Posso prendere Metformina e Ibuprofene insieme?

Perché succede

Ibuprofen can reduce blood flow to the kidneys and affect how well they filter waste. Since metformin is removed from the body by the kidneys, any decrease in kidney function can cause metformin levels to build up. High levels of metformin increase the risk of lactic acidosis (a dangerous build-up of acid in the blood).

Cosa dovresti fare

Use with caution. If you need pain relief, paracetamol is generally a safer choice for people taking metformin. If you must take ibuprofen, keep the dose low and only use it for a short time. Stay well-hydrated and speak to your doctor if you feel unusually tired, dizzy, or have stomach pain, as these can be early signs of lactic acidosis.

Precauzioni importanti

Lactic acidosis risk (Dehydration)

If you develop severe vomiting, diarrhoea, or a high fever, stop taking metformin and contact a doctor immediately. These conditions can lead to severe dehydration, which significantly increases the risk of a rare but life-threatening build-up of acid in the blood (lactic acidosis).

Asma

Non assumere ibuprofene se hai l'asma, poiché può causare un peggioramento pericoloso della respirazione o una grave reazione allergica.

Malattie renali o epatiche gravi

You must stop taking metformin if you become severely dehydrated or develop a serious infection, as this can lead to a dangerous build-up of acid in the blood (lactic acidosis).

Stomach ulcers or kidney problems

Avoid ibuprofen if you have a history of stomach ulcers or kidney disease, as it can cause internal bleeding or sudden kidney failure.

Gravidanza (terzo trimestre)

Non assumere ibuprofene se sei incinta da più di 6 mesi, poiché può causare gravi problemi cardiaci e renali nel bambino non ancora nato e complicazioni durante il parto.

Contrast dye scans (e.g., CT or X-ray)

You must tell your doctor you take metformin if you are having a scan involving an injection of 'contrast dye'. You will usually need to stop taking metformin 48 hours before and after the procedure to prevent kidney damage.

Avvertenze su cibo e bevande

Alcol

Drinking alcohol while taking metformin can increase the risk of a rare but serious condition called lactic acidosis. It can also affect your blood sugar control and increase the risk of low blood sugar (hypoglycaemia). It is best to avoid excessive drinking and binge drinking.

It is best to avoid or strictly limit alcohol while taking ibuprofen. Combining alcohol with non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen increases the risk of irritation to your stomach lining and can lead to stomach ulcers or bleeding.

Cibo (Generale)

It is recommended to take ibuprofen with food or a glass of milk to reduce the risk of stomach upset or irritation.

Vitamin B12 absorption

Long-term use of metformin can prevent your body from absorbing enough vitamin B12 from your food. You may need to have your B12 levels checked by your doctor or take a supplement if you develop symptoms like extreme tiredness or a sore tongue.

Uso di altri medicinali

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Avvertenza

Queste informazioni sono solo a scopo educativo generale e non devono essere considerate un sostituto del consiglio medico professionale. Consultate sempre il vostro medico di base, farmacista o un altro professionista sanitario qualificato prima di prendere decisioni sui vostri farmaci. Le circostanze individuali possono variare, e solo un professionista sanitario che conosce la vostra storia medica può fornire una guida personalizzata.