Interazioni tra farmaci
Fluconazole + Glipizide
Gravità: Maggiore
Fluconazole and Glipizide: major interaction.
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Sintesi
Fluconazole increases glipizide exposure, which can lead to enhanced and prolonged hypoglycemia. Cases of symptomatic hypoglycemia have been reported with azole antifungals and sulfonylureas.
Cosa significa questa interazione in parole semplici
Fluconazole and Glipizide 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.
Fluconazole belongs to Anti Fungals; Glipizide belongs to Endocrine.
Perché avviene
Fluconazole inhibits CYP2C9-mediated glipizide metabolism.
Cosa fare
Monitor blood glucose frequently and reduce the glipizide dose as needed. Educate the patient on hypoglycemia recognition.
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 Fluconazole
- Dihydroergotamine intranasal + Fluconazole Controindicata
- Dihydroergotamine + Fluconazole Controindicata
- Dofetilide + Fluconazole Controindicata
- Dronedarone + Fluconazole Controindicata
- Erythromycin + Fluconazole Controindicata
- Flibanserin + Fluconazole Controindicata
Altre interazioni di Glipizide
- Disopyramide + Glipizide Maggiore
- Glipizide + Insulin degludec-liraglutide Maggiore
- Glipizide + Insulin glargine-lixisenatide Maggiore
- Glipizide + Sulfamethoxazole Maggiore
- Aceclofenac + Glipizide Moderata
- Acemetacin + Glipizide Moderata
Domande frequenti
Can I take Fluconazole with Glipizide?
MediHelp rates the interaction as major. Fluconazole and Glipizide 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. Fluconazole increases glipizide exposure, which can lead to enhanced and prolonged hypoglycemia. Cases of symptomatic hypoglycemia have been reported with azole antifungals and sulfonylureas.
How serious is the interaction between Fluconazole and Glipizide?
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 frequently and reduce the glipizide dose as needed. Educate the patient on hypoglycemia recognition.
What other medicines interact with Fluconazole?
MediHelp also lists interactions of Fluconazole with, for example, Dihydroergotamine intranasal, Dihydroergotamine, Dofetilide. The full list is on the Fluconazole page.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
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