Drug interactions
Miglitol + Quetiapine
Severity: Moderate
Miglitol and Quetiapine: 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
Quetiapine may raise blood glucose and worsen glycemic control in patients taking miglitol. Control of diabetes may deteriorate after quetiapine is started or increased.
What this interaction means in plain words
Miglitol and Quetiapine 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.
Miglitol belongs to Endocrine; Quetiapine belongs to Central Nervous System.
Why it happens
Pharmacodynamic antagonism: antipsychotic-induced insulin resistance and hyperglycemia oppose the antidiabetic effect.
What to do
Monitor blood glucose and HbA1c regularly after quetiapine initiation or dose change. Adjust the antidiabetic regimen as needed.
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 Quetiapine
- Adagrasib + Quetiapine Major
- Amiodarone + Quetiapine Major
- Amisulpride + Quetiapine Major
- Amoxapine + Quetiapine Major
- Anagrelide + Quetiapine Major
- Apalutamide + Quetiapine Major
Other interactions of Miglitol
- Miglitol + Pramlintide Major
- Aripiprazole + Miglitol Moderate
- Asenapine + Miglitol Moderate
- Chlorthalidone + Miglitol Moderate
- Clozapine + Miglitol Moderate
- Cortisone + Miglitol Moderate
Frequently asked questions
Can I take Miglitol with Quetiapine?
MediHelp rates the interaction as moderate. Miglitol and Quetiapine 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. Quetiapine may raise blood glucose and worsen glycemic control in patients taking miglitol. Control of diabetes may deteriorate after quetiapine is started or increased.
How serious is the interaction between Miglitol and Quetiapine?
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 HbA1c regularly after quetiapine initiation or dose change. Adjust the antidiabetic regimen as needed.
What other medicines interact with Quetiapine?
MediHelp also lists interactions of Quetiapine with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Quetiapine page.
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