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تداخل‌های دارویی

Dichlorphenamide + Glipizide-metformin

شدت: شدید

Dichlorphenamide and Glipizide-metformin: major interaction.

آخرین به‌روزرسانی

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خلاصه

Dichlorphenamide is a carbonic anhydrase inhibitor that causes hyperchloremic metabolic acidosis. Combined with metformin, which carries a risk of lactic acidosis, acid-base disturbance may be worsened.

معنای این تداخل به زبان ساده

Dichlorphenamide and Glipizide-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.

Dichlorphenamide belongs to Miscellaneous; Glipizide-metformin belongs to Endocrine.

سطح شواهد: Moderate

چرا رخ می‌دهد

Additive pharmacodynamic risk of acidosis through carbonic anhydrase inhibition and metformin-related lactate accumulation.

اقدام لازم

Monitor serum bicarbonate and electrolytes at baseline and periodically, and reassess the need for metformin if acidosis develops. Avoid the combination in patients with renal impairment.

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 Dichlorphenamide و Glipizide-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 Dichlorphenamide with Glipizide-metformin?

MediHelp rates the interaction as major. Dichlorphenamide and Glipizide-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. Dichlorphenamide is a carbonic anhydrase inhibitor that causes hyperchloremic metabolic acidosis. Combined with metformin, which carries a risk of lactic acidosis, acid-base disturbance may be worsened.

How serious is the interaction between Dichlorphenamide and Glipizide-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: Monitor serum bicarbonate and electrolytes at baseline and periodically, and reassess the need for metformin if acidosis develops. Avoid the combination in patients with renal impairment.

What other medicines interact with Glipizide-metformin?

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

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