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Drug interactions

Glyburide-metformin + Leniolisib

Severity: Moderate

Glyburide-metformin and Leniolisib: 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

Leniolisib inhibits BCRP, OATP1B1 and OATP1B3, all of which handle glyburide. Glyburide exposure may therefore increase, raising the risk of hypoglycemia.

What this interaction means in plain words

Glyburide-metformin and Leniolisib 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-metformin belongs to Endocrine; Leniolisib belongs to Miscellaneous.

Evidence level: Low

Why it happens

Leniolisib inhibits BCRP and OATP1B1/1B3 transporters, reducing glyburide efflux and hepatic uptake.

What to do

Monitor blood glucose closely when starting leniolisib. Lower the glyburide dose if hypoglycemia develops.

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-metformin with Leniolisib?

MediHelp rates the interaction as moderate. Glyburide-metformin and Leniolisib 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. Leniolisib inhibits BCRP, OATP1B1 and OATP1B3, all of which handle glyburide. Glyburide exposure may therefore increase, raising the risk of hypoglycemia.

How serious is the interaction between Glyburide-metformin and Leniolisib?

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 when starting leniolisib. Lower the glyburide dose if hypoglycemia develops.

What other medicines interact with Glyburide-metformin?

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

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

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