Thiogamma 600 Oral Drug Interactions

Loss of efficacy of cisplatin during simultaneous treatment with Thiogamma 600 oral.
Thioctic acid is a metal chelator and for fundamental reasons should not therefore be administered at the same time as metal compounds (e.g. iron preparations, magnesium preparations, milk products due to the calcium content). If the entire daily dose of Thiogamma 600 oral is taken 30 minutes before breakfast, iron and magnesium preparations can be taken at lunchtime or in the evening.
The blood-sugar lowering effect of insulin and oral anti-diabetics may be reinforced. For this reason, close monitoring of blood sugar levels is indicated, particularly during the initial phase of thioctic acid therapy. In order to avoid the symptoms of hypoglycaemia it may prove necessary in individual cases to reduce the insulin dose or the dose of the oral anti-diabetic.
Note: The regular consumption of alcohol represents a significant risk factor for the development and progression of neuropathic clinical pictures and may therefore prevent the success of treatment with Thiogamma 600 oral. Patients with diabetic polyneuropathy are therefore recommended as a matter of principle to avoid the consumption of alcohol as much as possible. This also applies to therapy-free periods.