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Drug interactions

Glipizide-metformin + Promethazine

Severity: Minor

Glipizide-metformin and Promethazine: 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

Promethazine, a phenothiazine antihistamine, may raise blood glucose and reduce antidiabetic effect. The effect is generally modest with short-term use.

What this interaction means in plain words

Glipizide-metformin and Promethazine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Glipizide-metformin belongs to Endocrine; Promethazine belongs to Respiratory.

Evidence level: Low

Why it happens

Phenothiazine effects on insulin release and sensitivity produce mild pharmacodynamic antagonism.

What to do

Monitor blood glucose if promethazine is used repeatedly or over a prolonged period. Adjust antidiabetic therapy if control worsens.

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?

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 Promethazine?

MediHelp rates the interaction as minor. Glipizide-metformin and Promethazine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Promethazine, a phenothiazine antihistamine, may raise blood glucose and reduce antidiabetic effect. The effect is generally modest with short-term use.

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

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 blood glucose if promethazine is used repeatedly or over a prolonged period. Adjust antidiabetic 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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