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相互作用

Glyburide + Insulin degludec-liraglutide

重症度: 重大

Glyburide and Insulin degludec-liraglutide: major interaction.

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概要

Combining a GLP-1 agonist and insulin with glyburide increases the risk of hypoglycemia, which can be severe and prolonged. Glyburide has a long duration of action and active metabolites.

この相互作用をわかりやすく説明すると

Glyburide and Insulin degludec-liraglutide 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.

Glyburide belongs to Endocrine; Insulin degludec-liraglutide belongs to Endocrine.

エビデンスレベル: High

なぜ起こるのか

Additive stimulation of insulin secretion and insulin effect, producing synergistic glucose lowering.

対処法

Consider reducing the glyburide dose, or choosing a shorter-acting alternative, when this combination is started. Monitor glucose closely.

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?

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、GlyburideとInsulin degludec-liraglutide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 Glyburide with Insulin degludec-liraglutide?

MediHelp rates the interaction as major. Glyburide and Insulin degludec-liraglutide 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. Combining a GLP-1 agonist and insulin with glyburide increases the risk of hypoglycemia, which can be severe and prolonged. Glyburide has a long duration of action and active metabolites.

How serious is the interaction between Glyburide and Insulin degludec-liraglutide?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider reducing the glyburide dose, or choosing a shorter-acting alternative, when this combination is started. Monitor glucose closely.

What other medicines interact with Insulin degludec-liraglutide?

MediHelp also lists interactions of Insulin degludec-liraglutide with, for example, Albiglutide, Chlorpropamide, Clozapine. The full list is on the Insulin degludec-liraglutide 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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