Glipizide and metformin and Liraglutide interaction

Glipizide and metformin and Liraglutide: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Glipizide and metformin (Glipizide and Metformin Hydrochloride) label · effective 2026-06-27

Major

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

Contraindicationsby drug classView label on DailyMed
Moderate

The risk of hypoglycemia is increased when caloric intake is deficient, when strenuous exercise is not compensated by caloric supplementation, or during concomitant use with other glucose-lowering agents or ethanol.

Precautionsby drug classView label on DailyMed
Moderate

Macrovascular Outcomes There have been no clinical studies establishing conclusive evidence of macrovascular risk reduction with glipizide and metformin hydrochloride or any other antidiabetic drug.

Precautionsby drug classView label on DailyMed
Moderate

A potential interaction between oral miconazole and oral hypoglycemic agents leading to severe hypoglycemia has been reported.

Precautionsby drug classView label on DailyMed

From the Liraglutide label · effective 2026-01-30

Moderate

In pediatric patients 10 years of age and older, the risk of hypoglycemia was higher with liraglutide regardless of insulin and/or metformin use.

Warnings and precautionsnames Glipizide and metforminView label on DailyMed
Moderate

• Hypoglycemia : Adult patients taking an insulin secretagogue or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Reduction in the dose of insulin secretagogues or insulin may be necessary.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Hypoglycemia Adult patients receiving liraglutide in combination with an insulin secretagogue (e.g., sulfonylurea) or insulin may have an increased risk of hypoglycemia, including severe hypoglycemia.

Warnings and precautionsby drug classView label on DailyMed
Moderate

The risk of hypoglycemia may be lowered by a reduction in the dose of sulfonylurea (or other concomitantly administered insulin secretagogues) or insulin.

Warnings and precautionsby drug classView label on DailyMed

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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.