تداخل‌های دارویی
Canagliflozin-metformin + Dichlorphenamide
شدت: شدید
Canagliflozin-metformin and Dichlorphenamide: major interaction.
آخرین به‌روزرسانی
ویژه کادر درمان — فقط جهت مرجع. این صفحه خلاصه‌ای کوتاه است، توصیه پزشکی نیست و جایگزین بروشور رسمی یا قضاوت بالینی نمی‌شود. پیش از تجویز یا تحویل دارو همیشه بررسی کنید.
محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.
خلاصه
Dichlorphenamide is a carbonic anhydrase inhibitor that causes hyperchloremic metabolic acidosis. Metformin carries a risk of lactic acidosis, and the acidosis from dichlorphenamide may increase this risk. Canagliflozin may also contribute to ketoacidosis in rare cases.
معنای این تداخل به زبان ساده
Canagliflozin-metformin and Dichlorphenamide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Canagliflozin-metformin belongs to Endocrine; Dichlorphenamide belongs to Miscellaneous.
چرا رخ می‌دهد
Additive acidosis from carbonic anhydrase inhibition and impaired lactate clearance or increased lactate with metformin.
اقدام لازم
Monitor serum bicarbonate and acid-base status at baseline and periodically, and avoid the combination if renal function is reduced. Stop or reconsider metformin if acidosis develops.
از داروساز چه بپرسید
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Canagliflozin-metformin و Dichlorphenamide، 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 ۱۴ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.
تداخلات دیگر Canagliflozin-metformin
تداخلات دیگر Dichlorphenamide
پرسش‌های متداول
Can I take Canagliflozin-metformin with Dichlorphenamide?
MediHelp rates the interaction as major. Canagliflozin-metformin and Dichlorphenamide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Dichlorphenamide is a carbonic anhydrase inhibitor that causes hyperchloremic metabolic acidosis. Metformin carries a risk of lactic acidosis, and the acidosis from dichlorphenamide may increase this risk. Canagliflozin may also contribute to ketoacidosis in rare cases.
How serious is the interaction between Canagliflozin-metformin and Dichlorphenamide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum bicarbonate and acid-base status at baseline and periodically, and avoid the combination if renal function is reduced. Stop or reconsider metformin if acidosis develops.
What other medicines interact with Canagliflozin-metformin?
MediHelp also lists interactions of Canagliflozin-metformin with, for example, Contrast media, Diatrizoate, Diatrizoate meglumine / diatrizoate. The full list is on the Canagliflozin-metformin page.
تک‌نگاری کامل، دوزاژ و بررسی تداخل دارویی در برنامه MediHelp
مرجع کامل را باز کنید، تداخل چند دارو را بررسی کنید و از ابزارهای دوز در برنامه MediHelp استفاده کنید.
