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藥物交互作用

Glipizide-metformin + Niacin

嚴重程度: 中度

Glipizide-metformin and Niacin: moderate interaction.

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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

Niacin, especially at lipid-lowering doses, can raise blood glucose and worsen glycemic control in diabetes. Antidiabetic doses may need to be increased.

用白話說明這項交互作用的意義

Glipizide-metformin and Niacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Glipizide-metformin belongs to Endocrine; Niacin belongs to Cardiovascular.

證據等級: High

為什麼會發生

Niacin induces insulin resistance and increases hepatic glucose output, opposing antidiabetic drugs.

處置方式

Monitor blood glucose and HbA1c after starting niacin or changing its dose, and adjust glipizide or metformin as needed.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Glipizide-metformin 與 Niacin 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Glipizide-metformin with Niacin?

MediHelp rates the interaction as moderate. Glipizide-metformin and Niacin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Niacin, especially at lipid-lowering doses, can raise blood glucose and worsen glycemic control in diabetes. Antidiabetic doses may need to be increased.

How serious is the interaction between Glipizide-metformin and Niacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose and HbA1c after starting niacin or changing its dose, and adjust glipizide or metformin as needed.

What other medicines interact with Glipizide-metformin?

MediHelp also lists interactions of Glipizide-metformin with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diatrizoate. The full list is on the Glipizide-metformin page.

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