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Interactions médicamenteuses

Dalfampridine + Glyburide-metformin

Gravité: Modérée

Dalfampridine and Glyburide-metformin: moderate interaction.

Dernière mise à jour

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Résumé

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.

Ce que signifie cette interaction, en termes simples

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.

Niveau de preuve: Low

Pourquoi elle survient

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

Conduite à tenir

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

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 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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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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