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What the FDA labels say about taking them together

Glipizide and sulfamethoxazole/trimethoprim

Sulfamethoxazole/trimethoprim's FDA label of December 30, 2024 names glipizide in its drug interactions section; the glipizide labels PlainMeds reads (2) do not name sulfamethoxazole/trimethoprim. The sulfamethoxazole/trimethoprim label: “Monitor blood glucose more frequently; Comments: Like other sulfonamide-containing drugs, BACTRIM potentiates the effect of oral hypoglycemic that are metabolized by CYP2C8 or CYP2C9 or eliminated renally via OCT2 …”

Check it at the source: the glipizide FDA label on DailyMed (effective January 8, 2026, Aurobindo Pharma Limited); the sulfamethoxazole/trimethoprim FDA label on DailyMed (effective December 30, 2024, Sun Pharmaceutical Industries, Inc).

What does the glipizide label say about sulfamethoxazole/trimethoprim?

Glipizide's label (effective January 8, 2026) and its 1 other brand-application label do not name sulfamethoxazole/trimethoprim in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Glipizide), Aurobindo Pharma Limited, effective January 8, 2026 (SPL set 84794a52-b717-488c-8533-6425c83d405f), via openFDA; the full label on DailyMed

What does the sulfamethoxazole/trimethoprim label say about glipizide?

Sulfamethoxazole/trimethoprim label, drug interactions

Drug (s): Oral Hypoglycemics; Recommendation: Monitor blood glucose more frequently; Comments: Like other sulfonamide-containing drugs, BACTRIM potentiates the effect of oral hypoglycemic that are metabolized by CYP2C8 (e.g., pioglitazone, repaglinide, and rosiglitazone) or CYP2C9 (e.g., glipizide and glyburide) or eliminated renally via OCT2 (e.g., metformin). Additional monitoring of blood glucose may be warranted.

Source: FDA drug label (Bactrim), Sun Pharmaceutical Industries, Inc, effective December 30, 2024 (SPL set f59d0c04-9c66-4d53-a0e1-cb55570deb62), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

31Glipizide generic labelers
44Sulfamethoxazole/trimethoprim generic labelers
GlipizideSulfamethoxazole/trimethoprim
Labeled forType 2 diabetesBacterial infections, Urinary tract infections, Diarrhea
Boxed warningNoNo
Pharmacy cost (NADAC)$0.0339 per tablet 5 mg tablet$0.0448 per tablet Sulfamethoxazole-tmp ds tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?