相互作用
Ethanol + Glipizide-metformin
重症度: 重大
Ethanol and Glipizide-metformin: major interaction.
最終更新日
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概要
Alcohol, especially in binge or heavy use, impairs hepatic lactate clearance and may potentiate metformin-associated lactic acidosis. It also unpredictably alters glucose control and raises the risk of hypoglycemia with glipizide, and a disulfiram-like reaction is rarely reported with sulfonylureas.
この相互作用をわかりやすく説明すると
Ethanol 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.
なぜ起こるのか
Ethanol suppresses gluconeogenesis and hepatic lactate metabolism, adding to metformin's effect on lactate, and potentiates sulfonylurea-induced hypoglycemia.
対処法
Advise patients to avoid excessive or binge drinking and to take alcohol only in moderation with food. Educate on hypoglycemia symptoms and consider stopping metformin in patients with chronic alcohol misuse.
薬剤師に尋ねること
- 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?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、EthanolとGlipizide-metformin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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Glipizide-metforminのその他の相互作用
よくある質問
Can I take Ethanol with Glipizide-metformin?
MediHelp rates the interaction as major. Ethanol 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. Alcohol, especially in binge or heavy use, impairs hepatic lactate clearance and may potentiate metformin-associated lactic acidosis. It also unpredictably alters glucose control and raises the risk of hypoglycemia with glipizide, and a disulfiram-like reaction is rarely reported with sulfonylureas.
How serious is the interaction between Ethanol 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: Advise patients to avoid excessive or binge drinking and to take alcohol only in moderation with food. Educate on hypoglycemia symptoms and consider stopping metformin in patients with chronic alcohol misuse.
What other medicines interact with Glipizide-metformin?
MediHelp also lists interactions of Glipizide-metformin with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diatrizoate. The full list is on the Glipizide-metformin 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。
