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Interactions médicamenteuses

Dapagliflozin + Glibenclamide

Gravité: Modérée

Dapagliflozin and Glibenclamide: moderate interaction.

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Résumé

Dapagliflozin lowers glucose without stimulating insulin release, but combined with glyburide it increases the likelihood of hypoglycemia. The prolonged action of glyburide makes any episodes potentially long-lasting.

Ce que signifie cette interaction, en termes simples

Dapagliflozin and Glibenclamide 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.

Dapagliflozin belongs to Endocrine; Glibenclamide belongs to Endocrine.

Niveau de preuve: High

Pourquoi elle survient

Additive pharmacodynamic glucose lowering from SGLT2-mediated urinary glucose excretion and sulfonylurea-driven insulin secretion.

Conduite à tenir

Consider a lower glyburide dose when dapagliflozin is started. Monitor blood glucose closely and educate the patient about hypoglycemia.

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 Dapagliflozin with Glibenclamide?

MediHelp rates the interaction as moderate. Dapagliflozin and Glibenclamide 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. Dapagliflozin lowers glucose without stimulating insulin release, but combined with glyburide it increases the likelihood of hypoglycemia. The prolonged action of glyburide makes any episodes potentially long-lasting.

How serious is the interaction between Dapagliflozin and Glibenclamide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider a lower glyburide dose when dapagliflozin is started. Monitor blood glucose closely and educate the patient about hypoglycemia.

What other medicines interact with Glibenclamide?

MediHelp also lists interactions of Glibenclamide with, for example, Bosentan, Cholic acid, Ciprofloxacin. The full list is on the Glibenclamide 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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