藥物交互作用
Canagliflozin-metformin + Dalfampridine
嚴重程度: 中度
Canagliflozin-metformin and Dalfampridine: moderate interaction.
最後更新
僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
摘要
Both metformin and dalfampridine are eliminated by renal cationic transport, so co-administration could raise exposure to either. Dalfampridine accumulation increases seizure risk, particularly when renal function is reduced.
用白話說明這項交互作用的意義
Canagliflozin-metformin and Dalfampridine 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.
Canagliflozin-metformin belongs to Endocrine; Dalfampridine belongs to Central Nervous System.
為什麼會發生
Competition for renal tubular secretion via OCT2 may reduce clearance of both drugs.
處置方式
Check renal function before and during combined use and watch for neurological adverse effects such as tremor or seizures, and for metformin toxicity. Avoid the combination if creatinine clearance is reduced.
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?
Canagliflozin-metformin 的其他交互作用
Dalfampridine 的其他交互作用
常見問題
Can I take Canagliflozin-metformin with Dalfampridine?
MediHelp rates the interaction as moderate. Canagliflozin-metformin and Dalfampridine 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. Both metformin and dalfampridine are eliminated by renal cationic transport, so co-administration could raise exposure to either. Dalfampridine accumulation increases seizure risk, particularly when renal function is reduced.
How serious is the interaction between Canagliflozin-metformin and Dalfampridine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check renal function before and during combined use and watch for neurological adverse effects such as tremor or seizures, and for metformin toxicity. Avoid the combination if creatinine clearance is reduced.
What other medicines interact with Canagliflozin-metformin?
MediHelp also lists interactions of Canagliflozin-metformin with, for example, Contrast media, Diatrizoate, Diatrizoate meglumine / diatrizoate. The full list is on the Canagliflozin-metformin page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用,並使用劑量工具。