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