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Drug interactions

Glipizide-metformin + Ketoprofen

Severity: Moderate

Glipizide-metformin and Ketoprofen: 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

Ketoprofen may modestly enhance glipizide's glucose-lowering effect, with a possibility of hypoglycemia. NSAID effects on renal function may also affect metformin clearance.

What this interaction means in plain words

Glipizide-metformin and Ketoprofen 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; Ketoprofen belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Possible protein-binding displacement; NSAID-related reduction in renal prostaglandins may impair metformin clearance.

What to do

Monitor blood glucose and renal function when starting or stopping ketoprofen. Reduce the glipizide dose if hypoglycemia occurs.

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 Ketoprofen?

MediHelp rates the interaction as moderate. Glipizide-metformin and Ketoprofen 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. Ketoprofen may modestly enhance glipizide's glucose-lowering effect, with a possibility of hypoglycemia. NSAID effects on renal function may also affect metformin clearance.

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

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 renal function when starting or stopping ketoprofen. Reduce the glipizide dose if hypoglycemia occurs.

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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