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Drug interactions

Glimepiride + Moexipril

Severity: Moderate

Glimepiride and Moexipril: 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

ACE inhibitors can potentiate the hypoglycemic effect of sulfonylureas. Hypoglycemia is most likely early in combined therapy.

What this interaction means in plain words

Glimepiride and Moexipril 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; Moexipril belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Pharmacodynamic synergism through improved insulin sensitivity with ACE inhibition.

What to do

Monitor blood glucose after starting moexipril and reduce the glimepiride dose if hypoglycemia develops.

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 Moexipril?

MediHelp rates the interaction as moderate. Glimepiride and Moexipril 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. ACE inhibitors can potentiate the hypoglycemic effect of sulfonylureas. Hypoglycemia is most likely early in combined therapy.

How serious is the interaction between Glimepiride and Moexipril?

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 after starting moexipril and reduce the glimepiride dose if hypoglycemia develops.

What other medicines interact with Moexipril?

MediHelp also lists interactions of Moexipril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Moexipril page.

Full monographs, dosing and an interaction checker in the MediHelp app

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