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Drug interactions

Glyburide + Saquinavir

Severity: Moderate

Glyburide and Saquinavir: 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

Protease inhibitors can cause insulin resistance and hyperglycemia, which may reduce the glycemic control achieved with glyburide. Glucose control may deteriorate after saquinavir is started.

What this interaction means in plain words

Glyburide and Saquinavir 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: Low

Why it happens

Protease inhibitor-associated insulin resistance and impaired glucose metabolism opposes the glucose-lowering action of glyburide.

What to do

Monitor blood glucose after starting saquinavir and adjust the glyburide dose or antidiabetic regimen as required.

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 Saquinavir?

MediHelp rates the interaction as moderate. Glyburide and Saquinavir 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. Protease inhibitors can cause insulin resistance and hyperglycemia, which may reduce the glycemic control achieved with glyburide. Glucose control may deteriorate after saquinavir is started.

How serious is the interaction between Glyburide and Saquinavir?

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 after starting saquinavir and adjust the glyburide dose or antidiabetic regimen as required.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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