Drug interactions
Glyburide-metformin + Ziprasidone
Severity: Minor
Glyburide-metformin and Ziprasidone: 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
Atypical antipsychotics can cause hyperglycemia and impair glycemic control, which may counteract glyburide-metformin. Ziprasidone has a comparatively low metabolic risk, but control may still worsen.
What this interaction means in plain words
Glyburide-metformin and Ziprasidone 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-metformin belongs to Endocrine; Ziprasidone belongs to Central Nervous System.
Why it happens
Antipsychotic-related insulin resistance and impaired insulin secretion oppose the antidiabetic effect.
What to do
Monitor blood glucose and HbA1c after starting ziprasidone and adjust antidiabetic therapy 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?
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Other interactions of Glyburide-metformin
Other interactions of Ziprasidone
- Amiodarone + Ziprasidone Contraindicated
- Amitriptyline + Ziprasidone Contraindicated
- Arsenic trioxide + Ziprasidone Contraindicated
- Bedaquiline + Ziprasidone Contraindicated
- Chloroquine + Ziprasidone Contraindicated
- Citalopram + Ziprasidone Contraindicated
Frequently asked questions
Can I take Glyburide-metformin with Ziprasidone?
MediHelp rates the interaction as minor. Glyburide-metformin and Ziprasidone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Atypical antipsychotics can cause hyperglycemia and impair glycemic control, which may counteract glyburide-metformin. Ziprasidone has a comparatively low metabolic risk, but control may still worsen.
How serious is the interaction between Glyburide-metformin and Ziprasidone?
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 HbA1c after starting ziprasidone and adjust antidiabetic therapy if 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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