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Drug interactions

Glyburide + Oteseconazole

Severity: Moderate

Glyburide and Oteseconazole: 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

Oteseconazole inhibits BCRP, a transporter involved in glyburide disposition, so glyburide concentrations may rise. This could increase the glucose-lowering effect and the risk of hypoglycemia. Oteseconazole has a very long half-life, so the effect may persist after the course ends.

What this interaction means in plain words

Glyburide and Oteseconazole 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.

Glyburide belongs to Endocrine; Oteseconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Oteseconazole inhibits BCRP, reducing efflux of glyburide.

What to do

Monitor blood glucose closely during and for some weeks after oteseconazole therapy. Reduce the glyburide dose if low glucose readings occur.

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 Oteseconazole?

MediHelp rates the interaction as moderate. Glyburide and Oteseconazole 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. Oteseconazole inhibits BCRP, a transporter involved in glyburide disposition, so glyburide concentrations may rise. This could increase the glucose-lowering effect and the risk of hypoglycemia. Oteseconazole has a very long half-life, so the effect may persist after the course ends.

How serious is the interaction between Glyburide and Oteseconazole?

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 closely during and for some weeks after oteseconazole therapy. Reduce the glyburide dose if low glucose readings occur.

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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