相互作用
Gemfibrozil + Metformin-pioglitazone
重症度: 重大
Gemfibrozil and Metformin-pioglitazone: major interaction.
最終更新日
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概要
Gemfibrozil substantially increases pioglitazone exposure by inhibiting its metabolism. This raises the risk of dose-related adverse effects such as edema, weight gain, heart failure and hypoglycemia.
この相互作用をわかりやすく説明すると
Gemfibrozil and Metformin-pioglitazone 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.
Gemfibrozil belongs to Cardiovascular; Metformin-pioglitazone belongs to Endocrine.
なぜ起こるのか
Gemfibrozil inhibits CYP2C8, the main enzyme metabolizing pioglitazone.
対処法
Limit pioglitazone to a maximum of 15 mg daily with gemfibrozil. Monitor glucose and for edema or heart failure signs.
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
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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、GemfibrozilとMetformin-pioglitazone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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Metformin-pioglitazoneのその他の相互作用
Gemfibrozilのその他の相互作用
よくある質問
Can I take Gemfibrozil with Metformin-pioglitazone?
MediHelp rates the interaction as major. Gemfibrozil and Metformin-pioglitazone 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. Gemfibrozil substantially increases pioglitazone exposure by inhibiting its metabolism. This raises the risk of dose-related adverse effects such as edema, weight gain, heart failure and hypoglycemia.
How serious is the interaction between Gemfibrozil and Metformin-pioglitazone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit pioglitazone to a maximum of 15 mg daily with gemfibrozil. Monitor glucose and for edema or heart failure signs.
What other medicines interact with Metformin-pioglitazone?
MediHelp also lists interactions of Metformin-pioglitazone with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diatrizoate. The full list is on the Metformin-pioglitazone 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。
