Does Risdiplam Interact with Metformin?
Risdiplam and Metformin have a moderate drug interaction according to U.S. FDA drug labeling data. EVRYSDI may increase plasma concentrations of metformin, a MATE1/MATE2-K substrate. Avoid coadministration; if unavoidable, monitor for toxicities and consider dosage reduction. The mechanism involves inhibition of mate1 or mate2-k transporters. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Moderate
- Risdiplam Class
- Survival of Motor Neuron 2 Splicing Modifier
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Risdiplam and Metformin occurs because inhibition of mate1 or mate2-k transporters. Clinically, this means evrysdi may increase plasma concentrations of metformin, a mate1/mate2-k substrate. avoid coadministration; if unavoidable, monitor for toxicities and consider dosage reduction. This is classified as a moderate interaction. While it may not require stopping either medication, your healthcare provider should be aware you are taking both so they can monitor for potential effects and adjust treatment if necessary.
What To Tell Your Doctor or Pharmacist
If you are taking Risdiplam and your doctor is considering prescribing Metformin (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider