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Drug interactions

Glimepiride + Sparsentan

Severity: Moderate

Glimepiride 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 and may lower glimepiride concentrations, leading to reduced glucose control.

What this interaction means in plain words

Glimepiride 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.

Glimepiride belongs to Endocrine; Sparsentan belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Induction of CYP2C9 by sparsentan increases glimepiride metabolism.

What to do

Monitor blood glucose after starting or stopping sparsentan and adjust the glimepiride dose as needed.

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 Sparsentan?

MediHelp rates the interaction as moderate. Glimepiride 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 and may lower glimepiride concentrations, leading to reduced glucose control.

How serious is the interaction between Glimepiride 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 after starting or stopping sparsentan and adjust the glimepiride dose as needed.

What other medicines interact with Glimepiride?

MediHelp also lists interactions of Glimepiride with, for example, Fluconazole, Insulin degludec-liraglutide, Insulin glargine-lixisenatide. The full list is on the Glimepiride page.

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