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تداخل‌های دارویی

Gemfibrozil + Metformin-pioglitazone

شدت: شدید

Gemfibrozil and Metformin-pioglitazone: major interaction.

آخرین به‌روزرسانی

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خلاصه

Gemfibrozil substantially increases pioglitazone exposure by inhibiting its metabolism. This raises the risk of dose-related adverse effects such as edema, weight gain, heart failure and hypoglycemia.

معنای این تداخل به زبان ساده

Gemfibrozil and Metformin-pioglitazone 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.

Gemfibrozil belongs to Cardiovascular; Metformin-pioglitazone belongs to Endocrine.

سطح شواهد: High

چرا رخ می‌دهد

Gemfibrozil inhibits CYP2C8, the main enzyme metabolizing pioglitazone.

اقدام لازم

Limit pioglitazone to a maximum of 15 mg daily with gemfibrozil. Monitor glucose and for edema or heart failure signs.

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 Gemfibrozil و Metformin-pioglitazone، 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 Gemfibrozil with Metformin-pioglitazone?

MediHelp rates the interaction as major. Gemfibrozil and Metformin-pioglitazone 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. Gemfibrozil substantially increases pioglitazone exposure by inhibiting its metabolism. This raises the risk of dose-related adverse effects such as edema, weight gain, heart failure and hypoglycemia.

How serious is the interaction between Gemfibrozil and Metformin-pioglitazone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit pioglitazone to a maximum of 15 mg daily with gemfibrozil. Monitor glucose and for edema or heart failure signs.

What other medicines interact with Metformin-pioglitazone?

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

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