相互作用
Ethanol + Metformin
重症度: 重大
Ethanol and Metformin: major interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Excessive alcohol intake potentiates the effect of metformin on lactate metabolism and increases the risk of lactic acidosis. Alcohol also increases hypoglycemia risk, especially with fasting.
この相互作用をわかりやすく説明すると
Ethanol and 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
Alcohol impairs hepatic lactate clearance and adds to metformin-related inhibition of gluconeogenesis.
対処法
Counsel patients to avoid binge or excessive alcohol use; reassess metformin in patients with alcohol use disorder.
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
WebでPro+を14日間無料でお試し。カード登録不要。
Metforminのその他の相互作用
よくある質問
Can I take Ethanol with Metformin?
MediHelp rates the interaction as major. Ethanol and 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. Excessive alcohol intake potentiates the effect of metformin on lactate metabolism and increases the risk of lactic acidosis. Alcohol also increases hypoglycemia risk, especially with fasting.
How serious is the interaction between Ethanol and 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: Counsel patients to avoid binge or excessive alcohol use; reassess metformin in patients with alcohol use disorder.
What other medicines interact with Metformin?
MediHelp also lists interactions of Metformin with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diatrizoate. The full list is on the 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。
