藥物交互作用
Disopyramide + Glipizide
嚴重程度: 嚴重
Disopyramide and Glipizide: major interaction.
最後更新
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摘要
Disopyramide can cause hypoglycemia, sometimes severe, and may add to the effect of sulfonylureas. Elderly patients and those with renal impairment are at greater risk.
用白話說明這項交互作用的意義
Disopyramide and Glipizide 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.
Disopyramide belongs to Cardiovascular; Glipizide belongs to Endocrine.
為什麼會發生
Disopyramide stimulates insulin secretion via pancreatic potassium channel effects, adding to sulfonylurea action.
處置方式
Monitor blood glucose closely and reduce the glipizide dose if needed. Consider an alternative antiarrhythmic if recurrent hypoglycemia occurs.
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?
Glipizide 的其他交互作用
Disopyramide 的其他交互作用
常見問題
Can I take Disopyramide with Glipizide?
MediHelp rates the interaction as major. Disopyramide and Glipizide 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. Disopyramide can cause hypoglycemia, sometimes severe, and may add to the effect of sulfonylureas. Elderly patients and those with renal impairment are at greater risk.
How serious is the interaction between Disopyramide and Glipizide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose closely and reduce the glipizide dose if needed. Consider an alternative antiarrhythmic if recurrent hypoglycemia occurs.
What other medicines interact with Glipizide?
MediHelp also lists interactions of Glipizide with, for example, Fluconazole, Insulin degludec-liraglutide, Insulin glargine-lixisenatide. The full list is on the Glipizide 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。