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Drug interactions

Glyburide + Voclosporin

Severity: Minor

Glyburide and Voclosporin: 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

Voclosporin inhibits OATP1B1, and glyburide is an OATP1B1 substrate, so glyburide exposure may rise. This could increase the risk of hypoglycemia.

What this interaction means in plain words

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

Glyburide belongs to Endocrine; Voclosporin belongs to Miscellaneous.

Evidence level: Low

Why it happens

Inhibition of OATP1B1-mediated hepatic uptake of glyburide by voclosporin.

What to do

Monitor blood glucose and for signs of hypoglycemia when voclosporin is started. Reduce the glyburide dose if needed.

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 Glyburide with Voclosporin?

MediHelp rates the interaction as minor. Glyburide and Voclosporin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Voclosporin inhibits OATP1B1, and glyburide is an OATP1B1 substrate, so glyburide exposure may rise. This could increase the risk of hypoglycemia.

How serious is the interaction between Glyburide and Voclosporin?

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 and for signs of hypoglycemia when voclosporin is started. Reduce the glyburide dose 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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