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Drug interactions

Glipizide-metformin + Ivosidenib

Severity: Moderate

Glipizide-metformin and Ivosidenib: 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

Ivosidenib can induce CYP2C9, which may lower glipizide concentrations and reduce glycemic control.

What this interaction means in plain words

Glipizide-metformin and Ivosidenib 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.

Glipizide-metformin belongs to Endocrine; Ivosidenib belongs to Oncology.

Evidence level: Moderate

Why it happens

Ivosidenib induces CYP2C9, increasing glipizide clearance.

What to do

Monitor blood glucose and HbA1c after starting ivosidenib. Increase the glipizide dose or switch therapy if control worsens.

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 Glipizide-metformin with Ivosidenib?

MediHelp rates the interaction as moderate. Glipizide-metformin and Ivosidenib 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. Ivosidenib can induce CYP2C9, which may lower glipizide concentrations and reduce glycemic control.

How serious is the interaction between Glipizide-metformin and Ivosidenib?

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 after starting ivosidenib. Increase the glipizide dose or switch therapy if control worsens.

What other medicines interact with Glipizide-metformin?

MediHelp also lists interactions of Glipizide-metformin with, for example, Contrast media, Diatrizoate meglumine / diatrizoate, Diatrizoate. The full list is on the Glipizide-metformin page.

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