Can you take Aldex G with Orforglipron?
1 drug interaction and 19 additional warnings found for the following 2 drugs:
- Aldex G (guaifenesin/phenylephrine)
- orforglipron
Drug interactions
Moderate drug interactions
Moderate:
phenylephrine orforglipron
Applies to: Aldex G (guaifenesin / phenylephrine) and orforglipron
Phenylephrine may interfere with blood glucose control and reduce the effectiveness of orforglipron and other diabetic medications.
Monitor your blood sugar levels closely. You may need a dose adjustment of your diabetic medications during and after treatment with phenylephrine.
It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Food/lifestyle interactions
Moderate food/lifestyle interactions
Moderate:
orforglipron Food/Lifestyle
Applies to: orforglipron
Grapefruit juice may increase the blood levels of certain medications such as orforglipron.
You may want to limit your consumption of grapefruit and grapefruit juice during treatment with orforglipron. However, if you have been regularly consuming grapefruit or grapefruit juice with the medication, then it is advisable for you to talk with your doctor before changing the amounts of these products in your diet, as this may alter the effects of your medication.
Contact your doctor if your condition changes or you experience increased side effects.
Orange juice is not expected to interact.
Moderate:
phenylephrine Caffeine
Applies to: Aldex G (guaifenesin / phenylephrine)
Both phenylephrine and caffeine can increase blood pressure and heart rate, and combining them may enhance these effects.
Talk to your doctor before using these medications, especially if you have a history of high blood pressure or heart disease. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications.
Contact your doctor if your condition changes or you experience increased side effects.
It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Disease interactions
17 potential interactions Applies to: 16 conditions, including Benign Prostatic Hyperplasia, Diarrhea, Gastroparesis, Hyperthyroidism, and Diabetes Mellitus.
Benign Prostatic Hyperplasia
Moderate:
Aldex G
The phenylephrine in Aldex G has a moderate potential interaction with Benign Prostatic Hyperplasia.
Sympathomimetic agents may cause or worsen urinary difficulty in patients with prostate enlargement due to smooth muscle contraction in the bladder neck via stimulation of alpha-1 adrenergic receptors. Therapy with sympathomimetic agents should be administered cautiously in patients with hypertrophy or neoplasm of the prostate.
Cardiovascular Conditions and Disorders
Major:
Aldex G
The phenylephrine in Aldex G has a major potential interaction with Cardiovascular Conditions and Disorders.
Sympathomimetic agents may cause adverse cardiovascular effects, particularly when used in high dosages and/or in susceptible patients. In cardiac tissues, these agents may produce positive chronotropic and inotropic effects via stimulation of beta- 1 adrenergic receptors. Cardiac output, oxygen consumption, and the work of the heart may be increased. In the peripheral vasculature, vasoconstriction may occur via stimulation of alpha-1 adrenergic receptors. Palpitations, tachycardia, arrhythmia, hypertension, reflex bradycardia, coronary occlusion, cerebral vasculitis, myocardial infarction, cardiac arrest, and death have been reported. Some of these agents, particularly ephedra alkaloids (ephedrine, ma huang, phenylpropanolamine), may also predispose patients to hemorrhagic and ischemic stroke. Therapy with sympathomimetic agents should generally be avoided or administered cautiously in patients with sensitivity to sympathomimetic amines, hyperthyroidism, or underlying cardiovascular or cerebrovascular disorders. These agents should not be used in patients with severe coronary artery disease or severe/uncontrolled hypertension.
Cerebrovascular Insufficiency
Major:
Aldex G
The phenylephrine in Aldex G has a major potential interaction with Cerebrovascular Insufficiency.
Sympathomimetic agents may cause adverse cardiovascular effects, particularly when used in high dosages and/or in susceptible patients. In cardiac tissues, these agents may produce positive chronotropic and inotropic effects via stimulation of beta- 1 adrenergic receptors. Cardiac output, oxygen consumption, and the work of the heart may be increased. In the peripheral vasculature, vasoconstriction may occur via stimulation of alpha-1 adrenergic receptors. Palpitations, tachycardia, arrhythmia, hypertension, reflex bradycardia, coronary occlusion, cerebral vasculitis, myocardial infarction, cardiac arrest, and death have been reported. Some of these agents, particularly ephedra alkaloids (ephedrine, ma huang, phenylpropanolamine), may also predispose patients to hemorrhagic and ischemic stroke. Therapy with sympathomimetic agents should generally be avoided or administered cautiously in patients with sensitivity to sympathomimetic amines, hyperthyroidism, or underlying cardiovascular or cerebrovascular disorders. These agents should not be used in patients with severe coronary artery disease or severe/uncontrolled hypertension.
Dehydration
Moderate:
orforglipron
Orforglipron has a moderate potential interaction with Dehydration.
There have been reports of acute kidney injury (sometimes requiring hemodialysis) in patients treated with orforglipron. Most events occurred in patients who experienced gastrointestinal adverse reactions leading to dehydration (e.g., nausea, vomiting, diarrhea). Renal function should be monitored in patients reporting adverse reactions to orforglipron that may lead to volume depletion, especially when initiating or escalating doses of orforglipron.
Diabetes Mellitus
Moderate:
Aldex G
The phenylephrine in Aldex G has a moderate potential interaction with Diabetes Mellitus.
Sympathomimetic agents may cause increases in blood glucose concentrations. These effects are usually transient and slight but may be significant with dosages higher than those normally recommended. Therapy with sympathomimetic agents should be administered cautiously in patients with diabetes mellitus. Closer monitoring of blood glucose concentrations may be appropriate.
Moderate:
orforglipron
Orforglipron has a moderate potential interaction with Diabetes Mellitus.
Orforglipron lowers blood glucose and can cause hypoglycemia. In diabetic patients, blood glucose should be monitored before starting and during treatment with orforglipron.
Diabetic Retinopathy
Moderate:
orforglipron
Orforglipron has a moderate potential interaction with Diabetic Retinopathy.
Rapid improvement in glucose control has been associated with a temporary worsening of diabetic retinopathy. Orforglipron has not been studied in patients with diabetic retinopathy and/or macular edema requiring acute treatment. Patients with a history of diabetic retinopathy should be monitored for progression of diabetic retinopathy during treatment with orforglipron.
Diarrhea
Moderate:
orforglipron
Orforglipron has a moderate potential interaction with Diarrhea.
There have been reports of acute kidney injury (sometimes requiring hemodialysis) in patients treated with orforglipron. Most events occurred in patients who experienced gastrointestinal adverse reactions leading to dehydration (e.g., nausea, vomiting, diarrhea). Renal function should be monitored in patients reporting adverse reactions to orforglipron that may lead to volume depletion, especially when initiating or escalating doses of orforglipron.
Gastroparesis
Moderate:
orforglipron
Orforglipron has a moderate potential interaction with Gastroparesis.
Use of orforglipron has been associated with gastrointestinal adverse reactions (sometimes severe). Orforglipron is not recommended in patients with severe gastroparesis.
Glaucoma/Intraocular Hypertension
Moderate:
Aldex G
The phenylephrine in Aldex G has a moderate potential interaction with Glaucoma/Intraocular Hypertension.
Sympathomimetic agents can induce transient mydriasis via stimulation of alpha-1 adrenergic receptors. In patients with anatomically narrow angles or narrow-angle glaucoma, pupillary dilation can provoke an acute attack. In patients with other forms of glaucoma, mydriasis may occasionally increase intraocular pressure. Therapy with sympathomimetic agents should be administered cautiously in patients with or predisposed to glaucoma, particularly narrow-angle glaucoma.
Hyperthyroidism
Major:
Aldex G
The phenylephrine in Aldex G has a major potential interaction with Hyperthyroidism.
Sympathomimetic agents may cause adverse cardiovascular effects, particularly when used in high dosages and/or in susceptible patients. In cardiac tissues, these agents may produce positive chronotropic and inotropic effects via stimulation of beta- 1 adrenergic receptors. Cardiac output, oxygen consumption, and the work of the heart may be increased. In the peripheral vasculature, vasoconstriction may occur via stimulation of alpha-1 adrenergic receptors. Palpitations, tachycardia, arrhythmia, hypertension, reflex bradycardia, coronary occlusion, cerebral vasculitis, myocardial infarction, cardiac arrest, and death have been reported. Some of these agents, particularly ephedra alkaloids (ephedrine, ma huang, phenylpropanolamine), may also predispose patients to hemorrhagic and ischemic stroke. Therapy with sympathomimetic agents should generally be avoided or administered cautiously in patients with sensitivity to sympathomimetic amines, hyperthyroidism, or underlying cardiovascular or cerebrovascular disorders. These agents should not be used in patients with severe coronary artery disease or severe/uncontrolled hypertension.
Liver Disease
Moderate:
orforglipron
Orforglipron has a moderate potential interaction with Liver Disease.
Orforglipron is not recommended for patients with severe liver dysfunction (Child-Pugh C). No dose adjustment is needed for patients with mild or moderate liver dysfunction (Child-Pugh A or B).
Multiple Endocrine Neoplasia Type II
Major:
orforglipron
Orforglipron has a major potential interaction with Multiple Endocrine Neoplasia Type II.
Orforglipron is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) and in patients with multiple endocrine neoplasia syndrome type 2. Patients with elevated serum calcitonin or thyroid nodules noted on physical examination or neck imaging should be further evaluated. Patients should be counseled regarding the potential risk for MTC with the use of orforglipron and should be informed of symptoms of thyroid tumors.
Pheochromocytoma
Major:
Aldex G
The phenylephrine in Aldex G has a major potential interaction with Pheochromocytoma.
Sympathomimetic agents may cause adverse cardiovascular effects, particularly when used in high dosages and/or in susceptible patients. In cardiac tissues, these agents may produce positive chronotropic and inotropic effects via stimulation of beta- 1 adrenergic receptors. Cardiac output, oxygen consumption, and the work of the heart may be increased. In the peripheral vasculature, vasoconstriction may occur via stimulation of alpha-1 adrenergic receptors. Palpitations, tachycardia, arrhythmia, hypertension, reflex bradycardia, coronary occlusion, cerebral vasculitis, myocardial infarction, cardiac arrest, and death have been reported. Some of these agents, particularly ephedra alkaloids (ephedrine, ma huang, phenylpropanolamine), may also predispose patients to hemorrhagic and ischemic stroke. Therapy with sympathomimetic agents should generally be avoided or administered cautiously in patients with sensitivity to sympathomimetic amines, hyperthyroidism, or underlying cardiovascular or cerebrovascular disorders. These agents should not be used in patients with severe coronary artery disease or severe/uncontrolled hypertension.
Prostate Tumor, Benign
Moderate:
Aldex G
The phenylephrine in Aldex G has a moderate potential interaction with Prostate Tumor, Benign.
Sympathomimetic agents may cause or worsen urinary difficulty in patients with prostate enlargement due to smooth muscle contraction in the bladder neck via stimulation of alpha-1 adrenergic receptors. Therapy with sympathomimetic agents should be administered cautiously in patients with hypertrophy or neoplasm of the prostate.
Thyroid Tumor
Major:
orforglipron
Orforglipron has a major potential interaction with Thyroid Tumor.
Orforglipron is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) and in patients with multiple endocrine neoplasia syndrome type 2. Patients with elevated serum calcitonin or thyroid nodules noted on physical examination or neck imaging should be further evaluated. Patients should be counseled regarding the potential risk for MTC with the use of orforglipron and should be informed of symptoms of thyroid tumors.
Vomiting
Moderate:
orforglipron
Orforglipron has a moderate potential interaction with Vomiting.
There have been reports of acute kidney injury (sometimes requiring hemodialysis) in patients treated with orforglipron. Most events occurred in patients who experienced gastrointestinal adverse reactions leading to dehydration (e.g., nausea, vomiting, diarrhea). Renal function should be monitored in patients reporting adverse reactions to orforglipron that may lead to volume depletion, especially when initiating or escalating doses of orforglipron.
More resources
Aldex G
A total of 228 drugs are known to interact with Aldex G.
- Aldex g is in the drug class upper respiratory combinations.
- Aldex g is used to treat the following conditions:
orforglipron
A total of 503 drugs are known to interact with orforglipron.
- Orforglipron is in the drug class GLP-1 Drugs.
- Orforglipron is used to treat Weight Loss.
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
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