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Interactions médicamenteuses

Dapagliflozin-metformin + Niacin

Gravité: Modérée

Dapagliflozin-metformin and Niacin: moderate interaction.

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Résumé

Niacin, especially at lipid-lowering doses, can worsen insulin resistance and raise blood glucose. This may reduce the effectiveness of antidiabetic therapy.

Ce que signifie cette interaction, en termes simples

Dapagliflozin-metformin and Niacin 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-metformin belongs to Endocrine; Niacin belongs to Cardiovascular.

Niveau de preuve: Moderate

Pourquoi elle survient

Pharmacodynamic antagonism through niacin-induced insulin resistance and increased hepatic glucose output.

Conduite à tenir

Monitor glucose and HbA1c after starting or increasing niacin and increase antidiabetic therapy if needed. Reassess glucose when niacin is stopped.

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-metformin with Niacin?

MediHelp rates the interaction as moderate. Dapagliflozin-metformin and Niacin 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. Niacin, especially at lipid-lowering doses, can worsen insulin resistance and raise blood glucose. This may reduce the effectiveness of antidiabetic therapy.

How serious is the interaction between Dapagliflozin-metformin and Niacin?

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 glucose and HbA1c after starting or increasing niacin and increase antidiabetic therapy if needed. Reassess glucose when niacin is stopped.

What other medicines interact with Dapagliflozin-metformin?

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

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