Does Vancomycin Interact with Metformin Hydrochloride?
Vancomycin and Metformin Hydrochloride have a moderate drug interaction according to U.S. FDA drug labeling data. Cationic drug eliminated by renal tubular secretion with potential for interaction with metformin by competing for common renal tubular transport systems. The mechanism involves competition for renal tubular secretion. 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
- Vancomycin Class
- Glycopeptide Antibacterial
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Vancomycin and Metformin Hydrochloride occurs because competition for renal tubular secretion. Clinically, this means cationic drug eliminated by renal tubular secretion with potential for interaction with metformin by competing for common renal tubular transport systems. 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 Vancomycin and your doctor is considering prescribing Metformin Hydrochloride (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