藥物交互作用
Diatrizoate + Linagliptin-metformin
嚴重程度: 嚴重
Diatrizoate and Linagliptin-metformin: major interaction.
最後更新
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摘要
Iodinated contrast can cause acute kidney injury, which impairs metformin elimination. This raises the risk of metformin-associated lactic acidosis, particularly in patients with reduced eGFR or intra-arterial administration.
用白話說明這項交互作用的意義
Diatrizoate 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.
為什麼會發生
Contrast-induced decline in renal function reduces metformin clearance and allows accumulation.
處置方式
Hold metformin at the time of or before the procedure in patients with eGFR below 30 or with acute kidney injury or intra-arterial contrast. Recheck renal function about 48 hours later before restarting.
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
常見問題
Can I take Diatrizoate with Linagliptin-metformin?
MediHelp rates the interaction as major. Diatrizoate 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. Iodinated contrast can cause acute kidney injury, which impairs metformin elimination. This raises the risk of metformin-associated lactic acidosis, particularly in patients with reduced eGFR or intra-arterial administration.
How serious is the interaction between Diatrizoate 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: Hold metformin at the time of or before the procedure in patients with eGFR below 30 or with acute kidney injury or intra-arterial contrast. Recheck renal function about 48 hours later before restarting.
What other medicines interact with Linagliptin-metformin?
MediHelp also lists interactions of Linagliptin-metformin with, for example, Apalutamide, Carbamazepine, Contrast media. 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。
