相互作用
Glimepiride + Insulin glargine-lixisenatide
重症度: 重大
Glimepiride and Insulin glargine-lixisenatide: major interaction.
最終更新日
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概要
Glimepiride stimulates insulin secretion, so combining it with insulin and lixisenatide significantly raises the risk of hypoglycemia. The risk is greater in older patients, those with renal impairment and those with irregular meals.
この相互作用をわかりやすく説明すると
Glimepiride and Insulin glargine-lixisenatide 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.
Glimepiride belongs to Endocrine; Insulin glargine-lixisenatide belongs to Endocrine.
なぜ起こるのか
Additive glucose lowering from sulfonylurea-driven insulin secretion plus exogenous insulin and GLP-1 receptor agonism.
対処法
Reduce the glimepiride dose when combining with this product and monitor glucose closely. Educate the patient on recognizing and treating hypoglycemia.
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、GlimepirideとInsulin glargine-lixisenatide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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Insulin glargine-lixisenatideのその他の相互作用
Glimepirideのその他の相互作用
よくある質問
Can I take Glimepiride with Insulin glargine-lixisenatide?
MediHelp rates the interaction as major. Glimepiride and Insulin glargine-lixisenatide 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. Glimepiride stimulates insulin secretion, so combining it with insulin and lixisenatide significantly raises the risk of hypoglycemia. The risk is greater in older patients, those with renal impairment and those with irregular meals.
How serious is the interaction between Glimepiride and Insulin glargine-lixisenatide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the glimepiride dose when combining with this product and monitor glucose closely. Educate the patient on recognizing and treating hypoglycemia.
What other medicines interact with Insulin glargine-lixisenatide?
MediHelp also lists interactions of Insulin glargine-lixisenatide with, for example, Albiglutide, Chlorpropamide, Dulaglutide. The full list is on the Insulin glargine-lixisenatide 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。
