Does Tafenoquine Succinate Interact with Metformin?
CDI records a moderate classification for Tafenoquine Succinate and Metformin. The stored summary is: Tafenoquine may increase metformin concentrations via OCT2/MATE transporter inhibition, raising toxicity risk. Monitor for toxicities and consider dosage reduction. The mechanism involves inhibition of organic cation transporter-2 (oct2) and multidrug and toxin extrusion (mate) transporters. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This record was extracted from drug labeling through openFDA. NIH/NLM RxNorm is used for drug identities. The summary and severity classification are CDI's processed information, not a verbatim source quotation. Product, route, and patient circumstances matter.
- Severity
- Moderate
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
Recorded Mechanism
Inhibition of organic cation transporter-2 (OCT2) and multidrug and toxin extrusion (MATE) transporters
What To Tell Your Doctor or Pharmacist
If you are taking Tafenoquine Succinate 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