Interações medicamentosas
Alogliptin-pioglitazone + Cholic acid
Gravidade: Moderada
Alogliptin-pioglitazone and Cholic acid: moderate interaction.
Última atualização
Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.
O conteúdo clínico desta página está disponível apenas em inglês.
Resumo
Pioglitazone may inhibit the bile salt export pump, which could promote accumulation of conjugated bile salts in hepatocytes when given with cholic acid. This could contribute to liver injury, and pioglitazone itself carries hepatic warnings.
O que esta interação significa em palavras simples
Alogliptin-pioglitazone and Cholic acid can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Alogliptin-pioglitazone belongs to Endocrine; Cholic acid belongs to Gastrointestinal Tract.
Por que acontece
Possible inhibition of BSEP-mediated bile salt efflux reduces biliary elimination of bile acids.
O que fazer
Monitor serum transaminases and bilirubin during co-therapy and stop cholic acid or reassess therapy if liver injury develops.
O que perguntar ao farmacêutico
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
Para assinantes do Pro+
Desbloqueie a página completa
Crie uma conta e comece um teste do Pro+ para desbloquear a orientação completa de conduta para Alogliptin-pioglitazone e Cholic acid, as notas adicionais, os detalhes da evidência e o verificador de interações para uma prescrição completa.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Experimente o Pro+ grátis por 14 dias na web. Sem cartão.
Outras interações de Alogliptin-pioglitazone
Outras interações de Cholic acid
Perguntas frequentes
Can I take Alogliptin-pioglitazone with Cholic acid?
MediHelp rates the interaction as moderate. Alogliptin-pioglitazone and Cholic acid can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Pioglitazone may inhibit the bile salt export pump, which could promote accumulation of conjugated bile salts in hepatocytes when given with cholic acid. This could contribute to liver injury, and pioglitazone itself carries hepatic warnings.
How serious is the interaction between Alogliptin-pioglitazone and Cholic acid?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum transaminases and bilirubin during co-therapy and stop cholic acid or reassess therapy if liver injury develops.
What other medicines interact with Alogliptin-pioglitazone?
MediHelp also lists interactions of Alogliptin-pioglitazone with, for example, Gemfibrozil, Insulin aspart, Insulin degludec. The full list is on the Alogliptin-pioglitazone page.
Monografias completas, posologia e verificador de interações no app MediHelp
Abra a referência completa, verifique interações entre vários medicamentos e use as ferramentas de posologia no app MediHelp.
