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Drug interactions

Bitter melon + Glibenclamide

Severity: Moderate

Bitter melon 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

Bitter melon has hypoglycemic activity and may add to glyburide's effect, increasing the risk of low blood glucose. Product potency varies.

What this interaction means in plain words

Bitter melon 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.

Evidence level: Low

Why it happens

Additive glucose-lowering via insulin-like and glucose-uptake-enhancing constituents.

What to do

Advise patients to disclose herbal use and monitor blood glucose closely; reduce glyburide 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 Bitter melon with Glibenclamide?

MediHelp rates the interaction as moderate. Bitter melon 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. Bitter melon has hypoglycemic activity and may add to glyburide's effect, increasing the risk of low blood glucose. Product potency varies.

How serious is the interaction between Bitter melon 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: Advise patients to disclose herbal use and monitor blood glucose closely; reduce glyburide if hypoglycemia occurs.

What other medicines interact with Glibenclamide?

MediHelp also lists interactions of Glibenclamide with, for example, Bosentan, Cholic acid, Ciprofloxacin. The full list is on the Glibenclamide page.

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