Glipizide drug interactions

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Drug-drug interactions

Severity levelClick here to see Severity Level Legend Drug and description of interaction
4 Gatifloxacin:Gatifloxacin can cause either hypoglycemia or hyperglycemia when taken with glipizide.[1]
3 Methotrexate:Methotrexate, is partally bound to plsma proteins. Drugs such as glipizide can displace it and cause methotrexate.[2]
2 Ace Inhibitors:Ace inhibitors can cause hypoglycemia.[3]

Beta blockers:Beta blockers masks the symptoms of hypoglycemia. .[4]

Reserpine:Reserpine blocks the symptoms of hypoglycemia. [5]

H2 blockers:H2blockers can cause hyploglycemia by decreasing the clearance of glipizide. [6]

Atypical Antipsychotics:Atypical Antipsychotics can cause hyperglycemia and diabetic ketoacidosis because they can induce insulin resistance.[7]

Fibric acid derivatives:Fibric acid derivatives can enhance the effect of glipizide, resulting in increased risk of hypoglycemia.[8]

Cyclosporine:Glipizide increases cyclosporine concentrations in the blood.[9]

Azoles:Asoles can cause hypoglycemia.[10]

Metoclopramide:Metoclopramide enhances gastric emptying resuting in dose adjustment of glipizide.[11]

Salicylates:Salicylates can cause hypoglycemia.[12]

Tetracycline:Tetracycline can cause additive photosensativity reaction when given with glipizide.[13]

Thiazide Diuretics:Thiazide Diuretics can increse blood glucose levels.[14]

Sulindac:Sulindac can cause hypoglycemia. [15]

1 Baclofen:Giving baclofen with glipizide can increse blood glucose levels.[16]

Furosemide,Torsemide,Bumetanide:Giving loop diuretics with glipizide can cause hyperglycemia.[17]

Estrogen,Oral contraceptives: Estrogen and oral contraceptives can impair glucose tolerance, resulting in elevated glucose levels.[18]

Isoniazid: Isoniazid can increse glucose levels.[19]

Phenytoin,Fosphenytoin: phenytoin and fosphenytoin has the potential to increase blood glucose.[20]

Triamterene:Triamterene can increase blood glucose level.[21]

Drug-food/drug-herb interactions

Severity levelClick here to see Severity Level Legend Drug and description of interaction
4 None known
3 None known
2 Green Tea:Green Tea can decrease plasma glucose levels.[22]

Vitamin E:Vitamin can potentiate the effect of glipizide which can result in hypoglycemia.[23]

1 L-carnitine,chromium : Both of these supplements can potentially cause hypoglycemia if giving with glipizide.[24]

Aloe vera, Bilberry,Burdock,Bitter Melon,Cornsilk,Eucalyptus,Fenugreek,Panax Ginseng, Marshmallow,Myrrh: All these supplements can cause hypoglycemia when given with glipizide.[25]

References

  1. Biggs.W.Hypoglycemia and Hyperglycemia Associated with Gatifloxacin Use in Elderly Patients The Journal of the American Board of Family Practice 16:455-457 (2003).
  2. Rheumatrex (methotrexate) package insert. Cranbury, NJ: STADA Pharmaceuticals, Inc.; 2003).
  3. Klaus R, Sabine F.Enhancement of blood glucose lowering effect of a sulfonylurea when coadministered with an ACE inhibitor: results of a glucose. Diabetes/Metabolism Research and Reviews 21:5 459-464 2005).
  4. http://www.unckidneycenter.org/patients/drug_info/beta.html).
  5. Glucotrol [package insert]. New York, NY: Pfizer Inc.; October 2007.
  6. Glucotrol [package insert]. New York, NY: Pfizer Inc.; October 2007.
  7. Luna B, Feinglos MN. Drug-induced hyperglycemia. JAMA 286:1945-1948 2001.
  8. Pandit MK, Burke J, Gustafson AB, et al. Drug-induced disorders of glucose tolerance. Annals of Internal Medicine 118:529-539 1993.
  9. (glucotrol package insert)New York, NY: Pfizer Inc.; October 2007.
  10. Glucotrol [package insert]. New York, NY: Pfizer Inc.; October 2007.
  11. Reglan (metoclopramide) package insert. Milwaukee, WI: Schwarz Pharma; 2004.
  12. Gilbert RE, Cooper ME, Krum H. Drug Administration in Patients with Diabetes Mellitus, Safety Considerations. Drug Safety 18:441-455 1998.
  13. Moore DE. Drug-induced cutaneous photosensitivity: incidence, mechanism, prevention and management. Drug Safety 25:345-372 2002.
  14. Dyrenium(triamterene) package insert. Neptune, NJ: Wellspring Pharmaceuticals; 2001.
  15. Glucotrol [package insert]. New York, NY: Pfizer Inc.; October 2007.
  16. Pandit MK, Burke J, Gustafson AB, et al. Drug-induced disorders of glucose tolerance. Annals of Internal Medicine 118:529-539 1993.
  17. Glucotrol [package insert]. New York, NY: Pfizer Inc.; October 2007.
  18. http://www.fda.gov/cder/guidance.
  19. Luntz GRWN, Smith SG. Effect of isoniazid on carbohydrate metabolism in controls and diabetics. BMJ 1:296-299.
  20. Carter BL, Small RE, Mandel MD et al. Phenytoin-induced hyperglycemia. Am J Hosp Pharm 38:1508-1512 1981.
  21. Dyrenium(triamterene) package insert. Neptune, NJ: Wellspring Pharmaceuticals; 2001 Jun.
  22. Shimizu M, Kobayashi Y, Suzuki M, et al. Regulation of intestinal glucose transport by tea catechins. Biofactors 13:61-65 2000.
  23. Paolisso G, D'Amore A, Giugliano D, et al. Pharmacologic doses of vitamin E improve insulin action in healthy subjects and non-insulin-dependent diabetic patients. Am J Clin Nutr 57:650-656, 1993.
  24. Mingrone G. L-carnitine improves glucose disposal in type 2 diabetic patients. J Am Col Nutr 18: 77-82, 1999.
  25. Newall CA, Anderson LA, Phillipson JD. Herbal Medicines A Guide for Health-care Professionals. London: The Pharmaceutical Press, 1996.
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