Linatab M 2.5/850 Linagliptin + Metformin Hydrochloride Zonisamide
ModerateTaking zonisamide with linagliptin and metformin can frequently lower serum bicarbonate. This can cause non-anion gap, hyperchloremic metabolic acidosis.
These medicines are often taken together with some care. Your doctor may change a dose, space them apart or check on you more often. Make sure your doctor and pharmacist know you take both.