Interazioni tra farmaci
Canagliflozin-metformin + Dichlorphenamide
Gravità: Maggiore
Canagliflozin-metformin and Dichlorphenamide: major interaction.
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Sintesi
Dichlorphenamide is a carbonic anhydrase inhibitor that causes hyperchloremic metabolic acidosis. Metformin carries a risk of lactic acidosis, and the acidosis from dichlorphenamide may increase this risk. Canagliflozin may also contribute to ketoacidosis in rare cases.
Cosa significa questa interazione in parole semplici
Canagliflozin-metformin and Dichlorphenamide 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.
Canagliflozin-metformin belongs to Endocrine; Dichlorphenamide belongs to Miscellaneous.
Perché avviene
Additive acidosis from carbonic anhydrase inhibition and impaired lactate clearance or increased lactate with metformin.
Cosa fare
Monitor serum bicarbonate and acid-base status at baseline and periodically, and avoid the combination if renal function is reduced. Stop or reconsider metformin if acidosis develops.
Cosa chiedere al farmacista
- 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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Altre interazioni di Canagliflozin-metformin
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- Canagliflozin-metformin + Diatrizoate Maggiore
- Canagliflozin-metformin + Diatrizoate meglumine / diatrizoate Maggiore
- Canagliflozin-metformin + Diazoxide Maggiore
- Canagliflozin-metformin + Ethanol Maggiore
- Canagliflozin-metformin + Ethiodized oil Maggiore
Altre interazioni di Dichlorphenamide
- Acetazolamide + Dichlorphenamide Maggiore
- Acetylsalicylic acid + Dichlorphenamide Maggiore
- Ammonium chloride + Dichlorphenamide Maggiore
- Aspirin rectal + Dichlorphenamide Maggiore
- Aspirin + Dichlorphenamide Maggiore
- Bismuth subsalicylate + Dichlorphenamide Maggiore
Domande frequenti
Can I take Canagliflozin-metformin with Dichlorphenamide?
MediHelp rates the interaction as major. Canagliflozin-metformin and Dichlorphenamide 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. Dichlorphenamide is a carbonic anhydrase inhibitor that causes hyperchloremic metabolic acidosis. Metformin carries a risk of lactic acidosis, and the acidosis from dichlorphenamide may increase this risk. Canagliflozin may also contribute to ketoacidosis in rare cases.
How serious is the interaction between Canagliflozin-metformin and Dichlorphenamide?
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 serum bicarbonate and acid-base status at baseline and periodically, and avoid the combination if renal function is reduced. Stop or reconsider metformin if acidosis develops.
What other medicines interact with Canagliflozin-metformin?
MediHelp also lists interactions of Canagliflozin-metformin with, for example, Contrast media, Diatrizoate, Diatrizoate meglumine / diatrizoate. The full list is on the Canagliflozin-metformin page.
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