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Drug interactions

Furosemide + Glipizide-metformin

Severity: Moderate

Furosemide and Glipizide-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

Furosemide can raise metformin concentrations, and loop diuretics may worsen glycemic control. Volume depletion or reduced renal function from diuresis could further increase metformin exposure and the lactic acidosis risk.

What this interaction means in plain words

Furosemide and Glipizide-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.

Furosemide belongs to Cardiovascular; Glipizide-metformin belongs to Endocrine.

Evidence level: Moderate

Why it happens

Furosemide may reduce renal clearance of metformin and can cause hyperglycemia through potassium depletion and impaired insulin secretion.

What to do

Monitor blood glucose and renal function, and adjust antidiabetic doses if control changes; ensure adequate hydration.

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 Furosemide with Glipizide-metformin?

MediHelp rates the interaction as moderate. Furosemide and Glipizide-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. Furosemide can raise metformin concentrations, and loop diuretics may worsen glycemic control. Volume depletion or reduced renal function from diuresis could further increase metformin exposure and the lactic acidosis risk.

How serious is the interaction between Furosemide and Glipizide-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 and renal function, and adjust antidiabetic doses if control changes; ensure adequate hydration.

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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