Drug interactions
Diazoxide + Glipizide-metformin
Severity: Major
Diazoxide and Glipizide-metformin: major 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
Diazoxide is a potent hyperglycemic agent and directly opposes the effects of antidiabetic drugs. Loss of glycemic control can be marked.
What this interaction means in plain words
Diazoxide and Glipizide-metformin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Diazoxide belongs to Miscellaneous; Glipizide-metformin belongs to Endocrine.
Why it happens
Diazoxide opens pancreatic beta-cell potassium ATP channels, suppressing insulin secretion, which directly antagonizes sulfonylureas and raises glucose.
What to do
Avoid the combination where possible. If both are needed, monitor glucose frequently and adjust doses, and consider that the sulfonylurea will have little effect.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Glipizide-metformin
Other interactions of Diazoxide
Frequently asked questions
Can I take Diazoxide with Glipizide-metformin?
MediHelp rates the interaction as major. Diazoxide and Glipizide-metformin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Diazoxide is a potent hyperglycemic agent and directly opposes the effects of antidiabetic drugs. Loss of glycemic control can be marked.
How serious is the interaction between Diazoxide and Glipizide-metformin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible. If both are needed, monitor glucose frequently and adjust doses, and consider that the sulfonylurea will have little effect.
What other medicines interact with Glipizide-metformin?
MediHelp also lists interactions of Glipizide-metformin with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diatrizoate. The full list is on the Glipizide-metformin page.
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