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تداخل‌های دارویی

Carbamazepine + Linagliptin-metformin

شدت: شدید

Carbamazepine and Linagliptin-metformin: major interaction.

آخرین به‌روزرسانی

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خلاصه

Carbamazepine is a strong inducer of CYP3A4 and P-glycoprotein and can substantially lower linagliptin concentrations. This may lead to loss of glycemic efficacy.

معنای این تداخل به زبان ساده

Carbamazepine and Linagliptin-metformin 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.

Carbamazepine belongs to Central Nervous System; Linagliptin-metformin belongs to Endocrine.

سطح شواهد: Moderate

چرا رخ می‌دهد

Induction of CYP3A4 and P-gp increases linagliptin metabolism and efflux, reducing exposure.

اقدام لازم

Avoid the combination where possible and use an alternative antidiabetic agent not affected by induction. If co-administered, monitor glucose and HbA1c closely.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

ویژه اعضای Pro+

باز کردن کل صفحه

یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Carbamazepine و Linagliptin-metformin، 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.

پرسش‌های متداول

Can I take Carbamazepine with Linagliptin-metformin?

MediHelp rates the interaction as major. Carbamazepine and Linagliptin-metformin 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. Carbamazepine is a strong inducer of CYP3A4 and P-glycoprotein and can substantially lower linagliptin concentrations. This may lead to loss of glycemic efficacy.

How serious is the interaction between Carbamazepine and Linagliptin-metformin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible and use an alternative antidiabetic agent not affected by induction. If co-administered, monitor glucose and HbA1c closely.

What other medicines interact with Linagliptin-metformin?

MediHelp also lists interactions of Linagliptin-metformin with, for example, Apalutamide, Contrast media, Diatrizoate meglumine / diatrizoate. The full list is on the Linagliptin-metformin page.

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