Drug interactions
Glimepiride-pioglitazone + Nevirapine
Severity: Minor
Glimepiride-pioglitazone and Nevirapine: minor 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
Nevirapine induces CYP3A4 and may reduce pioglitazone exposure, possibly weakening glycemic control. The effect is expected to be modest.
What this interaction means in plain words
Glimepiride-pioglitazone and Nevirapine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Glimepiride-pioglitazone belongs to Endocrine; Nevirapine belongs to Anti Virals.
Why it happens
CYP3A4 induction by nevirapine increasing pioglitazone clearance.
What to do
Monitor glucose and HbA1c after starting or stopping nevirapine and adjust pioglitazone dose if needed.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Glimepiride-pioglitazone
Other interactions of Nevirapine
- Elbasvir / grazoprevir + Nevirapine Contraindicated
- Nevirapine + Ranolazine Contraindicated
- Nevirapine + St john's wort Contraindicated
- Abemaciclib + Nevirapine Major
- Acalabrutinib + Nevirapine Major
- Amobarbital + Nevirapine Major
Frequently asked questions
Can I take Glimepiride-pioglitazone with Nevirapine?
MediHelp rates the interaction as minor. Glimepiride-pioglitazone and Nevirapine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Nevirapine induces CYP3A4 and may reduce pioglitazone exposure, possibly weakening glycemic control. The effect is expected to be modest.
How serious is the interaction between Glimepiride-pioglitazone and Nevirapine?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor glucose and HbA1c after starting or stopping nevirapine and adjust pioglitazone dose if needed.
What other medicines interact with Glimepiride-pioglitazone?
MediHelp also lists interactions of Glimepiride-pioglitazone with, for example, Fluconazole, Gemfibrozil, Insulin aspart. The full list is on the Glimepiride-pioglitazone page.
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