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Drug interactions

Elvitegravir / cobicistat / emtricitabine / tenofovir df + Glipizide

Severity: Minor

Elvitegravir / cobicistat / emtricitabine / tenofovir df and Glipizide: minor 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

Elvitegravir may induce CYP2C9 modestly, while cobicistat inhibits some enzymes, so glipizide exposure and effect could change in either direction. The net effect is uncertain.

What this interaction means in plain words

Elvitegravir / cobicistat / emtricitabine / tenofovir df and Glipizide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Opposing CYP2C9 induction by elvitegravir and enzyme inhibition by cobicistat may alter glipizide metabolism.

What to do

Monitor blood glucose after starting or stopping the regimen and adjust glipizide dose if control changes.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Elvitegravir / cobicistat / emtricitabine / tenofovir df with Glipizide?

MediHelp rates the interaction as minor. Elvitegravir / cobicistat / emtricitabine / tenofovir df and Glipizide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Elvitegravir may induce CYP2C9 modestly, while cobicistat inhibits some enzymes, so glipizide exposure and effect could change in either direction. The net effect is uncertain.

How serious is the interaction between Elvitegravir / cobicistat / emtricitabine / tenofovir df and Glipizide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose after starting or stopping the regimen and adjust glipizide dose if control changes.

What other medicines interact with Glipizide?

MediHelp also lists interactions of Glipizide with, for example, Disopyramide, Fluconazole, Insulin degludec-liraglutide. The full list is on the Glipizide page.

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