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Drug interactions

Prednisone + Vildagliptin

Severity: Moderate

Prednisone and Vildagliptin: 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

Prednisone can raise blood glucose and reduce the effectiveness of vildagliptin, so glycemic control may worsen during steroid therapy.

What this interaction means in plain words

Prednisone and Vildagliptin 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.

Prednisone belongs to Endocrine; Vildagliptin belongs to Endocrine.

Evidence level: Moderate

Why it happens

Glucocorticoids increase gluconeogenesis and insulin resistance, opposing the antihyperglycemic effect of DPP-4 inhibition.

What to do

Monitor glucose more frequently during prednisone courses and adjust antidiabetic therapy as needed. Reassess when the steroid is tapered.

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 Prednisone with Vildagliptin?

MediHelp rates the interaction as moderate. Prednisone and Vildagliptin 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. Prednisone can raise blood glucose and reduce the effectiveness of vildagliptin, so glycemic control may worsen during steroid therapy.

How serious is the interaction between Prednisone and Vildagliptin?

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 glucose more frequently during prednisone courses and adjust antidiabetic therapy as needed. Reassess when the steroid is tapered.

What other medicines interact with Prednisone?

MediHelp also lists interactions of Prednisone with, for example, Bcg vaccine live, Measles vaccine, Mifepristone. The full list is on the Prednisone page.

Full monographs, dosing and an interaction checker in the MediHelp app

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