Can I take Dapagliflozin and Gliclazide together?
Drug interaction guide
Originally published 14 Mar 2026
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Taking these two medicines together increases the risk of your blood sugar levels dropping too low (hypoglycaemia). While both drugs are used to treat type 2 diabetes, they work in different ways to lower blood sugar, and their combined effect can sometimes be too strong.
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Why this happens
Dapagliflozin works by helping your kidneys remove excess sugar through your urine. Gliclazide works by stimulating your pancreas to produce more insulin. When used together, the 'additive effect' of both drugs lowering your blood sugar simultaneously makes a low blood sugar episode more likely.
What you should do
Back to contentsYou should monitor your blood sugar levels more frequently when starting this combination or when your dose is changed. Make sure you know how to recognise the signs of a 'hypo' (such as sweating, shaking, hunger, or irritability) and always carry a fast-acting glucose source (like glucose tablets or sugary sweets). Your doctor may need to reduce your dose of gliclazide to prevent your blood sugar from dropping too low.
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Using other medicines
Back to contentsTaking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
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Treatment and medication
Can I take 150 and Zigduo together?
Taking aspirin (75mg to 150mg) with Xigduo (which contains dapagliflozin and metformin) can increase the risk of your blood sugar dropping too low (hypoglycaemia). It may also increase the risk of a rare but serious condition called lactic acidosis, where too much acid builds up in your blood.

Treatment and medication
Can I take Empagliflozin and Mirtazapine together?
There is no direct interaction between empagliflozin and mirtazapine. However, both medications can occasionally cause a drop in blood pressure when you stand up (postural hypotension). Taking them together might slightly increase the risk of feeling dizzy or light-headed.
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Article history
The information on this page is written and peer reviewed by qualified clinicians.
14 Mar 2026 | Originally published

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