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Dalfampridine + Glyburide-metformin

شدت: متوسط

Dalfampridine and Glyburide-metformin: moderate interaction.

آخرین به‌روزرسانی

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خلاصه

Both metformin and dalfampridine are eliminated through renal tubular secretion by OCT2. Competition could raise exposure of either drug, and higher dalfampridine levels increase seizure risk, particularly in renal impairment.

معنای این تداخل به زبان ساده

Dalfampridine and Glyburide-metformin 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.

Dalfampridine belongs to Central Nervous System; Glyburide-metformin belongs to Endocrine.

سطح شواهد: Low

چرا رخ می‌دهد

Competition for renal tubular secretion via OCT2 may reduce clearance of both drugs.

اقدام لازم

Check renal function before and during combined use. Watch for seizures or neurologic effects and for metformin adverse effects such as gastrointestinal symptoms.

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?

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 Dalfampridine و Glyburide-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 Dalfampridine with Glyburide-metformin?

MediHelp rates the interaction as moderate. Dalfampridine and Glyburide-metformin 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. Both metformin and dalfampridine are eliminated through renal tubular secretion by OCT2. Competition could raise exposure of either drug, and higher dalfampridine levels increase seizure risk, particularly in renal impairment.

How serious is the interaction between Dalfampridine and Glyburide-metformin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check renal function before and during combined use. Watch for seizures or neurologic effects and for metformin adverse effects such as gastrointestinal symptoms.

What other medicines interact with Glyburide-metformin?

MediHelp also lists interactions of Glyburide-metformin with, for example, Bosentan, Cholic acid, Clarithromycin. The full list is on the Glyburide-metformin page.

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