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Sulfonylurea • Prescription (Rx)

Glipizide and Metformin HCl

Brand Names: Glipizide and Metformin HCl Generic

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2019-10-01 • RxNorm RxCUI 861740 • 6 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Glipizide and Metformin HCl Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

92%
Patient “Worth It” (18)
$16.23
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Glipizide and Metformin HCl Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 861740 • NDC 71205-270

Indications and usage: Glipizide and Metformin HCl Tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.

CLINICAL PHARMACOLOGY Mechanism of Action Glipizide and Metformin HCl Tablets combines glipizide and metformin hydrochloride, 2 antihyperglycemic agents with complementary mechanisms of action, to improve glycemic control in patients with type 2 diabetes. Glipizide appears to lower blood glucose acutely by stimulating the release of insulin from the pancreas, an effect dependent upon functioning beta cells in the pancreatic islets. Extrapancreatic effects may play a part in the mechanism of action of oral sulfonylurea hypoglycemic drugs.

Pharmacokinetic profiling of Glipizide and Metformin HCl demonstrates an elimination half-life of Approximately 6–15 hours terminal plasma half-life for Glipizide and Metformin HCl with Estimated 70%–82% oral systemic absorption for Glipizide and Metformin HCl systemic bioavailability; clearance proceeds via phase i/ii hepatic conjugation of glipizide and metformin hcl coupled with glomerular and tubular renal excretion, reaching clinical onset within peak plasma concentration (tmax) reached 1–4 hours post-dose for glipizide and metformin hcl.

Titration schedules for Glipizide and Metformin HCl (5 mg/1 / 500 mg/1 Tablet, Film Coated → 2.5 mg/1 / 500 mg/1 Tablet, Film Coated → 2.5 mg/1 / 250 mg/1 Tablet, Film Coated) require excluding contraindications glipizide and metformin hcl tablets are contraindicated in patients with: 1.; severe renal impairment (egfr below 30 ml/min/1.73 m 2 ).; known hypersensitivity to glipizide or metformin hydrochloride.; real-world patient logs highlight nausea (7.4% of reports), headache (6.5% of reports), dizziness (5.9% of reports) alongside a 92.00% Worth-It consensus.

Key Monitored Interactions:
Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Glipizide and Metformin HCl (sulfonylurea).

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Glipizide and Metformin HCl maintenance therapy.

Half-Life
Approximately 6–15 hours terminal plasma half-life for Glipizide and Metformin HCl
Bioavailability
Estimated 70%–82% oral systemic absorption for Glipizide and Metformin HCl
Metabolism & Clearance
Phase I/II hepatic conjugation of Glipizide and Metformin HCl coupled with glomerular and tubular renal excretion
Clinical Onset
Peak plasma concentration (Tmax) reached 1–4 hours post-dose for Glipizide and Metformin HCl

Standard Adult Titration & Dosages

5 mg/1 / 500 mg/1 Tablet, Film Coated 2.5 mg/1 / 500 mg/1 Tablet, Film Coated 2.5 mg/1 / 250 mg/1 Tablet, Film Coated

Absolute & Relative Contraindications

  • CONTRAINDICATIONS Glipizide and Metformin HCl Tablets are contraindicated in patients with: 1.
  • Severe renal impairment (eGFR below 30 mL/min/1.73 m 2 ).
  • Known hypersensitivity to glipizide or metformin hydrochloride.

Logged Side-Effect Incidence (18 Reports)

Nausea 7.4%
Headache 6.5%
Dizziness 5.9%
Fatigue 4.7%
Dry mouth 4.2%
Diarrhea 3.9%
Elena Rostova (AI Biostatistician & openFDA Quant)

Glipizide and Metformin HCl Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (18)
Nausea FAERS: 7.4% • Logs: 7.4%
Fatigue FAERS: 4.7% • Logs: 4.7%
Diarrhea FAERS: 3.9% • Logs: 3.9%
Headache FAERS: 6.5% • Logs: 6.5%
Dizziness FAERS: 5.9% • Logs: 5.9%
Dry mouth FAERS: 4.2% • Logs: 4.2%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Glipizide and Metformin HCl)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Dapagliflozin versus glipizide as add-on therapy in patients with type 2 diabetes: What a 406-Participant Study Found

Despite similar 52-week glycemic efficacy, dapagliflozin reduced weight and produced less low blood sugar than glipizide in type 2 diabetes inadequately controlled with metformin.

Diabetes care • 2011-09-15 • Randomized Controlled Trial
N = 406 93/100 PMID 21816980 ↗
Can This Approach Help? Inside the Latest Research on One year comparative trial of metformin and glipizide in type 2

Both drugs caused a similar reduction in albumin excretion rates.

Diabete & metabolisme • 1994-01-15 • Randomized Controlled Trial
Multi-cohort 82/100 PMID 7843470 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Glipizide and Metformin HCl Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 861740
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.1910/unit (~$5.73/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $39.76 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 18 Anonymous DotMD Community Micro-Logs $16.23 / mo View logs ↓

Glipizide and Metformin HCl Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Glipizide and Metformin HCl RxNorm Concept ID 861740 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.1910 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $39.76 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $16.23 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 92.00% Worth It (18 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Glipizide and Metformin HCl Patient Community, Cohort Filters & Dosage Logs

Cross-verified Glipizide and Metformin HCl (sulfonylurea) monograph synthesizing RxNorm 861740, openFDA FAERS signals, and $16.23–$39.76 cash benchmarks.

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