藥物交互作用
Contrast media + Dapagliflozin-metformin
嚴重程度: 嚴重
Contrast media and Dapagliflozin-metformin: major interaction.
最後更新
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本頁的臨床內容僅提供英文版。
摘要
Iodinated contrast can cause acute kidney injury, and metformin is eliminated unchanged by the kidneys. Reduced clearance leads to metformin accumulation and raises the risk of lactic acidosis, and dapagliflozin's volume-depleting effect may add to renal risk.
用白話說明這項交互作用的意義
Contrast media and Dapagliflozin-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.
為什麼會發生
Contrast-induced reduction in renal function decreases renal elimination of metformin, causing accumulation.
處置方式
Hold metformin at the time of or before the procedure in patients with reduced eGFR, liver disease, alcoholism, heart failure or intra-arterial contrast. Re-check renal function about 48 hours afterward and restart only if it is stable.
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?
Dapagliflozin-metformin 的其他交互作用
常見問題
Can I take Contrast media with Dapagliflozin-metformin?
MediHelp rates the interaction as major. Contrast media and Dapagliflozin-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. Iodinated contrast can cause acute kidney injury, and metformin is eliminated unchanged by the kidneys. Reduced clearance leads to metformin accumulation and raises the risk of lactic acidosis, and dapagliflozin's volume-depleting effect may add to renal risk.
How serious is the interaction between Contrast media and Dapagliflozin-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: Hold metformin at the time of or before the procedure in patients with reduced eGFR, liver disease, alcoholism, heart failure or intra-arterial contrast. Re-check renal function about 48 hours afterward and restart only if it is stable.
What other medicines interact with Dapagliflozin-metformin?
MediHelp also lists interactions of Dapagliflozin-metformin with, for example, Diatrizoate, Diatrizoate meglumine / diatrizoate, Ethanol. The full list is on the Dapagliflozin-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。
