Drug interactions
Pacritinib + Saxagliptin-metformin
Severity: Moderate
Pacritinib and Saxagliptin-metformin: 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
Pacritinib inhibits OCT1, which mediates hepatic uptake of metformin. Metformin plasma levels may rise, though reduced hepatic uptake may also lessen its effect.
What this interaction means in plain words
Pacritinib and Saxagliptin-metformin 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.
Pacritinib belongs to Oncology; Saxagliptin-metformin belongs to Endocrine.
Why it happens
Pacritinib inhibits OCT1-mediated hepatic uptake of metformin.
What to do
Monitor glycemic control and for metformin adverse effects; adjust the metformin dose 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 Saxagliptin-metformin
Other interactions of Pacritinib
- Clarithromycin + Pacritinib Contraindicated
- Ketoconazole + Pacritinib Contraindicated
- Pacritinib + Posaconazole Contraindicated
- Pacritinib + Voriconazole Contraindicated
- Amiodarone + Pacritinib Major
- Carbamazepine + Pacritinib Major
Frequently asked questions
Can I take Pacritinib with Saxagliptin-metformin?
MediHelp rates the interaction as moderate. Pacritinib and Saxagliptin-metformin 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. Pacritinib inhibits OCT1, which mediates hepatic uptake of metformin. Metformin plasma levels may rise, though reduced hepatic uptake may also lessen its effect.
How serious is the interaction between Pacritinib and Saxagliptin-metformin?
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 glycemic control and for metformin adverse effects; adjust the metformin dose as needed.
What other medicines interact with Saxagliptin-metformin?
MediHelp also lists interactions of Saxagliptin-metformin with, for example, Atazanavir, Clozapine, Contrast media. The full list is on the Saxagliptin-metformin page.
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