Can I take Alogliptin and Rybelsus together?
Drug interaction guide
Originally published 25 Jan 2026
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Taking alogliptin and Rybelsus (semaglutide) together can significantly increase the risk of your blood sugar dropping too low (hypoglycaemia). Additionally, both medicines work in a similar way on the same hormonal pathway, and using them together is generally not recommended because it does not provide extra benefit but increases the risk of side effects.
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Why this happens
Both drugs target the 'incretin' system. Alogliptin (a DPP-4 inhibitor) prevents the breakdown of natural hormones that lower blood sugar, while Rybelsus (a GLP-1 receptor agonist) mimics those same hormones. Using both is like 'doubling up' on the same biological process, which can lead to an over-correction of blood sugar levels.
What you should do
You should speak to your doctor or pharmacist before taking these together. Clinical guidelines usually recommend stopping the DPP-4 inhibitor (alogliptin) when starting a GLP-1 medicine like Rybelsus. If your doctor has specifically told you to take both, be very alert for signs of low blood sugar, such as feeling shaky, sweaty, dizzy, or hungry.
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Using other medicines
Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Descargo de responsabilidad
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
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Historia del artículo
La información de esta página ha sido redactada y revisada por médicos cualificados.
25 Enero 2026 | Publicado originalmente

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