تداخلهای دارویی
Alogliptin-metformin + Entecavir
شدت: متوسط
Alogliptin-metformin and Entecavir: moderate interaction.
آخرین بهروزرسانی
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خلاصه
Entecavir, a nucleoside analogue, has been associated with lactic acidosis and severe hepatomegaly with steatosis. Metformin carries its own risk of lactic acidosis, so using both may add to that risk, particularly in patients with renal or hepatic impairment.
معنای این تداخل به زبان ساده
Alogliptin-metformin and Entecavir 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.
Alogliptin-metformin belongs to Endocrine; Entecavir belongs to Anti Virals.
چرا رخ میدهد
Additive risk of lactic acidosis through mitochondrial toxicity (entecavir) and impaired lactate clearance (metformin); no direct pharmacokinetic interaction is established.
اقدام لازم
Monitor renal and hepatic function periodically and educate the patient to report nausea, abdominal pain, malaise or rapid breathing. Check lactate and stop metformin if lactic acidosis is suspected.
از داروساز چه بپرسید
- 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?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیههای کامل مدیریت Alogliptin-metformin و Entecavir، یادداشتهای تکمیلی، جزئیات شواهد و بررسیکننده تداخل برای کل نسخه را باز کنید.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Pro+ را ۷ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.
تداخلات دیگر Alogliptin-metformin
تداخلات دیگر Entecavir
پرسشهای متداول
Can I take Alogliptin-metformin with Entecavir?
MediHelp rates the interaction as moderate. Alogliptin-metformin and Entecavir 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. Entecavir, a nucleoside analogue, has been associated with lactic acidosis and severe hepatomegaly with steatosis. Metformin carries its own risk of lactic acidosis, so using both may add to that risk, particularly in patients with renal or hepatic impairment.
How serious is the interaction between Alogliptin-metformin and Entecavir?
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 and hepatic function periodically and educate the patient to report nausea, abdominal pain, malaise or rapid breathing. Check lactate and stop metformin if lactic acidosis is suspected.
What other medicines interact with Alogliptin-metformin?
MediHelp also lists interactions of Alogliptin-metformin with, for example, Clozapine, Contrast media, Diatrizoate. The full list is on the Alogliptin-metformin page.
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