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Drug interactions

Rosiglitazone + Tipranavir

Severity: Moderate

Rosiglitazone and Tipranavir: 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

Protease inhibitors, including ritonavir-boosted tipranavir, can cause insulin resistance and hyperglycemia, which may reduce the efficacy of rosiglitazone. Ritonavir-boosted tipranavir also has complex enzyme-modulating effects that may alter rosiglitazone exposure.

What this interaction means in plain words

Rosiglitazone and Tipranavir 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.

Rosiglitazone belongs to Endocrine; Tipranavir belongs to Anti Virals.

Evidence level: Low

Why it happens

Protease inhibitor-related insulin resistance antagonizes rosiglitazone, and there may also be metabolic enzyme modulation.

What to do

Monitor blood glucose and HbA1c when starting or stopping tipranavir. Adjust the antidiabetic therapy 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?

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 Rosiglitazone with Tipranavir?

MediHelp rates the interaction as moderate. Rosiglitazone and Tipranavir 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. Protease inhibitors, including ritonavir-boosted tipranavir, can cause insulin resistance and hyperglycemia, which may reduce the efficacy of rosiglitazone. Ritonavir-boosted tipranavir also has complex enzyme-modulating effects that may alter rosiglitazone exposure.

How serious is the interaction between Rosiglitazone and Tipranavir?

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 when starting or stopping tipranavir. Adjust the antidiabetic therapy as needed.

What other medicines interact with Rosiglitazone?

MediHelp also lists interactions of Rosiglitazone with, for example, Insulin aspart protamine / insulin aspart, Insulin aspart-insulin aspart protamine, Insulin aspart. The full list is on the Rosiglitazone page.

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