliptin and Sarecycline?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is normally needed. Be aware of the potential for increased sitagliptin adverse effects.

What other medicines interact with Metformin-sitagliptin?

MediHelp also lists interactions of Metformin-sitagliptin with, for example, Clozapine, Contrast media, Diatrizoate meglumine / diatrizoate. The full list is on the Metformin-sitagliptin page.

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