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Drug interactions

Glyburide-metformin + Trifluoperazine

Severity: Moderate

Glyburide-metformin and Trifluoperazine: 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

Phenothiazines such as trifluoperazine can impair glucose tolerance and may reduce the effect of antidiabetic drugs, leading to hyperglycemia.

What this interaction means in plain words

Glyburide-metformin and Trifluoperazine 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

Phenothiazines may reduce insulin secretion and sensitivity, opposing hypoglycemic agents.

What to do

Monitor blood glucose when trifluoperazine is started or changed and adjust antidiabetic doses as 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?

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 Trifluoperazine?

MediHelp rates the interaction as moderate. Glyburide-metformin and Trifluoperazine 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. Phenothiazines such as trifluoperazine can impair glucose tolerance and may reduce the effect of antidiabetic drugs, leading to hyperglycemia.

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

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 trifluoperazine is started or changed and adjust antidiabetic doses as 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.

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

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