藥物交互作用
Carbamazepine + Linagliptin-metformin
嚴重程度: 嚴重
Carbamazepine and Linagliptin-metformin: major interaction.
最後更新
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摘要
Carbamazepine is a strong inducer of CYP3A4 and P-glycoprotein and can substantially lower linagliptin concentrations. This may lead to loss of glycemic efficacy.
用白話說明這項交互作用的意義
Carbamazepine and Linagliptin-metformin 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.
Carbamazepine belongs to Central Nervous System; Linagliptin-metformin belongs to Endocrine.
為什麼會發生
Induction of CYP3A4 and P-gp increases linagliptin metabolism and efflux, reducing exposure.
處置方式
Avoid the combination where possible and use an alternative antidiabetic agent not affected by induction. If co-administered, monitor glucose and HbA1c closely.
可向藥師詢問的問題
- 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?
Linagliptin-metformin 的其他交互作用
Carbamazepine 的其他交互作用
常見問題
Can I take Carbamazepine with Linagliptin-metformin?
MediHelp rates the interaction as major. Carbamazepine and Linagliptin-metformin 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. Carbamazepine is a strong inducer of CYP3A4 and P-glycoprotein and can substantially lower linagliptin concentrations. This may lead to loss of glycemic efficacy.
How serious is the interaction between Carbamazepine and Linagliptin-metformin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible and use an alternative antidiabetic agent not affected by induction. If co-administered, monitor glucose and HbA1c closely.
What other medicines interact with Linagliptin-metformin?
MediHelp also lists interactions of Linagliptin-metformin with, for example, Apalutamide, Contrast media, Diatrizoate meglumine / diatrizoate. The full list is on the Linagliptin-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。
