Interações medicamentosas
Empagliflozin-linagliptin + Fosphenytoin
Gravidade: Grave
Empagliflozin-linagliptin and Fosphenytoin: major 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
Fosphenytoin is converted to phenytoin, a strong inducer of CYP3A4 and P-glycoprotein, which can substantially lower linagliptin exposure. Loss of linagliptin effect may lead to worsened glycemic control.
O que esta interação significa em palavras simples
Empagliflozin-linagliptin and Fosphenytoin 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.
Empagliflozin-linagliptin belongs to Endocrine; Fosphenytoin belongs to Central Nervous System.
Por que acontece
Phenytoin induces CYP3A4 and P-glycoprotein, increasing linagliptin clearance.
O que fazer
Linagliptin labeling advises an alternative to strong inducers; use a different antidiabetic agent where possible, otherwise monitor glucose and HbA1c closely.
O que perguntar ao farmacêutico
- 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?
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 Empagliflozin-linagliptin e Fosphenytoin, 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 Empagliflozin-linagliptin
Outras interações de Fosphenytoin
- Dronedarone + Fosphenytoin Contraindicada
- Fosphenytoin + Ledipasvir-sofosbuvir Contraindicada
- Fosphenytoin + Lorlatinib Contraindicada
- Fosphenytoin + Lurasidone Contraindicada
- Fosphenytoin + Ranolazine Contraindicada
- Fosphenytoin + Sofosbuvir-velpatasvir-voxilaprevir Contraindicada
Perguntas frequentes
Can I take Empagliflozin-linagliptin with Fosphenytoin?
MediHelp rates the interaction as major. Empagliflozin-linagliptin and Fosphenytoin 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. Fosphenytoin is converted to phenytoin, a strong inducer of CYP3A4 and P-glycoprotein, which can substantially lower linagliptin exposure. Loss of linagliptin effect may lead to worsened glycemic control.
How serious is the interaction between Empagliflozin-linagliptin and Fosphenytoin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Linagliptin labeling advises an alternative to strong inducers; use a different antidiabetic agent where possible, otherwise monitor glucose and HbA1c closely.
What other medicines interact with Empagliflozin-linagliptin?
MediHelp also lists interactions of Empagliflozin-linagliptin with, for example, Rifampin, Rifapentine, Amiloride. The full list is on the Empagliflozin-linagliptin 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.
