藥物交互作用
Alogliptin-pioglitazone + Cholic acid
嚴重程度: 中度
Alogliptin-pioglitazone and Cholic acid: moderate interaction.
最後更新
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摘要
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.
用白話說明這項交互作用的意義
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.
為什麼會發生
Possible inhibition of BSEP-mediated bile salt efflux reduces biliary elimination of bile acids.
處置方式
Monitor serum transaminases and bilirubin during co-therapy and stop cholic acid or reassess therapy if liver injury develops.
可向藥師詢問的問題
- 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?
Alogliptin-pioglitazone 的其他交互作用
Cholic acid 的其他交互作用
常見問題
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.
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