Interactions médicamenteuses
Linagliptin-metformin + Trilaciclib
Gravité: Majeure
Linagliptin-metformin and Trilaciclib: major interaction.
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Résumé
Trilaciclib inhibits OCT2, MATE1 and MATE2-K, which raises metformin exposure rather than lowering it. This may increase the risk of metformin toxicity including lactic acidosis.
Ce que signifie cette interaction, en termes simples
Linagliptin-metformin and Trilaciclib 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.
Linagliptin-metformin belongs to Endocrine; Trilaciclib belongs to Oncology.
Pourquoi elle survient
Trilaciclib inhibits renal OCT2 and MATE transporters, reducing metformin elimination.
Conduite à tenir
Avoid concurrent use where possible, or hold metformin on the days of trilaciclib infusion. Monitor renal function and lactate-related symptoms.
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?
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Autres interactions de Linagliptin-metformin
Autres interactions de Trilaciclib
Questions fréquentes
Can I take Linagliptin-metformin with Trilaciclib?
MediHelp rates the interaction as major. Linagliptin-metformin and Trilaciclib 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. Trilaciclib inhibits OCT2, MATE1 and MATE2-K, which raises metformin exposure rather than lowering it. This may increase the risk of metformin toxicity including lactic acidosis.
How serious is the interaction between Linagliptin-metformin and Trilaciclib?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use where possible, or hold metformin on the days of trilaciclib infusion. Monitor renal function and lactate-related symptoms.
What other medicines interact with Linagliptin-metformin?
MediHelp also lists interactions of Linagliptin-metformin with, for example, Apalutamide, Carbamazepine, Contrast media. The full list is on the Linagliptin-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.
