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Drug interactions

Juniper + Tolazamide

Severity: Minor

Juniper and Tolazamide: 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

Juniper preparations have shown glucose-lowering activity in animal studies, so taking them with a sulfonylurea could in theory add to the risk of hypoglycemia. Human evidence is lacking, and the clinical relevance is uncertain.

What this interaction means in plain words

Juniper and Tolazamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible additive blood glucose lowering; the mechanism of juniper's effect is not well established.

What to do

Advise patients to tell the prescriber about juniper use and to monitor blood glucose more often when starting or stopping it. Adjust tolazamide only if hypoglycemia occurs.

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?

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 Juniper with Tolazamide?

MediHelp rates the interaction as minor. Juniper and Tolazamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Juniper preparations have shown glucose-lowering activity in animal studies, so taking them with a sulfonylurea could in theory add to the risk of hypoglycemia. Human evidence is lacking, and the clinical relevance is uncertain.

How serious is the interaction between Juniper and Tolazamide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to tell the prescriber about juniper use and to monitor blood glucose more often when starting or stopping it. Adjust tolazamide only if hypoglycemia occurs.

What other medicines interact with Tolazamide?

MediHelp also lists interactions of Tolazamide with, for example, Disopyramide, Insulin degludec-liraglutide, Aceclofenac. The full list is on the Tolazamide page.

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