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Drug interactions

Glimepiride + Mecasermin

Severity: Moderate

Glimepiride and Mecasermin: 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

Mecasermin has insulin-like glucose-lowering effects, and glimepiride increases insulin secretion. The combination raises the risk of hypoglycemia.

What this interaction means in plain words

Glimepiride and Mecasermin 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.

Glimepiride belongs to Endocrine; Mecasermin belongs to Endocrine.

Evidence level: Moderate

Why it happens

Additive hypoglycemic effects from IGF-1 receptor activation and sulfonylurea-induced insulin release.

What to do

Monitor blood glucose and reduce the glimepiride dose if hypoglycemia occurs. Give mecasermin with food.

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 Glimepiride with Mecasermin?

MediHelp rates the interaction as moderate. Glimepiride and Mecasermin 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. Mecasermin has insulin-like glucose-lowering effects, and glimepiride increases insulin secretion. The combination raises the risk of hypoglycemia.

How serious is the interaction between Glimepiride and Mecasermin?

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 reduce the glimepiride dose if hypoglycemia occurs. Give mecasermin with food.

What other medicines interact with Mecasermin?

MediHelp also lists interactions of Mecasermin with, for example, Gliclazide, Glyburide-metformin, Insulin degludec-insulin aspart. The full list is on the Mecasermin page.

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