Drug interactions
Glyburide-metformin + Selegiline
Severity: Moderate
Glyburide-metformin and Selegiline: 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
MAO inhibitors can enhance hypoglycemia with antidiabetic agents, notably sulfonylureas like glyburide. The legacy concern of raised metformin levels is not well established.
What this interaction means in plain words
Glyburide-metformin and Selegiline 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; Selegiline belongs to Central Nervous System.
Why it happens
MAO inhibition may enhance insulin secretion or glucose lowering; the exact mechanism is not well established.
What to do
Monitor blood glucose when starting or stopping selegiline and reduce the glyburide dose if hypoglycemia occurs.
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 Selegiline
- Amitriptyline + Selegiline Contraindicated
- Amoxapine + Selegiline Contraindicated
- Atomoxetine + Selegiline Contraindicated
- Benzphetamine + Selegiline Contraindicated
- Brimonidine + Selegiline Contraindicated
- Buprenorphine long-acting + Selegiline Contraindicated
Frequently asked questions
Can I take Glyburide-metformin with Selegiline?
MediHelp rates the interaction as moderate. Glyburide-metformin and Selegiline 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. MAO inhibitors can enhance hypoglycemia with antidiabetic agents, notably sulfonylureas like glyburide. The legacy concern of raised metformin levels is not well established.
How serious is the interaction between Glyburide-metformin and Selegiline?
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 when starting or stopping selegiline and reduce the glyburide dose if hypoglycemia occurs.
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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