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Drug interactions

Methyltestosterone + Tolbutamide

Severity: Moderate

Methyltestosterone and Tolbutamide: 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

Androgens such as methyltestosterone can enhance the glucose-lowering effect of sulfonylureas and increase the risk of hypoglycemia. Effects are most relevant after dose changes or with prolonged use.

What this interaction means in plain words

Methyltestosterone and Tolbutamide 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

Androgens may improve insulin sensitivity and possibly reduce sulfonylurea clearance; the mechanism is not fully defined.

What to do

Monitor blood glucose when methyltestosterone is started or stopped and reduce the tolbutamide 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?

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 Methyltestosterone with Tolbutamide?

MediHelp rates the interaction as moderate. Methyltestosterone and Tolbutamide 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. Androgens such as methyltestosterone can enhance the glucose-lowering effect of sulfonylureas and increase the risk of hypoglycemia. Effects are most relevant after dose changes or with prolonged use.

How serious is the interaction between Methyltestosterone and Tolbutamide?

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 methyltestosterone is started or stopped and reduce the tolbutamide dose if hypoglycemia occurs.

What other medicines interact with Tolbutamide?

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

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