Interazioni tra farmaci
Diatrizoate meglumine / diatrizoate + Glipizide-metformin
Gravità: Maggiore
Diatrizoate meglumine / diatrizoate and Glipizide-metformin: major interaction.
Ultimo aggiornamento
Per operatori sanitari — solo a scopo di riferimento. Questa pagina è una sintesi breve, non è un parere medico e non sostituisce il RCP ufficiale né il giudizio clinico. Verificare sempre prima di prescrivere o dispensare.
Il contenuto clinico di questa pagina è disponibile solo in inglese.
Sintesi
Intravascular iodinated contrast can cause acute kidney injury, which reduces metformin clearance. Metformin accumulation can then precipitate lactic acidosis, a rare but serious complication.
Cosa significa questa interazione in parole semplici
Diatrizoate meglumine / diatrizoate and Glipizide-metformin 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.
Perché avviene
Contrast-associated acute kidney injury reduces renal elimination of metformin, leading to accumulation and lactic acidosis.
Cosa fare
Hold metformin at the time of or before the procedure in patients with eGFR below 30, acute kidney injury or intra-arterial contrast with renal exposure. Restart about 48 hours later only after renal function has been re-checked and is stable.
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?
Per gli utenti Pro+
Sblocca la pagina completa
Crei un account e avvii una prova di Pro+ per sbloccare le indicazioni complete sulla gestione di Diatrizoate meglumine / diatrizoate e Glipizide-metformin, le note aggiuntive, il dettaglio delle evidenze e il controllo delle interazioni per un'intera prescrizione.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Provi Pro+ gratis per 14 giorni sul web. Nessuna carta.
Altre interazioni di Glipizide-metformin
- Contrast media + Glipizide-metformin Maggiore
- Diatrizoate + Glipizide-metformin Maggiore
- Diazoxide + Glipizide-metformin Maggiore
- Dichlorphenamide + Glipizide-metformin Maggiore
- Ethanol + Glipizide-metformin Maggiore
- Ethiodized oil + Glipizide-metformin Maggiore
Domande frequenti
Can I take Diatrizoate meglumine / diatrizoate with Glipizide-metformin?
MediHelp rates the interaction as major. Diatrizoate meglumine / diatrizoate and Glipizide-metformin 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. Intravascular iodinated contrast can cause acute kidney injury, which reduces metformin clearance. Metformin accumulation can then precipitate lactic acidosis, a rare but serious complication.
How serious is the interaction between Diatrizoate meglumine / diatrizoate and Glipizide-metformin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Hold metformin at the time of or before the procedure in patients with eGFR below 30, acute kidney injury or intra-arterial contrast with renal exposure. Restart about 48 hours later only after renal function has been re-checked and is stable.
What other medicines interact with Glipizide-metformin?
MediHelp also lists interactions of Glipizide-metformin with, for example, Contrast media, Diatrizoate, Diazoxide. The full list is on the Glipizide-metformin page.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
Apra il riferimento completo, verifichi le interazioni tra più farmaci e usi gli strumenti di posologia nell'app MediHelp.
