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glyburide

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Brand names: DiaBeta, Glynase

Sulfonylurea Rx

Glyburide is a medicine that helps lower blood sugar in adults with type 2 diabetes. It works along with diet and exercise.

Drug Shortage Alert

glyburide is currently listed as to be discontinued by the FDA. Affected manufacturer: Teva Pharmaceuticals USA, Inc..

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Drug Pricing (NADAC)

Generic Price

$0.07/unit

Generic Available

Yes (7 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Glyburide is used to help control blood sugar levels in adults who have type 2 diabetes.

Common side effects

Nausea, Heartburn, Fullness in your upper abdomen

Key warnings

Oral diabetes medicines like glyburide may increase your risk of heart problems, compared to treatment with diet alone or diet plus insulin.

How It Works

Glyburide belongs to a class of drugs called sulfonylureas. It works by helping your pancreas release more insulin. Insulin then helps move sugar from your blood into your cells for energy.

How to Take It

Take glyburide with breakfast or your first main meal of the day. The usual starting dose is 2.5 to 5 mg daily. Your doctor may start you on 1.25 mg if you are more sensitive to these types of medicines. Your doctor will check your blood sugar to find the best dose for you. Follow your doctor's instructions carefully.

Pregnancy & Breastfeeding

Talk to your doctor if you are pregnant or plan to become pregnant. It is not known if glyburide will harm your unborn baby. Talk to your doctor if you are breastfeeding.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store glyburide tablets at room temperature, between 68° to 77°F, in a tightly closed container.

Side Effects (from patient reports)

Based on 15,052 FDA adverse event reports.

High blood sugar
3,038
Feeling sick to your stomach
2,020
Weight loss
1,536
Medicine not working
1,398
Loose stools
1,282
Feeling lightheaded
1,201
Low blood sugar
1,171
Low blood sugar
1,163
Feeling tired
1,146
Shortness of breath
1,097

FDA Adverse Event Report Analysis

Detailed analysis of 23,902 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2003–2025.

Total Reports

23,902

Death-Related Reports

2,123

Hospitalization Reports

8,393

Top Indication

Diabetes Mellitus

Gender Distribution

Female 11,134 (48%)
Male 11,925 (52%)

Age Distribution

0–17 75
18–44 857
45–64 6,844
65–74 5,030
75+ 3,731

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 BLOOD GLUCOSE INCREASED 3,038
2 NAUSEA 2,019
3 WEIGHT DECREASED 1,537
4 DRUG INEFFECTIVE 1,400
5 DIARRHOEA 1,282
6 DIZZINESS 1,201
7 HYPOGLYCAEMIA 1,171
8 BLOOD GLUCOSE DECREASED 1,163
9 FATIGUE 1,147
10 DYSPNOEA 1,096
11 ASTHENIA 1,046
12 VOMITING 1,022
13 PAIN 947
14 MYOCARDIAL INFARCTION 893
15 DECREASED APPETITE 889

Reactions in Death Reports

DEATH 549
RENAL FAILURE 207
MYOCARDIAL INFARCTION 199
CARDIAC ARREST 152
DYSPNOEA 151
PNEUMONIA 145
CARDIAC FAILURE CONGESTIVE 144
COMPLETED SUICIDE 140
PAIN 109
RESPIRATORY FAILURE 101

Reactions in Hospitalization Reports

HYPOGLYCAEMIA 754
MYOCARDIAL INFARCTION 720
DYSPNOEA 623
CARDIAC FAILURE CONGESTIVE 604
NAUSEA 568
BLOOD GLUCOSE INCREASED 566
ASTHENIA 564
PNEUMONIA 507
FALL 454
DIZZINESS 449

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Oral diabetes medicines like glyburide may increase your risk of heart problems, compared to treatment with diet alone or diet plus insulin. Talk to your doctor about the risks and benefits of taking glyburide.

Known Drug Interactions

moderate fluvastatin

Caution should be used when prescribing with fluvastatin ( 5.1 , 7.3 , 7.4 ) Glyburide: Monitor blood glucose levels when fluvastatin dose is changed ( 7 ) Phenytoin: Monitor plasma phenytoin levels when fluvastatin treatment is initiated or when the dosage is changed ( 7 ) Warfarin and coumarin derivates: Monitor prothrombin times when fluvastatin coadministration is initiated, discontinued, or the dosage changed ( 7 ) 7.1 Cyclosporine Cyclosporine coadministration increases fluvastatin exposure. 7.6 Glyburide Concomitant administration of fluvastatin and glyburide increased glyburide expo...

Mechanism: Fluvastatin can increase the amount of glyburide in your system, which may cause your blood sugar to drop too low.

What to do: You should monitor your blood sugar levels closely. Your doctor may need to adjust your medications if your fluvastatin dose changes.

7 DRUG INTERACTIONS Concomitant use with colesevelam hydrochloride may decrease the exposure of the following drugs: Drugs with a narrow therapeutic index (e.g., cyclosporine), phenytoin, thyroid hormone replacement therapy, warfarin, oral contraceptives containing ethinyl estradiol and norethindrone, olmesartan medoxomil, and sulfonylureas (glimepiride, glipizide, glyburide). Examples: Glimepiride, glipizide, and glyburide Oral Vitamin Supplements Clinical Impact: Colesevelam hydrochloride may decrease the absorption of fat-soluble vitamins A, D, E, and K [see Warnings and Precautions (5.3...

Mechanism: Colesevelam can lower the amount of diabetes medicine your body absorbs into the bloodstream. This can make the medicine less effective at controlling your blood sugar.

What to do: Monitor your blood sugar levels carefully while taking both medications. Your doctor may need to adjust your dose or the timing of your medicine.

Concomitant administration of eprosartan and glyburide in diabetic patients did not affect 24-hour plasma glucose profiles. Eprosartan has been shown to have no effect on the pharmacokinetics of digoxin and the pharmacodynamics of warfarin and glyburide.

Mechanism: Eprosartan does not change how glyburide works to control your blood sugar levels.

What to do: It is safe to take these together, but continue to check your blood sugar levels as your doctor recommends.

Glyburide Etodolac has no apparent pharmacokinetic interaction when administered with glyburide.

Mechanism: These two drugs do not seem to affect how the body processes or removes each other. There is no known interaction between them based on current studies.

What to do: No special changes are usually needed when taking these two drugs together. Continue to follow your doctor's instructions for both medications.

(See CONTRAINDICATIONS and PRECAUTIONS .) Oral hypoglycemics: The effects of fluconazole on the pharmacokinetics of the sulfonylurea oral hypoglycemic agents tolbutamide, glipizide, and glyburide were evaluated in three placebo-controlled studies in normal volunteers. (See PRECAUTIONS .) Glyburide: The AUC and C max of glyburide (5 mg single dose) were significantly increased following the administration of fluconazole in 20 normal male volunteers. Five subjects required oral glucose following the ingestion of glyburide after 7 days of fluconazole administration.

Mechanism: Fluconazole slows down how the body breaks down glyburide, which causes the diabetes medicine to stay in the blood longer. This can lead to blood sugar levels dropping too low.

What to do: Monitor your blood sugar levels very closely for signs of hypoglycemia. Your doctor may need to adjust your glyburide dose while you are taking fluconazole.

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Common Questions

What should I do if I feel low blood sugar?
Eat or drink something with sugar in it, like juice or hard candy.
Can I drink alcohol while taking glyburide?
Talk to your doctor about drinking alcohol while taking glyburide.
Will glyburide cure my diabetes?
Glyburide helps control your blood sugar, but it does not cure diabetes.
Can I stop taking glyburide if my blood sugar is normal?
Do not stop taking glyburide without talking to your doctor first.
Does glyburide interact with other medications?
Yes, glyburide can interact with other medications. Tell your doctor about all the medicines you take.
What happens if I take too much glyburide?
Taking too much glyburide can cause very low blood sugar. Get medical help right away.
How long does it take for glyburide to start working?
Glyburide starts working quickly to lower your blood sugar.
Can glyburide cause weight gain?
Glyburide can sometimes cause weight gain.
Are there any foods I should avoid while taking glyburide?
Follow the diet plan your doctor or diabetes educator has given you.
What if colesevelam is coadministered with glyburide?
Glyburide should be administered at least 4 hours prior to colesevelam.
What are the common side effects of glyburide?
The most commonly reported side effects of glyburide include Nausea, Heartburn, Fullness in your upper abdomen. Based on 15,052 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does glyburide interact with other medications?
Yes, glyburide has 9 known drug interactions. Notable interactions include fluvastatin, colesevelam, eprosartan. Always inform your doctor about all medications you are taking.
What drug class is glyburide?
glyburide belongs to the Sulfonylurea drug class. It requires a prescription (Rx). Glyburide is used to help control blood sugar levels in adults who have type 2 diabetes.
Is glyburide safe during pregnancy?
Talk to your doctor if you are pregnant or plan to become pregnant. It is not known if glyburide will harm your unborn baby. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Is glyburide currently in shortage?
Yes, glyburide is currently listed as to be discontinued by the FDA. Affected manufacturer: Teva Pharmaceuticals USA, Inc.. Visit the FDA Drug Shortages database for the latest updates.

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What the FDA Data Shows for glyburide

The FDA label for glyburide (sold under brand names such as DiaBeta, Glynase) classifies it as a prescription-only medication in the Sulfonylurea class. Glyburide is used to help control blood sugar levels in adults who have type 2 diabetes. Official labeling lists 3 commonly reported side effects, including Nausea, Heartburn, Fullness in your upper abdomen.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 15,052 voluntary reports. The database also lists 9 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $0.07.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC). Shortage status: FDA Drug Shortages Database.

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 28, 2025

All federal data sources used on this page