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Interactions médicamenteuses

Alpelisib + Chlorpropamide

Gravité: Modérée

Alpelisib and Chlorpropamide: moderate interaction.

Dernière mise à jour

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Résumé

Alpelisib may induce CYP2C9, which could lower exposure to CYP2C9 substrates and weaken their effect. However, alpelisib itself causes hyperglycemia, so glycemic control may worsen with chlorpropamide through both mechanisms.

Ce que signifie cette interaction, en termes simples

Alpelisib and Chlorpropamide 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.

Alpelisib belongs to Oncology; Chlorpropamide belongs to Endocrine.

Niveau de preuve: Moderate

Pourquoi elle survient

Alpelisib may induce CYP2C9 and also inhibits PI3K signaling, causing hyperglycemia that opposes the sulfonylurea.

Conduite à tenir

Monitor blood glucose closely during alpelisib treatment. Increase the antidiabetic regimen as needed.

Questions à poser à votre pharmacien

  • 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.

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Questions fréquentes

Can I take Alpelisib with Chlorpropamide?

MediHelp rates the interaction as moderate. Alpelisib and Chlorpropamide 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. Alpelisib may induce CYP2C9, which could lower exposure to CYP2C9 substrates and weaken their effect. However, alpelisib itself causes hyperglycemia, so glycemic control may worsen with chlorpropamide through both mechanisms.

How serious is the interaction between Alpelisib and Chlorpropamide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose closely during alpelisib treatment. Increase the antidiabetic regimen as needed.

What other medicines interact with Chlorpropamide?

MediHelp also lists interactions of Chlorpropamide with, for example, Ethanol, Exenatide, Insulin degludec-insulin aspart. The full list is on the Chlorpropamide page.

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