تداخلهای دارویی
Ciprofloxacin + Glyburide
شدت: شدید
Ciprofloxacin and Glyburide: major interaction.
آخرین بهروزرسانی
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خلاصه
Fluoroquinolones can cause both hypoglycemia and hyperglycemia in patients taking sulfonylureas. Severe hypoglycemia, including cases needing hospitalization, has been reported with ciprofloxacin and glyburide, and the risk is higher in older or renally impaired patients. Ciprofloxacin may also modestly raise glyburide exposure.
معنای این تداخل به زبان ساده
Ciprofloxacin and Glyburide 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.
Ciprofloxacin belongs to Anti Bacterial; Glyburide belongs to Endocrine.
چرا رخ میدهد
Fluoroquinolone effects on beta-cell insulin release add to sulfonylurea stimulation of insulin secretion, and ciprofloxacin may also reduce glyburide clearance.
اقدام لازم
Monitor blood glucose frequently during and after the antibiotic course and teach the patient to recognize hypoglycemia. Reduce the glyburide dose if glucose falls, or choose a non-fluoroquinolone antibiotic.
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 Ciprofloxacin و Glyburide، 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 Ciprofloxacin
- Agomelatine + Ciprofloxacin منع مصرف
- Ciprofloxacin + Fezolinetant منع مصرف
- Ciprofloxacin + Thioridazine منع مصرف
- Ciprofloxacin + Tizanidine منع مصرف
- Ciprofloxacin + Vandetanib منع مصرف
- Alosetron + Ciprofloxacin شدید
تداخلات دیگر Glyburide
پرسشهای متداول
Can I take Ciprofloxacin with Glyburide?
MediHelp rates the interaction as major. Ciprofloxacin and Glyburide 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. Fluoroquinolones can cause both hypoglycemia and hyperglycemia in patients taking sulfonylureas. Severe hypoglycemia, including cases needing hospitalization, has been reported with ciprofloxacin and glyburide, and the risk is higher in older or renally impaired patients. Ciprofloxacin may also modestly raise glyburide exposure.
How serious is the interaction between Ciprofloxacin and Glyburide?
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 blood glucose frequently during and after the antibiotic course and teach the patient to recognize hypoglycemia. Reduce the glyburide dose if glucose falls, or choose a non-fluoroquinolone antibiotic.
What other medicines interact with Ciprofloxacin?
MediHelp also lists interactions of Ciprofloxacin with, for example, Agomelatine, Fezolinetant, Thioridazine. The full list is on the Ciprofloxacin 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.