Drug Interactions between Glucophage and niraparib
This report displays the potential drug interactions for the following 2 drugs:
- Glucophage (metformin)
- niraparib
Interactions between your drugs
metFORMIN niraparib
Applies to: Glucophage (metformin) and niraparib
Consumer information for this interaction is not currently available.
MONITOR: Coadministration with niraparib may increase the plasma concentrations of drugs that are substrates of the multidrug and toxin extrusion (MATE) 1 and/or 2 transporters. The proposed mechanism is MATE 1 and/or 2 inhibition by niraparib. However, the clinical significance of this interaction is unclear.
MANAGEMENT: Caution is recommended if niraparib is used in combination with substrates of the multidrug and toxin extrusion (MATE) 1 and/or 2 transporters like metformin. Monitoring for signs and symptoms of increased exposure to the MATE 1 and 2 substrates should be considered whenever niraparib is added to or withdrawn from therapy.
References
- "Product Information. Akeega (abiraterone-niraparib)." Janssen Biotech, Inc. (2023):
- "Product Information. Zejula (niraparib)." GlaxoSmithKline (2023):
- "Product Information. Zejula (niraparib)." GlaxoSmithKline Inc (2023):
- "Product Information. Akeega (abiraterone-niraparib)." Janssen Inc (2023):
- "Product Information. Zejula (niraparib)." GlaxoSmithKline Australia Pty Ltd (2023):
- "Product Information. Zejula (niraparib)." GlaxoSmithKline UK Ltd (2023):
Drug and food interactions
metFORMIN food
Applies to: Glucophage (metformin)
MetFORMIN should be taken with meals, and excessive alcohol intake (either short-term binge drinking or frequent consumption) should be avoided during treatment. Taking metFORMIN with alcohol may increase the risk of a rare but serious and potentially life-threatening condition known as lactic acidosis, which is a buildup of lactic acid in the blood that can occasionally occur during treatment with metformin-containing products. Lactic acidosis is more likely to occur if you have kidney or liver disease, acute or unstable congestive heart failure, or dehydration. You should seek immediate medical attention if you develop potential signs and symptoms of lactic acidosis such as fatigue, weakness, muscle pain, increasing drowsiness, abdominal pain or discomfort, slow or irregular heartbeat, breathing difficulty, chills, and other unusual symptoms. Alcohol may also affect blood glucose levels in patients with diabetes. Both hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar) may occur, depending on how much and how often you drink. You should avoid using alcohol if your diabetes is not well controlled or if you have high triglycerides, neuropathy (nerve damage), or pancreatitis. Moderate alcohol consumption generally does not affect blood glucose levels if your diabetes is under control. However, you should limit your alcohol intake due to the risk of lactic acidosis with metformin. Avoid drinking alcohol on an empty stomach or following exercise, as it may increase the risk of hypoglycemia. Talk to your doctor or pharmacist if you have any questions or concerns about metformin.
Therapeutic duplication warnings
No warnings were found for your selected drugs.
Therapeutic duplication warnings are only returned when drugs within the same group exceed the recommended therapeutic duplication maximum.
See also
Drug Interaction Classification
Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. | |
Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. | |
Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. | |
No interaction information available. |
Further information
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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