藥物交互作用
Dalfampridine + Metformin
嚴重程度: 中度
Dalfampridine and Metformin: moderate interaction.
最後更新
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摘要
Both drugs are cleared through renal tubular secretion involving OCT2, so they may compete and raise each other's exposure. Higher dalfampridine levels increase seizure risk, and higher metformin levels could raise the risk of lactic acidosis, mainly in renal impairment.
用白話說明這項交互作用的意義
Dalfampridine and Metformin 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.
Dalfampridine belongs to Central Nervous System; Metformin belongs to Endocrine.
為什麼會發生
Competition for renal tubular secretion via organic cation transporter 2 (OCT2).
處置方式
Check renal function before and during combined use and monitor for dalfampridine adverse effects such as seizures and for metformin intolerance. Avoid dalfampridine with moderate or severe renal impairment.
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?
Dalfampridine 的其他交互作用
Metformin 的其他交互作用
常見問題
Can I take Dalfampridine with Metformin?
MediHelp rates the interaction as moderate. Dalfampridine and Metformin 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 drugs are cleared through renal tubular secretion involving OCT2, so they may compete and raise each other's exposure. Higher dalfampridine levels increase seizure risk, and higher metformin levels could raise the risk of lactic acidosis, mainly in renal impairment.
How serious is the interaction between Dalfampridine and Metformin?
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 monitor for dalfampridine adverse effects such as seizures and for metformin intolerance. Avoid dalfampridine with moderate or severe renal impairment.
What other medicines interact with Dalfampridine?
MediHelp also lists interactions of Dalfampridine with, for example, Trilaciclib, Alogliptin-metformin, Canagliflozin-metformin. The full list is on the Dalfampridine 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。