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Drug interactions

Gliclazide + Liraglutide

Severity: Moderate

Gliclazide 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

Liraglutide added to a sulfonylurea increases the risk of hypoglycemia, which can be severe. Liraglutide's effect is glucose-dependent, but gliclazide continues to stimulate insulin release regardless of glucose level.

What this interaction means in plain words

Gliclazide 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.

Gliclazide belongs to Endocrine; Liraglutide belongs to Endocrine.

Evidence level: High

Why it happens

Additive stimulation of insulin secretion by GLP-1 receptor agonism and sulfonylurea action.

What to do

Consider lowering the gliclazide dose when liraglutide is started. Monitor blood glucose and counsel on hypoglycemia symptoms.

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 Gliclazide with Liraglutide?

MediHelp rates the interaction as moderate. Gliclazide 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. Liraglutide added to a sulfonylurea increases the risk of hypoglycemia, which can be severe. Liraglutide's effect is glucose-dependent, but gliclazide continues to stimulate insulin release regardless of glucose level.

How serious is the interaction between Gliclazide 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 lowering the gliclazide dose when liraglutide is started. Monitor blood glucose and counsel on hypoglycemia symptoms.

What other medicines interact with Gliclazide?

MediHelp also lists interactions of Gliclazide with, for example, Ciprofloxacin, Clarithromycin, Disopyramide. The full list is on the Gliclazide page.

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