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Interactions médicamenteuses

Gliclazide + Mecasermin

Gravité: Majeure

Gliclazide and Mecasermin: major interaction.

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Résumé

Mecasermin is recombinant IGF-1 and itself causes hypoglycemia. Combined with a sulfonylurea, the glucose-lowering effect is additive and severe hypoglycemia may occur.

Ce que signifie cette interaction, en termes simples

Gliclazide and Mecasermin 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.

Gliclazide belongs to Endocrine; Mecasermin belongs to Endocrine.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive pharmacodynamic hypoglycemic effects, as IGF-1 has insulin-like activity and gliclazide stimulates insulin secretion.

Conduite à tenir

Monitor blood glucose closely and consider reducing the gliclazide dose. Give mecasermin with or shortly after a meal and teach the patient to recognize and treat hypoglycemia.

Questions à poser à votre pharmacien

  • 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.

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Questions fréquentes

Can I take Gliclazide with Mecasermin?

MediHelp rates the interaction as major. Gliclazide and Mecasermin 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. Mecasermin is recombinant IGF-1 and itself causes hypoglycemia. Combined with a sulfonylurea, the glucose-lowering effect is additive and severe hypoglycemia may occur.

How serious is the interaction between Gliclazide and Mecasermin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose closely and consider reducing the gliclazide dose. Give mecasermin with or shortly after a meal and teach the patient to recognize and treat hypoglycemia.

What other medicines interact with Gliclazide?

MediHelp also lists interactions of Gliclazide with, for example, Ciprofloxacin, Clarithromycin, Disopyramide. The full list is on the Gliclazide 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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