Empagliflozin Linagliptin Metformin Hydrochloride + Zonisamide Interaction
Majorinteraction on record
Description
Zonisamide causes decreased serum bicarbonate and metabolic acidosis; concomitant use with TRIJARDY XR may increase risk of lactic acidosis.
Mechanism
Carbonic anhydrase inhibition leading to metabolic acidosis
Source: NLP:empagliflozin, linagliptin, metformin hydrochloride