藥物交互作用
Diatrizoate + Metformin-pioglitazone
嚴重程度: 嚴重
Diatrizoate and Metformin-pioglitazone: major interaction.
最後更新
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摘要
Iodinated intravascular contrast can cause acute kidney injury, which reduces metformin clearance. Accumulated metformin may then lead to lactic acidosis.
用白話說明這項交互作用的意義
Diatrizoate and Metformin-pioglitazone 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 elimination, causing accumulation.
處置方式
Withhold metformin at the time of the procedure in patients with eGFR below 30, or with acute kidney injury or intra-arterial administration. Resume only after renal function is rechecked and found stable, usually after 48 hours.
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?
Metformin-pioglitazone 的其他交互作用
常見問題
Can I take Diatrizoate with Metformin-pioglitazone?
MediHelp rates the interaction as major. Diatrizoate and Metformin-pioglitazone 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 intravascular contrast can cause acute kidney injury, which reduces metformin clearance. Accumulated metformin may then lead to lactic acidosis.
How serious is the interaction between Diatrizoate and Metformin-pioglitazone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Withhold metformin at the time of the procedure in patients with eGFR below 30, or with acute kidney injury or intra-arterial administration. Resume only after renal function is rechecked and found stable, usually after 48 hours.
What other medicines interact with Metformin-pioglitazone?
MediHelp also lists interactions of Metformin-pioglitazone with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diazoxide. The full list is on the Metformin-pioglitazone page.
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