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Drug interactions

Aripiprazole + Glibenclamide

Severity: Moderate

Aripiprazole and Glibenclamide: moderate interaction.

Last updated

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.

Summary

Atypical antipsychotics can worsen glucose control, although aripiprazole has a lower metabolic risk than many others. This may reduce the effectiveness of sulfonylurea therapy in diabetic patients.

What this interaction means in plain words

Aripiprazole and Glibenclamide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Aripiprazole belongs to Central Nervous System; Glibenclamide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Antipsychotic-related insulin resistance and impaired glucose regulation oppose the antidiabetic effect.

What to do

Monitor blood glucose and HbA1c after starting or changing aripiprazole. Adjust glyburide dosing as needed.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Aripiprazole with Glibenclamide?

MediHelp rates the interaction as moderate. Aripiprazole and Glibenclamide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Atypical antipsychotics can worsen glucose control, although aripiprazole has a lower metabolic risk than many others. This may reduce the effectiveness of sulfonylurea therapy in diabetic patients.

How serious is the interaction between Aripiprazole and Glibenclamide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose and HbA1c after starting or changing aripiprazole. Adjust glyburide dosing as needed.

What other medicines interact with Aripiprazole?

MediHelp also lists interactions of Aripiprazole with, for example, Pimozide, Thioridazine, Amisulpride. The full list is on the Aripiprazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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