Drug interactions
Gliclazide + Sparsentan
Severity: Moderate
Gliclazide and Sparsentan: 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
Sparsentan induces CYP2C9, the main enzyme that clears gliclazide. Gliclazide exposure may fall and glycemic control may worsen.
What this interaction means in plain words
Gliclazide and Sparsentan 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; Sparsentan belongs to Genitourinary.
Why it happens
Sparsentan induces CYP2C9, increasing the metabolism of gliclazide.
What to do
Monitor blood glucose and HbA1c when starting or stopping sparsentan, and increase the gliclazide dose or add another agent if control is lost; reduce the dose if sparsentan is withdrawn.
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?
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Other interactions of Gliclazide
Other interactions of Sparsentan
- Aliskiren + Sparsentan Contraindicated
- Amlodipine-hydrochlorothiazide-valsartan + Sparsentan Contraindicated
- Amlodipine-olmesartan-hydrochlorothiazide + Sparsentan Contraindicated
- Amlodipine-olmesartan + Sparsentan Contraindicated
- Amlodipine-valsartan + Sparsentan Contraindicated
- Azilsartan-chlorthalidone + Sparsentan Contraindicated
Frequently asked questions
Can I take Gliclazide with Sparsentan?
MediHelp rates the interaction as moderate. Gliclazide and Sparsentan 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. Sparsentan induces CYP2C9, the main enzyme that clears gliclazide. Gliclazide exposure may fall and glycemic control may worsen.
How serious is the interaction between Gliclazide and Sparsentan?
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 HbA1c when starting or stopping sparsentan, and increase the gliclazide dose or add another agent if control is lost; reduce the dose if sparsentan is withdrawn.
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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