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Dalfampridine + Metformin

شدت: متوسط

Dalfampridine and Metformin: moderate interaction.

آخرین به‌روزرسانی

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خلاصه

Both drugs are cleared through renal tubular secretion involving OCT2, so they may compete and raise each other's exposure. Higher dalfampridine levels increase seizure risk, and higher metformin levels could raise the risk of lactic acidosis, mainly in renal impairment.

معنای این تداخل به زبان ساده

Dalfampridine and 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; Metformin belongs to Endocrine.

سطح شواهد: Low

چرا رخ می‌دهد

Competition for renal tubular secretion via organic cation transporter 2 (OCT2).

اقدام لازم

Check renal function before and during combined use and monitor for dalfampridine adverse effects such as seizures and for metformin intolerance. Avoid dalfampridine with moderate or severe renal impairment.

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 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 Metformin?

MediHelp rates the interaction as moderate. Dalfampridine and 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 drugs are cleared through renal tubular secretion involving OCT2, so they may compete and raise each other's exposure. Higher dalfampridine levels increase seizure risk, and higher metformin levels could raise the risk of lactic acidosis, mainly in renal impairment.

How serious is the interaction between Dalfampridine and 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 and monitor for dalfampridine adverse effects such as seizures and for metformin intolerance. Avoid dalfampridine with moderate or severe renal impairment.

What other medicines interact with Dalfampridine?

MediHelp also lists interactions of Dalfampridine with, for example, Trilaciclib, Alogliptin-metformin, Canagliflozin-metformin. The full list is on the Dalfampridine page.

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