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Drug interactions

Bexarotene + Glyburide-metformin

Severity: Moderate

Bexarotene and Glyburide-metformin: 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

Bexarotene may improve insulin sensitivity and add to the effect of antidiabetic drugs, so hypoglycemia is possible, particularly with glyburide. Bexarotene can also cause hypertriglyceridemia and pancreatitis, which complicates diabetes care.

What this interaction means in plain words

Bexarotene and Glyburide-metformin 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.

Bexarotene belongs to Oncology; Glyburide-metformin belongs to Endocrine.

Evidence level: Low

Why it happens

Bexarotene's insulin-sensitizing activity is additive to the glucose-lowering effects of sulfonylureas.

What to do

Monitor blood glucose closely after starting bexarotene and reduce the glyburide dose if hypoglycemia occurs.

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 Bexarotene with Glyburide-metformin?

MediHelp rates the interaction as moderate. Bexarotene and Glyburide-metformin 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. Bexarotene may improve insulin sensitivity and add to the effect of antidiabetic drugs, so hypoglycemia is possible, particularly with glyburide. Bexarotene can also cause hypertriglyceridemia and pancreatitis, which complicates diabetes care.

How serious is the interaction between Bexarotene and Glyburide-metformin?

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 closely after starting bexarotene and reduce the glyburide dose if hypoglycemia occurs.

What other medicines interact with Glyburide-metformin?

MediHelp also lists interactions of Glyburide-metformin with, for example, Bosentan, Cholic acid, Clarithromycin. The full list is on the Glyburide-metformin page.

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