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Drug interactions

Glyburide + Indinavir

Severity: Moderate

Glyburide and Indinavir: 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

Indinavir can reduce insulin sensitivity and cause hyperglycemia, which may worsen glycemic control in patients taking glyburide.

What this interaction means in plain words

Glyburide and Indinavir 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.

Evidence level: Moderate

Why it happens

Protease inhibitor-induced insulin resistance, including impaired glucose uptake, opposes glyburide.

What to do

Monitor blood glucose and HbA1c after starting indinavir and increase antidiabetic therapy if 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 Glyburide with Indinavir?

MediHelp rates the interaction as moderate. Glyburide and Indinavir 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. Indinavir can reduce insulin sensitivity and cause hyperglycemia, which may worsen glycemic control in patients taking glyburide.

How serious is the interaction between Glyburide and Indinavir?

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 indinavir and increase antidiabetic therapy if needed.

What other medicines interact with Glyburide?

MediHelp also lists interactions of Glyburide with, for example, Bosentan, Cholic acid, Ciprofloxacin. The full list is on the Glyburide page.

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