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藥物交互作用

Dapagliflozin + Glyburide

嚴重程度: 中度

Dapagliflozin and Glyburide: moderate interaction.

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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

Dapagliflozin lowers glucose without stimulating insulin release, but combined with glyburide it increases the likelihood of hypoglycemia. The prolonged action of glyburide makes any episodes potentially long-lasting.

用白話說明這項交互作用的意義

Dapagliflozin and Glyburide 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.

Dapagliflozin belongs to Endocrine; Glyburide belongs to Endocrine.

證據等級: High

為什麼會發生

Additive pharmacodynamic glucose lowering from SGLT2-mediated urinary glucose excretion and sulfonylurea-driven insulin secretion.

處置方式

Consider a lower glyburide dose when dapagliflozin is started. Monitor blood glucose closely and educate the patient about hypoglycemia.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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常見問題

Can I take Dapagliflozin with Glyburide?

MediHelp rates the interaction as moderate. Dapagliflozin and Glyburide 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. Dapagliflozin lowers glucose without stimulating insulin release, but combined with glyburide it increases the likelihood of hypoglycemia. The prolonged action of glyburide makes any episodes potentially long-lasting.

How serious is the interaction between Dapagliflozin and Glyburide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider a lower glyburide dose when dapagliflozin is started. Monitor blood glucose closely and educate the patient about hypoglycemia.

What other medicines interact with Glyburide?

MediHelp also lists interactions of Glyburide with, for example, Bosentan, Cholic acid, Ciprofloxacin. The full list is on the Glyburide page.

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