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相互作用

Colesevelam + Gliclazide

重症度: 中等度

Colesevelam and Gliclazide: moderate interaction.

最終更新日

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概要

Colesevelam may bind sulfonylureas in the gut and reduce absorption, which can weaken glycemic control. This has been shown with glipizide-type agents and is likely a class effect.

この相互作用をわかりやすく説明すると

Colesevelam and Gliclazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Colesevelam belongs to Endocrine; Gliclazide belongs to Endocrine.

エビデンスレベル: Moderate

なぜ起こるのか

Bile acid sequestrant binds the sulfonylurea in the gastrointestinal tract, reducing absorption.

対処法

Give gliclazide at least four hours before colesevelam. Monitor glucose if the dosing schedule changes.

薬剤師に尋ねること

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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アカウントを作成してPro+トライアルを始めると、ColesevelamとGliclazideの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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よくある質問

Can I take Colesevelam with Gliclazide?

MediHelp rates the interaction as moderate. Colesevelam and Gliclazide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Colesevelam may bind sulfonylureas in the gut and reduce absorption, which can weaken glycemic control. This has been shown with glipizide-type agents and is likely a class effect.

How serious is the interaction between Colesevelam and Gliclazide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give gliclazide at least four hours before colesevelam. Monitor glucose if the dosing schedule changes.

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.

完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで

MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。

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