Drug interactions
Glyburide-metformin + Risdiplam
Severity: Moderate
Glyburide-metformin and Risdiplam: 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
Risdiplam inhibits MATE1 and MATE2-K, which mediate renal secretion of metformin. Metformin concentrations may increase, raising the risk of lactic acidosis in susceptible patients.
What this interaction means in plain words
Glyburide-metformin and Risdiplam 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; Risdiplam belongs to Musculoskeletal.
Why it happens
Risdiplam inhibits MATE1 and MATE2-K, reducing renal tubular secretion of metformin.
What to do
Monitor renal function and glycemic control. Consider reducing the metformin dose if coadministration is 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?
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Other interactions of Glyburide-metformin
Other interactions of Risdiplam
- Alogliptin-metformin + Risdiplam Moderate
- Canagliflozin-metformin + Risdiplam Moderate
- Dapagliflozin-metformin + Risdiplam Moderate
- Empagliflozin-metformin + Risdiplam Moderate
- Linagliptin-metformin + Risdiplam Moderate
- Metformin-pioglitazone + Risdiplam Moderate
Frequently asked questions
Can I take Glyburide-metformin with Risdiplam?
MediHelp rates the interaction as moderate. Glyburide-metformin and Risdiplam 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. Risdiplam inhibits MATE1 and MATE2-K, which mediate renal secretion of metformin. Metformin concentrations may increase, raising the risk of lactic acidosis in susceptible patients.
How serious is the interaction between Glyburide-metformin and Risdiplam?
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 renal function and glycemic control. Consider reducing the metformin dose if coadministration is needed.
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.
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