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What the FDA labels say about taking them together

Glyburide and levofloxacin

Levofloxacin's FDA label of July 10, 2024 names glyburide in its warnings and precautions section; glyburide's label does not name levofloxacin itself but warns about its class (Fluoroquinolones). The levofloxacin label: “… patients receiving concomitant treatment with an oral hypoglycemic agent (e.g., glyburide) or with insulin.”

Check it at the source: the glyburide FDA label on DailyMed (effective July 1, 2021, TEVA Pharmaceuticals USA Inc); the levofloxacin FDA label on DailyMed (effective July 10, 2024, Lupin Pharmaceuticals, Inc.).

What does the glyburide label say about levofloxacin?

Glyburide's label does not name levofloxacin itself; it warns about its class (Fluoroquinolones):

Glyburide label, drug interactions

A possible interaction between glyburide and fluoroquinolone antibiotics has been reported resulting in a potentiation of the hypoglycemic action of glyburide.

Source: FDA drug label (Glyburide), NDA017532 (Sanofi Aventis Us), as published by TEVA Pharmaceuticals USA Inc, effective July 1, 2021 (SPL set 50d16f1d-c814-4411-8749-62561321ecce), via openFDA; the full label on DailyMed

What does the levofloxacin label say about glyburide?

Levofloxacin label, warnings and precautions

Blood Glucose Disturbances Fluoroquinolones, including levofloxacin, have been associated with disturbances of blood glucose, including symptomatic hyperglycemia and hypoglycemia, usually in diabetic patients receiving concomitant treatment with an oral hypoglycemic agent (e.g., glyburide) or with insulin.

Source: FDA drug label (Levofloxacin), Lupin Pharmaceuticals, Inc., effective July 10, 2024 (SPL set 4be13bd5-0c39-43c3-9232-b1226ccd4dbc), 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

16Glyburide generic labelers
44Levofloxacin generic labelers
GlyburideLevofloxacin
Labeled forType 2 diabetesBacterial infections, Urinary tract infections
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0643 per tablet 5 mg tablet$0.259 per tablet 750 mg tablet
Shortage nowA presentation being discontinuedNo current entry

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

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