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Drug interactions

Glibenclamide + Liraglutide

Severity: Moderate

Glibenclamide and Liraglutide: 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

Combining liraglutide with glyburide increases the risk of hypoglycemia, which can be severe. The risk is highest at initiation and during dose escalation of liraglutide.

What this interaction means in plain words

Glibenclamide and Liraglutide 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.

Glibenclamide belongs to Endocrine; Liraglutide belongs to Endocrine.

Evidence level: High

Why it happens

Additive pharmacodynamic effect of GLP-1 receptor-mediated insulin secretion and sulfonylurea-induced insulin release.

What to do

Consider reducing the glyburide dose when starting liraglutide. Monitor blood glucose closely during titration.

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 Glibenclamide with Liraglutide?

MediHelp rates the interaction as moderate. Glibenclamide and Liraglutide 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. Combining liraglutide with glyburide increases the risk of hypoglycemia, which can be severe. The risk is highest at initiation and during dose escalation of liraglutide.

How serious is the interaction between Glibenclamide and Liraglutide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider reducing the glyburide dose when starting liraglutide. Monitor blood glucose closely during titration.

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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