Bexagliflozin and Glyburide and metformin interaction

Bexagliflozin and Glyburide and metformin: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Bexagliflozin label · effective 2026-07-30

Moderate

Hypoglycemia: Consider a lower dose of insulin or insulin secretagogue to reduce risk of hypoglycemia when used in combination with bexagliflozin tablets.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Hypoglycemia with Concomitant Use with Insulin and Insulin Secretagogues Insulin and insulin secretagogues (e.g., sulfonylureas) are known to cause hypoglycemia.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Bexagliflozin tablets may increase the risk of hypoglycemia when used in combination with insulin and/or an insulin secretagogue [see Adverse Reactions ( 6.1 )] .

Warnings and precautionsby drug classView label on DailyMed
Moderate

A lower dose of insulin or insulin secretagogue may be required to minimize the risk of hypoglycemia when used in combination with bexagliflozin tablets.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Intervention Consider adding another antihyperglycemic agent in patients who require additional glycemic control.

Drug interactionsby drug classView label on DailyMed

From the Glyburide and metformin (glyburide and metformin hydrochloride) label · effective 2026-06-10

Minor

This warning is based on the study conducted by the University Group Diabetes Program (UGDP), a long-term prospective clinical study designed to evaluate the effectiveness of glucose-lowering drugs in preventing or delaying vascular complications in patients with type 2 diabetes mellitus.

Warnings and precautionsby drug classView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.