藥物交互作用
Fluconazole + Glimepiride
嚴重程度: 嚴重
Fluconazole and Glimepiride: major interaction.
最後更新
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
Fluconazole raises glimepiride concentrations, increasing the risk of prolonged and severe hypoglycemia. The effect is clinically important, particularly in older patients and those with renal impairment.
用白話說明這項交互作用的意義
Fluconazole and Glimepiride 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.
Fluconazole belongs to Anti Fungals; Glimepiride belongs to Endocrine.
為什麼會發生
Fluconazole inhibits CYP2C9, the main enzyme metabolizing glimepiride.
處置方式
Monitor blood glucose closely and reduce the glimepiride dose when fluconazole is started. Counsel the patient on hypoglycemia symptoms.
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?
Fluconazole 的其他交互作用
Glimepiride 的其他交互作用
常見問題
Can I take Fluconazole with Glimepiride?
MediHelp rates the interaction as major. Fluconazole and Glimepiride 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. Fluconazole raises glimepiride concentrations, increasing the risk of prolonged and severe hypoglycemia. The effect is clinically important, particularly in older patients and those with renal impairment.
How serious is the interaction between Fluconazole and Glimepiride?
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 glimepiride dose when fluconazole is started. Counsel the patient on hypoglycemia symptoms.
What other medicines interact with Fluconazole?
MediHelp also lists interactions of Fluconazole with, for example, Dihydroergotamine intranasal, Dihydroergotamine, Dofetilide. The full list is on the Fluconazole 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。
