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Drug interactions

Saquinavir + Saxagliptin

Severity: Moderate

Saquinavir and Saxagliptin: 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

Saquinavir, usually boosted with ritonavir, strongly inhibits CYP3A4 and raises saxagliptin exposure.

What this interaction means in plain words

Saquinavir and Saxagliptin 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.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4-mediated saxagliptin metabolism.

What to do

Limit saxagliptin to 2.5 mg once daily and monitor glycemic control.

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 Saquinavir with Saxagliptin?

MediHelp rates the interaction as moderate. Saquinavir and Saxagliptin 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. Saquinavir, usually boosted with ritonavir, strongly inhibits CYP3A4 and raises saxagliptin exposure.

How serious is the interaction between Saquinavir and Saxagliptin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit saxagliptin to 2.5 mg once daily and monitor glycemic control.

What other medicines interact with Saxagliptin?

MediHelp also lists interactions of Saxagliptin with, for example, Albiglutide, Amlodipine-benazepril, Aripiprazole. The full list is on the Saxagliptin page.

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