General Information of Drug (ID: DM5FSJA)

Drug Name
Glimepiride
Synonyms
Amarel; Amaryl; Endial; Glimepirid; Glimepirida; Glimepiridum; Glimepride; Glimer; Glymepirid; Roname; Solosa; Glimepirida [Spanish]; Glimepiridum [Latin]; Sandoz glimepiride; HOE 490; Amaryl (TN); Hoe-490; Novo-glimepiride; PMS-glimepiride; Ratio-glimepiride; Amaryl, Glista OD, Glimepiride; Glimepiride [USAN:BAN:INN]; Glimepiride (JAN/USP/INN); 1-((p-(2-(3-Ethyl-4-methyl-2-oxo-3-pyrroline-1-carboxamido)ethyl)phenyl)sulfonyl)-3-(trans-4-methylcyclohexyl)urea; 1-{[4-(2-{[(3-ethyl-4-methyl-2-oxo-2,5-dihydro-1H-pyrrol-1-yl)carbonyl]amino}ethyl)phenyl]sulfonyl}-3-(trans-4-methylcyclohexyl)urea; 3-ethyl-4-methyl-N-[2-(4-{[(trans-4-methylcyclohexyl)carbamoyl]sulfamoyl}phenyl)ethyl]-2-oxo-2,5-dihydro-1H-pyrrole-1-carboxamide; 3-ethyl-4-methyl-n-(4-(n-((1r,4r)-4-methylcyclohexylcarbamoyl)sulfamoyl)phenethyl)-2-oxo-2,5-dihydro; 4-ethyl-3-methyl-N-[2-[4-[(4-methylcyclohexyl)carbamoylsulfamoyl]phenyl]ethyl]-5-oxo-2H-pyrrole-1-carboxamide; 64598P
Indication
Disease Entry ICD 11 Status REF
Diabetic complication 5A2Y Approved [1], [2]
Therapeutic Class
Hypoglycemic Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 490.6
Topological Polar Surface Area (xlogp) 3.9
Rotatable Bond Count (rotbonds) 7
Hydrogen Bond Donor Count (hbonddonor) 3
Hydrogen Bond Acceptor Count (hbondacc) 5
ADMET Property
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 1 h [3]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 2: low solubility and high permeability [4]
Bioavailability
99% of drug becomes completely available to its intended biological destination(s) [5]
Clearance
The total body clearance of drug is 52.1 +/- 16.0 mL/min [6]
Elimination
Following oral administration of glimepiride in healthy male subjects, approximately 60% of the total radioactivity was recovered in the urine in 7 days, with M1 and M2 accounting for 80-90% of the total radioactivity recovered in the urine [7]
Half-life
The concentration or amount of drug in body reduced by one-half in 5 - 8 hours [8]
Metabolism
The drug is metabolized via the hepatic [8]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 0.233 micromolar/kg/day [9]
Unbound Fraction
The unbound fraction of drug in plasma is 0.005% [10]
Vd
The volume of distribution (Vd) of drug is 8.8 L [7]
Water Solubility
The ability of drug to dissolve in water is measured as 0.0012 mg/mL [4]
Chemical Identifiers
Formula
C24H34N4O5S
IUPAC Name
4-ethyl-3-methyl-N-[2-[4-[(4-methylcyclohexyl)carbamoylsulfamoyl]phenyl]ethyl]-5-oxo-2H-pyrrole-1-carboxamide
Canonical SMILES
CCC1=C(CN(C1=O)C(=O)NCCC2=CC=C(C=C2)S(=O)(=O)NC(=O)NC3CCC(CC3)C)C
InChI
InChI=1S/C24H34N4O5S/c1-4-21-17(3)15-28(22(21)29)24(31)25-14-13-18-7-11-20(12-8-18)34(32,33)27-23(30)26-19-9-5-16(2)6-10-19/h7-8,11-12,16,19H,4-6,9-10,13-15H2,1-3H3,(H,25,31)(H2,26,27,30)
InChIKey
WIGIZIANZCJQQY-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
3476
ChEBI ID
CHEBI:5383
CAS Number
261361-60-8
DrugBank ID
DB00222
TTD ID
D0B2GI
VARIDT ID
DR00158
INTEDE ID
DR0777
ACDINA ID
D00302

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
ATP-binding cassette transporter C8 (ABCC8) TTP835K ABCC8_HUMAN Blocker [11]
ATP-binding cassette transporter C9 (ABCC9) TTEF5MJ ABCC9_HUMAN Blocker [11]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
Bile salt export pump (ABCB11) DTJ0EW4 ABCBB_HUMAN Substrate [12]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 2C9 (CYP2C9)
Main DME
DE5IED8 CP2C9_HUMAN Substrate [13]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Diabetic complication
ICD Disease Classification 5A2Y
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
ATP-binding cassette transporter C9 (ABCC9) DTT ABCC9 6.51E-01 0.02 0.06
ATP-binding cassette transporter C9 (ABCC9) DTT ABCC9 8.46E-01 0.02 0.22
Bile salt export pump (ABCB11) DTP BSEP 3.72E-02 8.26E-02 6.55E-01
Bile salt export pump (ABCB11) DTP BSEP 2.15E-02 -1.67E-02 -6.13E-02
Cytochrome P450 2C9 (CYP2C9) DME CYP2C9 7.33E-02 5.59E-02 2.99E-01
Cytochrome P450 2C9 (CYP2C9) DME CYP2C9 5.65E-03 -7.28E-02 -1.24E-01
Molecular Expression Atlas (MEA) Jump to Detail Molecular Expression Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Same Disease as Glimepiride
DDI Drug Name DDI Drug ID Severity Mechanism Disease REF
Nateglinide DMLK2QH Moderate Decreased metabolism of Glimepiride caused by Nateglinide mediated inhibition of CYP450 enzyme. Acute diabete complication [5A2Y] [38]
Coadministration of a Drug Treating the Disease Different from Glimepiride (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Arn-509 DMT81LZ Moderate Increased metabolism of Glimepiride caused by Arn-509 mediated induction of CYP450 enzyme. Acute myeloid leukaemia [2A60] [39]
Oxandrolone DMU9MYJ Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Oxandrolone. Alcoholic liver disease [DB94] [40]
Voriconazole DMAOL2S Major Decreased metabolism of Glimepiride caused by Voriconazole mediated inhibition of CYP450 enzyme. Aspergillosis [1F20] [40]
Clarithromycin DM4M1SG Moderate Increased plasma concentration of Glimepiride and Clarithromycin due to competitive binding of plasma proteins. Bacterial infection [1A00-1C4Z] [41]
Sulfamethoxazole DMB08GE Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sulfamethoxazole. Bacterial infection [1A00-1C4Z] [40]
Chloramphenicol DMFXEWT Moderate Increased plasma concentration of Glimepiride and Chloramphenicol due to competitive binding of plasma proteins. Bacterial infection [1A00-1C4Z] [42]
Linezolid DMGFPU2 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Linezolid. Bacterial infection [1A00-1C4Z] [40]
Nitazoxanide DMOWLVG Moderate Increased plasma concentration of Glimepiride and Nitazoxanide due to competitive binding of plasma proteins. Bowel habit change [ME05] [43]
Alpelisib DMEXMYK Moderate Increased metabolism of Glimepiride caused by Alpelisib mediated induction of CYP450 enzyme. Breast cancer [2C60-2C6Y] [44]
Fluoxymesterone DMUHCF1 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Fluoxymesterone. Breast cancer [2C60-2C6Y] [40]
Fenofibric acid DMGO2MC Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Fenofibric acid. Cardiovascular disease [BA00-BE2Z] [40]
Phenylbutazone DMAYL0T Moderate Decreased renal excretion of Glimepiride caused by Phenylbutazone. Chronic pain [MG30] [39]
Ketoprofen DMRKXPT Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Ketoprofen. Chronic pain [MG30] [40]
Ardeparin DMYRX8B Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Ardeparin. Coronary thrombosis [BA43] [40]
Mifepristone DMGZQEF Moderate Decreased metabolism of Glimepiride caused by Mifepristone mediated inhibition of CYP450 enzyme. Cushing syndrome [5A70] [45]
Aminoglutethimide DMWFHMZ Minor Increased metabolism of Glimepiride caused by Aminoglutethimide mediated induction of CYP450 enzyme. Cushing syndrome [5A70] [46]
Lumacaftor DMCLWDJ Moderate Increased metabolism of Glimepiride caused by Lumacaftor mediated induction of CYP450 enzyme. Cystic fibrosis [CA25] [47]
Ivacaftor DMZC1HS Moderate Decreased metabolism of Glimepiride caused by Ivacaftor mediated inhibition of CYP450 enzyme. Cystic fibrosis [CA25] [48]
MK-8228 DMOB58Q Moderate Increased metabolism of Glimepiride caused by MK-8228 mediated induction of CYP450 enzyme. Cytomegaloviral disease [1D82] [49]
Aprepitant DM053KT Moderate Increased metabolism of Glimepiride caused by Aprepitant mediated induction of CYP450 enzyme. Depression [6A70-6A7Z] [50]
Sertraline DM0FB1J Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sertraline. Depression [6A70-6A7Z] [40]
Fluoxetine DM3PD2C Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Fluoxetine. Depression [6A70-6A7Z] [40]
Vilazodone DM4LECQ Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Vilazodone. Depression [6A70-6A7Z] [40]
Paroxetine DM5PVQE Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Paroxetine. Depression [6A70-6A7Z] [40]
Selegiline DM6034S Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Selegiline. Depression [6A70-6A7Z] [40]
Vortioxetine DM6F1PU Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Vortioxetine. Depression [6A70-6A7Z] [40]
Isocarboxazid DMAF1NB Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Isocarboxazid. Depression [6A70-6A7Z] [40]
Escitalopram DMFK9HG Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Escitalopram. Depression [6A70-6A7Z] [40]
Tranylcypromine DMGB5RE Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Tranylcypromine. Depression [6A70-6A7Z] [40]
Phenelzine DMHIDUE Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Phenelzine. Depression [6A70-6A7Z] [40]
PMID28454500-Compound-96 DM2A75P Moderate Increased risk of hypoglycemia by the combination of Glimepiride and PMID28454500-Compound-96. Discovery agent [N.A.] [40]
PMID28870136-Compound-49 DMTUC9E Moderate Increased risk of hypoglycemia by the combination of Glimepiride and PMID28870136-Compound-49. Discovery agent [N.A.] [40]
Mefenamic acid DMK7HFI Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Mefenamic acid. Female pelvic pain [GA34] [40]
Miconazole DMPMYE8 Major Decreased metabolism of Glimepiride caused by Miconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [40]
Omeprazole DM471KJ Minor Decreased metabolism of Glimepiride caused by Omeprazole mediated inhibition of CYP450 enzyme. Gastro-oesophageal reflux disease [DA22] [51]
Nizatidine DMGFV3Z Moderate Decreased absorption of Glimepiride due to altered gastric pH caused by Nizatidine. Gastro-oesophageal reflux disease [DA22] [52]
Cimetidine DMH61ZB Moderate Decreased absorption of Glimepiride due to altered gastric pH caused by Cimetidine. Gastro-oesophageal reflux disease [DA22] [52]
Sunitinib DMCBJSR Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sunitinib. Gastrointestinal stromal tumour [2B5B] [40]
Sulfinpyrazone DMEV954 Moderate Decreased metabolism of Glimepiride caused by Sulfinpyrazone. Gout [FA25] [39]
Rifampin DMA8J1G Moderate Increased metabolism of Glimepiride caused by Rifampin mediated induction of CYP450 enzyme. HIV-infected patients with tuberculosis [1B10-1B14] [53]
Rifapentine DMCHV4I Moderate Increased metabolism of Glimepiride caused by Rifapentine mediated induction of CYP450 enzyme. HIV-infected patients with tuberculosis [1B10-1B14] [54]
Etravirine DMGV8QU Moderate Decreased metabolism of Glimepiride caused by Etravirine mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [55]
Gemfibrozil DMD8Q3J Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Gemfibrozil. Hyper-lipoproteinaemia [5C80] [40]
Fenofibrate DMFKXDY Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Fenofibrate. Hyper-lipoproteinaemia [5C80] [40]
Clofibrate DMPC1J7 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Clofibrate. Hyper-lipoproteinaemia [5C80] [40]
Moexipril DM26E4B Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Moexipril. Hypertension [BA00-BA04] [40]
Captopril DM458UM Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Captopril. Hypertension [BA00-BA04] [40]
Trandolapril DM4L6EU Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Trandolapril. Hypertension [BA00-BA04] [40]
Methyldopa DM5I621 Minor Decreased metabolism of Glimepiride caused by Methyldopa. Hypertension [BA00-BA04] [56]
Fosinopril DM9NJ52 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Fosinopril. Hypertension [BA00-BA04] [40]
Benazepril DMH1M9B Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Benazepril. Hypertension [BA00-BA04] [40]
Enalapril DMNFUZR Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Enalapril. Hypertension [BA00-BA04] [40]
Perindopril DMOPZDT Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Perindopril. Hypertension [BA00-BA04] [40]
Quinapril DMR8H31 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Quinapril. Hypertension [BA00-BA04] [40]
Lisinopril DMUOK4C Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Lisinopril. Hypertension [BA00-BA04] [40]
Probenecid DMMFWOJ Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Probenecid. Inborn purine/pyrimidine/nucleotide metabolism error [5C55] [40]
Balsalazide DMO091F Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Balsalazide. Indeterminate colitis [DD72] [40]
Meclofenamic acid DM05FXR Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Meclofenamic acid. Inflammatory spondyloarthritis [FA92] [57]
Testosterone DM7HUNW Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Testosterone. Low bone mass disorder [FB83] [40]
Porfimer Sodium DM7ZWNY Moderate Increased risk of photosensitivity reactions by the combination of Glimepiride and Porfimer Sodium. Lung cancer [2C25] [58]
PF-06463922 DMKM7EW Moderate Increased metabolism of Glimepiride caused by PF-06463922 mediated induction of CYP450 enzyme. Lung cancer [2C25] [59]
Chloroquine DMSI5CB Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Chloroquine. Malaria [1F40-1F45] [40]
Hydroxychloroquine DMSIVND Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Hydroxychloroquine. Malaria [1F40-1F45] [40]
Sulphadoxine DMZI2UF Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sulphadoxine. Malaria [1F40-1F45] [40]
Dabrafenib DMX6OE3 Moderate Increased metabolism of Glimepiride caused by Dabrafenib mediated induction of CYP450 enzyme. Melanoma [2C30] [59]
Nitisinone DMVS9WQ Moderate Decreased metabolism of Glimepiride caused by Nitisinone mediated inhibition of CYP450 enzyme. Metabolism inborn error [5C50] [60]
Mecasermin DM1O3BY Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Mecasermin. Multiple structural anomalies syndrome [LD2F] [40]
Rifabutin DM1YBHK Moderate Increased metabolism of Glimepiride caused by Rifabutin mediated induction of CYP450 enzyme. Mycobacterium infection [1B10-1B21] [53]
Methoxsalen DME8FZ9 Moderate Increased risk of photosensitivity reactions by the combination of Glimepiride and Methoxsalen. Mycosis fungoides [2B01] [59]
Imatinib DM7RJXL Moderate Decreased metabolism of Glimepiride caused by Imatinib mediated inhibition of CYP450 enzyme. Myeloproliferative neoplasm [2A20] [61]
Nalmefene DM4YWCZ Moderate Increased plasma concentration of Glimepiride and Nalmefene due to competitive binding of plasma proteins. Opioid use disorder [6C43] [42]
Rofecoxib DM3P5DA Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Rofecoxib. Osteoarthritis [FA00-FA05] [40]
Valdecoxib DMAY7H4 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Valdecoxib. Osteoarthritis [FA00-FA05] [40]
Diclofenac DMPIHLS Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Diclofenac. Osteoarthritis [FA00-FA05] [40]
Naproxen DMZ5RGV Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Naproxen. Osteoarthritis [FA00-FA05] [40]
Rucaparib DM9PVX8 Moderate Decreased metabolism of Glimepiride caused by Rucaparib mediated inhibition of CYP450 enzyme. Ovarian cancer [2C73] [62]
Dextropropoxyphene DM23HCX Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Dextropropoxyphene. Pain [MG30-MG3Z] [57]
Aspirin DM672AH Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Aspirin. Pain [MG30-MG3Z] [57]
Etodolac DM6WJO9 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Etodolac. Pain [MG30-MG3Z] [40]
Diflunisal DM7EN8I Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Diflunisal. Pain [MG30-MG3Z] [40]
Ibuprofen DM8VCBE Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Ibuprofen. Pain [MG30-MG3Z] [40]
Nabumetone DMAT2XH Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Nabumetone. Pain [MG30-MG3Z] [40]
Piroxicam DMTK234 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Piroxicam. Pain [MG30-MG3Z] [40]
Rasagiline DM3WKQ4 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Rasagiline. Parkinsonism [8A00] [40]
Ranitidine DM0GUSX Moderate Decreased absorption of Glimepiride due to altered gastric pH caused by Ranitidine. Peptic ulcer [DA61] [52]
Esomeprazole DM7BN0X Minor Decreased metabolism of Glimepiride caused by Esomeprazole mediated inhibition of CYP450 enzyme. Peptic ulcer [DA61] [51]
Famotidine DMRL3AB Moderate Decreased absorption of Glimepiride due to altered gastric pH caused by Famotidine. Peptic ulcer [DA61] [52]
Choline salicylate DM8P137 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Choline salicylate. Postoperative inflammation [1A00-CA43] [40]
Ketorolac DMI4EL5 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Ketorolac. Postoperative inflammation [1A00-CA43] [40]
Bromfenac DMKB79O Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Bromfenac. Postoperative inflammation [1A00-CA43] [40]
Enzalutamide DMGL19D Moderate Increased metabolism of Glimepiride caused by Enzalutamide mediated induction of CYP450 enzyme. Prostate cancer [2C82] [63]
Verteporfin DMIY6DB Moderate Increased risk of photosensitivity reactions by the combination of Glimepiride and Verteporfin. Psoriasis [EA90] [39]
Bosentan DMIOGBU Moderate Increased metabolism of Glimepiride caused by Bosentan mediated induction of CYP450 enzyme. Pulmonary hypertension [BB01] [64]
Sulfadiazine DMTW3R8 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sulfadiazine. Rheumatic fever [1B40] [40]
Salsalate DM13P4C Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Salsalate. Rheumatoid arthritis [FA20] [40]
Sulindac DM2QHZU Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sulindac. Rheumatoid arthritis [FA20] [40]
Celecoxib DM6LOQU Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Celecoxib. Rheumatoid arthritis [FA20] [40]
Oxaprozin DM9UB0P Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Oxaprozin. Rheumatoid arthritis [FA20] [40]
Flurbiprofen DMGN4BY Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Flurbiprofen. Rheumatoid arthritis [FA20] [40]
Sulfasalazine DMICA9H Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sulfasalazine. Rheumatoid arthritis [FA20] [40]
Fenoprofen DML5VQ0 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Fenoprofen. Rheumatoid arthritis [FA20] [40]
Leflunomide DMR8ONJ Moderate Decreased metabolism of Glimepiride caused by Leflunomide mediated inhibition of CYP450 enzyme. Rheumatoid arthritis [FA20] [65]
Indomethacin DMSC4A7 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Indomethacin. Rheumatoid arthritis [FA20] [40]
Tolmetin DMWUIJE Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Tolmetin. Rheumatoid arthritis [FA20] [40]
Salicyclic acid DM2F8XZ Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Salicyclic acid. Seborrhoeic dermatitis [EA81] [57]
Cyclophosphamide DM4O2Z7 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Cyclophosphamide. Solid tumour/cancer [2A00-2F9Z] [40]
Ifosfamide DMCT3I8 Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Ifosfamide. Solid tumour/cancer [2A00-2F9Z] [40]
Methyltestosterone DMWLFGO Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Methyltestosterone. Solid tumour/cancer [2A00-2F9Z] [40]
Warfarin DMJYCVW Moderate Increased plasma concentration of Glimepiride and Warfarin due to competitive binding of plasma proteins. Supraventricular tachyarrhythmia [BC81] [42]
Clopidogrel DMOL54H Minor Decreased metabolism of Glimepiride caused by Clopidogrel mediated inhibition of CYP450 enzyme. Thrombosis [DB61-GB90] [66]
Pramlintide DM0EZ9Q Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Pramlintide. Type-1/2 diabete [5A10-5A11] [40]
Mesalazine DMOL5IU Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Mesalazine. Ulcerative colitis [DD71] [57]
Olsalazine DMZW9HA Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Olsalazine. Ulcerative colitis [DD71] [40]
Sulfamethizole DMGCHDS Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sulfamethizole. Urinary tract infection [GC08] [40]
Sulfisoxazole DMXLT8C Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Sulfisoxazole. Urinary tract infection [GC08] [40]
Disopyramide DM5SYZP Moderate Increased risk of hypoglycemia by the combination of Glimepiride and Disopyramide. Ventricular tachyarrhythmia [BC71] [40]
⏷ Show the Full List of 116 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
D&C red no. 27 E00381 83511 Colorant
FD&C blue no. 1 E00263 19700 Colorant
FD&C blue no. 2 E00446 2723854 Colorant
Quinoline yellow WS E00309 24671 Colorant
Sodium lauryl sulfate E00464 3423265 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Beta-D-lactose E00099 6134 Diluent; Dry powder inhaler carrier; Lyophilization aid
Eisenoxyd E00585 56841934 Colorant
Ferric hydroxide oxide yellow E00539 23320441 Colorant
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Poloxamer 188 E00645 Not Available Emulsifying agent; Solubilizing agent; Surfactant
Polysorbate 80 E00665 Not Available Dispersing agent; Emollient; Emulsifying agent; Plasticizing agent; Solubilizing agent; Surfactant; Suspending agent
Povidone E00667 Not Available Binding agent; Coating agent; Disintegrant; Film/membrane-forming agent; Solubilizing agent; Suspending agent
Vinylpyrrolidone E00668 Not Available Binding agent; Coating agent; Disintegrant; Film/membrane-forming agent; Solubilizing agent; Suspending agent
⏷ Show the Full List of 14 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Glimepiride 3 mg tablet 3 mg Oral Tablet Oral
Glimepiride 6 mg tablet 6 mg Oral Tablet Oral
Glimepiride 2 mg tablet 2 mg Oral Tablet Oral
Glimepiride 8 mg tablet 8 mg Oral Tablet Oral
Glimepiride 4 mg tablet 4 mg Oral Tablet Oral
Glimepiride 1 mg tablet 1 mg Oral Tablet Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 6820).
2 Clinical utilization of combined rosiglitazone and glimepiride in the treatment of type 2 diabetes mellitus. Orv Hetil. 2007 Dec 9;148(49):2331-5.
3 Basit A, Riaz M, Fawwad A: Glimepiride: evidence-based facts, trends, and observations (GIFTS). [corrected]. Vasc Health Risk Manag. 2012;8:463-72. doi: 10.2147/HIV.S33194. Epub 2012 Aug 15.
4 BDDCS applied to over 900 drugs
5 Critical Evaluation of Human Oral Bioavailability for Pharmaceutical Drugs by Using Various Cheminformatics Approaches
6 Amaryl (glimepiride) Product Monograph - Sanofi in Canada
7 AMARYL (glimepiride) FDA Label
8 Sulfonylureas and their use in clinical practice. Arch Med Sci. 2015 Aug 12;11(4):840-8. doi: 10.5114/aoms.2015.53304. Epub 2015 Aug 11.
9 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
10 Trend Analysis of a Database of Intravenous Pharmacokinetic Parameters in Humans for 1352 Drug Compounds
11 Mechanism of disopyramide-induced hypoglycaemia in a patient with Type 2 diabetes. Diabet Med. 2009 Jan;26(1):76-8.
12 Early identification of clinically relevant drug interactions with the human bile salt export pump (BSEP/ABCB11). Toxicol Sci. 2013 Dec;136(2):328-43.
13 Effect of CYP2C9 genetic polymorphisms on the efficacy and pharmacokinetics of glimepiride in subjects with type 2 diabetes. Diabetes Res Clin Pract. 2006 May;72(2):148-54.
14 Progesterone and testosterone hydroxylation by cytochromes P450 2C19, 2C9, and 3A4 in human liver microsomes. Arch Biochem Biophys. 1997 Oct 1;346(1):161-9.
15 Tamoxifen inhibits cytochrome P450 2C9 activity in breast cancer patients. J Chemother. 2006 Aug;18(4):421-4.
16 Characterization of the oxidative metabolites of 17beta-estradiol and estrone formed by 15 selectively expressed human cytochrome p450 isoforms. Endocrinology. 2003 Aug;144(8):3382-98.
17 Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448.
18 Drug-drug interactions with imatinib: an observational study. Medicine (Baltimore). 2016 Oct;95(40):e5076.
19 Drug interactions with calcium channel blockers: possible involvement of metabolite-intermediate complexation with CYP3A. Drug Metab Dispos. 2000 Feb;28(2):125-30.
20 New insights into the structural features and functional relevance of human cytochrome P450 2C9. Part I. Curr Drug Metab. 2009 Dec;10(10):1075-126.
21 A potential role for the estrogen-metabolizing cytochrome P450 enzymes in human breast carcinogenesis. Breast Cancer Res Treat. 2003 Dec;82(3):191-7.
22 A mechanistic approach to antiepileptic drug interactions. Ann Pharmacother. 1998 May;32(5):554-63.
23 Bile salt export pump (BSEP/ABCB11) can transport a nonbile acid substrate, pravastatin. J Pharmacol Exp Ther. 2005 Aug;314(2):876-82.
24 Inhibition of transport across the hepatocyte canalicular membrane by the antibiotic fusidate. Biochem Pharmacol. 2002 Jul 1;64(1):151-8.
25 Expression of an activating mutation in the gene encoding the KATP channel subunit Kir6.2 in mouse pancreatic beta cells recapitulates neonatal diabetes. J Clin Invest. 2009 Jan;119(1):80-90.
26 Metformin/Repaglinide (PrandiMet) for type 2 diabetes. Med Lett Drugs Ther. 2009 Jun 1;51(1313):41-3.
27 A functional role of the C-terminal 42 amino acids of SUR2A and SUR2B in the physiology and pharmacology of cardiovascular ATP-sensitive K(+) chann... J Mol Cell Cardiol. 2005 Jul;39(1):1-6.
28 BTS-67582 (Knoll Pharmaceuticals Co). IDrugs. 1999 Apr;2(4):355-9.
29 Effects of KRN2391 on ionic currents in rabbit femoral arterial myocytes
30 Analysis of the differential modulation of sulphonylurea block of beta-cell and cardiac ATP-sensitive K+ (K(ATP)) channels by Mg-nucleotides. J Physiol. 2003 Feb 15;547(Pt 1):159-68.
31 The mitochondrial K(ATP) channel opener BMS-191095 reduces neuronal damage after transient focal cerebral ischemia in rats.J Cereb Blood Flow Metab.2007 Feb;27(2):348-55.
32 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health & Human Services.
33 Diabetes and insulin secretion: the ATP-sensitive K+ channel (K ATP) connection.Diabetes.2005 Nov;54(11):3065-72.
34 Structural basis for the interference between nicorandil and sulfonylurea action. Diabetes. 2001 Oct;50(10):2253-9.
35 Attenuation of hyperinsulinemia by NN414, a SUR1/Kir6.2 selective K-adenosine triphosphate channel opener, improves glucose tolerance and lipid profile in obese Zucker rats.Metabolism.2004 Apr;53(4):441-7.
36 Cardioselective K(ATP) channel blockers derived from a new series of m-anisamidoethylbenzenesulfonylthioureas. J Med Chem. 2001 Mar 29;44(7):1085-98.
37 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 2944).
38 Product Information. Starlix (nateglinide) Novartis Pharmaceuticals, East Hanover, NJ.
39 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
40 Abad S, Moachon L, Blanche P, Bavoux F, Sicard D, Salmon-Ceron D "Possible interaction between glicazide, fluconazole and sulfamethoxazole resulting in severe hypoglycaemia." Br J Clin Pharmacol 52 (2001): 456-7. [PMID: 11678792]
41 Bussing R, Gende A "Severe hypoglycemia from clarithromycin-sulfonylurea drug interaction." Diabetes Care 25 (2002): 1659-61. [PMID: 12196446]
42 Product Information. Amaryl (glimepiride). Hoechst Marion-Roussel Inc, Kansas City, MO.
43 Product Information. Alinia (nitazoxanide). Romark Laboratories L.C., Tampa, FL.
44 Product Information. Piqray (alpelisib). Novartis Pharmaceuticals, East Hanover, NJ.
45 Product Information. Korlym (mifepristone). Corcept Therapeutics Incorporated, Menlo Park, CA.
46 Kvinssland S, Lonning PE, Ueland PM "Aminoglutethimide as an inducer of microsomal enzymes. Part 1: Pharmacological aspects." Breast Cancer Res Treat 7 (1986): s73-6. [PMID: 2943339]
47 Cerner Multum, Inc. "Canadian Product Information.".
48 Product Information. Kalydeco (ivacaftor). Vertex Pharmaceuticals, Cambridge, MA.
49 Product Information. Prevymis (letermovir). Merck & Company Inc, Whitehouse Station, NJ.
50 Product Information. Emend (aprepitant). Merck & Company Inc, West Point, PA.
51 Humphries TJ "Clinical implications of drug interactions with the cytochrome P-450 enzyme system associated with omeprazole." Dig Dis Sci 36 (1991): 1665-9. [PMID: 1748033]
52 Dey NG, Castleden CM, Ward J, et al "The effect of cimetidine on tolbutamide kinetics." Br J Clin Pharmacol 16 (1983): 438-40. [PMID: 6626438]
53 Borcherding SM, Baciewicz AM, Self TH "Update on rifampin drug interactions." Arch Intern Med 152 (1992): 711-6. [PMID: 1558427]
54 Product Information. Priftin (rifapentine). Hoechst Marion-Roussel Inc, Kansas City, MO.
55 Product Information. Intelence (etravirine). Ortho Biotech Inc, Bridgewater, NJ.
56 Gachalyi B, Tornyossy, Vas A, Kaldor A "Effect of alphamethyldopa on the half-lives of antipyrine, tolbutamide and D-glucaric acid excretion in man." Int J Clin Pharmacol Ther Toxicol 18 (1980): 133-5. [PMID: 6103880]
57 Christensen LK, Hansen JM, Kristensen M "Sulphaphenazole-induced hypoglycemic attacks in tolbutamide-treated diabetics." Lancet 2 (1963): 1298-301. [PMID: 14071924]
58 Blakely KM, Drucker AM, Rosen CF "Drug-induced photosensitivity-an update: Culprit drugs, prevention and management." Drug Saf 42 (2019): 827-47. [PMID: 30888626]
59 Cerner Multum, Inc. "Australian Product Information.".
60 Canadian Pharmacists Association.
61 Product Information. Gleevec (imatinib mesylate). Novartis Pharmaceuticals, East Hanover, NJ.
62 EMA. European Medicines Agency. European Union "EMA - List of medicines under additional monitoring.".
63 Benoist G, van Oort I, et al "Drug-drug interaction potential in men treated with enzalutamide: Mind the gap." Br J Clin Pharmacol 0 (2017): epub. [PMID: 28881501]
64 Product Information. Tracleer (bosentan). Acetelion Pharmaceuticals US, Inc, South San Francisco, CA.
65 Product Information. Arava (leflunomide). Hoechst Marion-Roussel Inc, Kansas City, MO.
66 Product Information. Plavix (clopidogrel). Bristol-Myers Squibb, Princeton, NJ.