Drug interactions

aceclofenac + glimepiride

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Overview

Severity: Moderate · Evidence level: Low

Aceclofenac is metabolized partly by CYP2C9, and NSAIDs may potentiate the hypoglycemic action of sulfonylureas. Clinically important hypoglycemia is uncommon but possible.

Mechanism of action

Possible competition for CYP2C9 metabolism and protein binding; the mechanism is not firmly established.

Clinical management

Monitor blood glucose when aceclofenac is started or stopped. Reduce the glimepiride dose if hypoglycemia occurs.

Drug reference

Frequently asked questions

Can I take aceclofenac with glimepiride?

The interaction is rated: Moderate. Aceclofenac is metabolized partly by CYP2C9, and NSAIDs may potentiate the hypoglycemic action of sulfonylureas. Clinically important hypoglycemia is uncommon but possible.

How serious is the interaction between aceclofenac and glimepiride?

The interaction is rated: Moderate. Evidence level: Low.

How is the interaction between aceclofenac and glimepiride managed?

Monitor blood glucose when aceclofenac is started or stopped. Reduce the glimepiride dose if hypoglycemia occurs.

Why do aceclofenac and glimepiride interact?

Possible competition for CYP2C9 metabolism and protein binding; the mechanism is not firmly established.

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