藥物交互作用
Empagliflozin-metformin + Trilaciclib
嚴重程度: 嚴重
Empagliflozin-metformin and Trilaciclib: major interaction.
最後更新
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摘要
Trilaciclib inhibits OCT2, MATE1 and MATE2-K, which mediate renal secretion of metformin, and is expected to increase metformin exposure rather than decrease it. This raises the risk of metformin accumulation and lactic acidosis.
用白話說明這項交互作用的意義
Empagliflozin-metformin and Trilaciclib 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.
Empagliflozin-metformin belongs to Endocrine; Trilaciclib belongs to Oncology.
為什麼會發生
Inhibition of renal OCT2 and MATE1/MATE2-K transporters reduces metformin elimination.
處置方式
Hold metformin on the day of trilaciclib infusion or use an alternative antidiabetic agent where possible. If continued, monitor renal function and for signs of lactic acidosis.
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?
Empagliflozin-metformin 的其他交互作用
Trilaciclib 的其他交互作用
常見問題
Can I take Empagliflozin-metformin with Trilaciclib?
MediHelp rates the interaction as major. Empagliflozin-metformin and Trilaciclib 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. Trilaciclib inhibits OCT2, MATE1 and MATE2-K, which mediate renal secretion of metformin, and is expected to increase metformin exposure rather than decrease it. This raises the risk of metformin accumulation and lactic acidosis.
How serious is the interaction between Empagliflozin-metformin and Trilaciclib?
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 on the day of trilaciclib infusion or use an alternative antidiabetic agent where possible. If continued, monitor renal function and for signs of lactic acidosis.
What other medicines interact with Empagliflozin-metformin?
MediHelp also lists interactions of Empagliflozin-metformin with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diatrizoate. The full list is on the Empagliflozin-metformin page.
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