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Drug interactions

Saxagliptin-metformin + Triamterene

Severity: Moderate

Saxagliptin-metformin and Triamterene: 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

Triamterene is a cationic drug and may compete with metformin for renal tubular secretion, modestly raising metformin exposure. Triamterene may also impair renal function, which increases the risk of metformin accumulation.

What this interaction means in plain words

Saxagliptin-metformin and Triamterene 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.

Saxagliptin-metformin belongs to Endocrine; Triamterene belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Competition at renal cationic transporters (OCT2/MATE) reduces metformin clearance.

What to do

Monitor renal function and glucose control, and watch for signs of metformin toxicity; reduce the metformin dose if renal function declines.

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 Saxagliptin-metformin with Triamterene?

MediHelp rates the interaction as moderate. Saxagliptin-metformin and Triamterene 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. Triamterene is a cationic drug and may compete with metformin for renal tubular secretion, modestly raising metformin exposure. Triamterene may also impair renal function, which increases the risk of metformin accumulation.

How serious is the interaction between Saxagliptin-metformin and Triamterene?

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 renal function and glucose control, and watch for signs of metformin toxicity; reduce the metformin dose if renal function declines.

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.

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

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