glipizide

7 interactions related to glipizide

semaglutide + glipizide

Semaglutide lowers blood sugar, but on its own it rarely causes a dangerous low because it only prompts insulin release when blood sugar is already raised. a sulfonylurea such as glipizide does not work that way — it drives insulin regardless of the current level. Combined, the glucose-lowering adds up and blood sugar can fall too far, and eating less on Semaglutide removes the buffer that would normally protect against it. Every FDA label in this class carries the same instruction.

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semaglutideglp-1glipizidehypoglycemiablood sugardose adjustment

tirzepatide + glipizide

Tirzepatide lowers blood sugar, but on its own it rarely causes a dangerous low because it only prompts insulin release when blood sugar is already raised. a sulfonylurea such as glipizide does not work that way — it drives insulin regardless of the current level. Combined, the glucose-lowering adds up and blood sugar can fall too far, and eating less on Tirzepatide removes the buffer that would normally protect against it. Every FDA label in this class carries the same instruction.

high
tirzepatideglp-1glipizidehypoglycemiablood sugardose adjustment

liraglutide + glipizide

Liraglutide lowers blood sugar, but on its own it rarely causes a dangerous low because it only prompts insulin release when blood sugar is already raised. a sulfonylurea such as glipizide does not work that way — it drives insulin regardless of the current level. Combined, the glucose-lowering adds up and blood sugar can fall too far, and eating less on Liraglutide removes the buffer that would normally protect against it. Every FDA label in this class carries the same instruction.

high
liraglutideglp-1glipizidehypoglycemiablood sugardose adjustment

alcohol + glipizide

Alcohol can potentiate the glucose-lowering effect of glipizide and, rarely, provoke a disulfiram-like flushing reaction; the main risk is prolonged hypoglycemia.

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alcoholglipizidesulfonylureahypoglycemiadiabetesdisulfiram-likeglucotrolblood sugar

glipizide + berberine

Berberine lowers blood sugar on its own and also slows the breakdown of glipizide by inhibiting the liver enzyme CYP2C9. Taken together, the two effects can stack and increase the risk of low blood sugar (hypoglycemia), which with a sulfonylurea like glipizide can be prolonged. Do not combine them without prescriber supervision.

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glipizideberberinesulfonylureadiabeteshypoglycemiacyp2c9herb-drug interactionblood sugar

glipizide + bitter melon

Bitter melon (Momordica charantia) has its own blood-sugar-lowering activity through several mechanisms, including enhanced glucose uptake into muscle and possible effects on insulin secretion. Combined with the sulfonylurea glipizide, the effects can add together and push blood sugar too low, with the greatest risk after meals and in higher-risk patients.

high
glipizidebitter melonmomordica charantiasulfonylureadiabeteshypoglycemiaherb-drug interactionblood sugar

glipizide + ginseng

Ginseng — especially American ginseng (Panax quinquefolius) — can lower blood sugar after meals, and glipizide also lowers blood sugar by stimulating insulin release. Taken together, their glucose-lowering effects can add up, modestly increasing the risk of hypoglycemia. Let the prescriber who manages your glipizide know before starting any ginseng product.

moderate
glipizideginsengpanax ginsengamerican ginsengsulfonylureadiabeteshypoglycemiaherb-drug interaction