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Antidiabetic / sulfonylurea

Glibenclamide: uses, side effects & precautions

Also known as Glyburide, Daonil, Euglucon, Diabeta, Micronase, Glynase.

Esta información es solo orientativa de carácter general y no constituye un consejo médico. Consulta siempre a un profesional sanitario cualificado para cualquier asunto médico personal. En caso de emergencia, llama al número de emergencias de tu zona.

What it is used for

  • Type 2 diabetes (to lower blood sugar when diet and other measures are not enough)

How it works

Glibenclamide stimulates the pancreas to release more of its own insulin, which lowers blood sugar. Because it actively pushes insulin out, it can cause blood sugar to drop too low if meals are missed.

How it is taken

Available as tablets taken by mouth, usually with or before a meal. Take it exactly as your doctor, pharmacist, or the label directs. Eating regular meals is important while on this medicine.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Low blood sugar (hypoglycaemia) — shakiness, sweating, hunger, dizziness
  • Weight gain
  • Nausea or stomach upset
  • Mild skin rash

Serious effects — get help

  • Severe or prolonged low blood sugar causing confusion, seizures, or loss of consciousness — seek emergency care
  • Signs of a serious allergic or skin reaction (widespread rash, blistering, swelling)
  • Yellowing of the skin or eyes (possible liver problem)

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other diabetes medicines and insulin (added risk of low blood sugar)
  • Alcohol (can worsen low blood sugar and cause flushing)
  • Some heart, blood-pressure, and infection medicines that affect blood sugar
  • Certain antifungal and sulfonamide antibiotics

Who should take care

  • Higher risk of low blood sugar in older adults and people with kidney or liver problems
  • Tell your doctor if you skip meals, exercise heavily, or drink alcohol
  • Generally avoided in pregnancy and breastfeeding unless a doctor advises otherwise
  • Carry a fast-acting sugar source in case blood sugar drops

Frequently asked questions

How is glibenclamide different from metformin?
Glibenclamide makes your pancreas release more insulin, while metformin mainly reduces sugar made by the liver. Glibenclamide is more likely to cause low blood sugar and weight gain.
What should I do if my blood sugar drops too low?
Take a fast-acting sugar (such as glucose tablets or juice), then a longer-lasting snack. If you become confused or unconscious, you need emergency help. Tell your doctor if lows happen often.
Should I take it with food?
It is usually taken with or before a meal, and eating regular meals helps prevent low blood sugar. Follow your label and pharmacist's advice.
Can older adults take it safely?
It can be used but carries a higher risk of low blood sugar in older people and those with kidney problems, so doctors often prefer other options or careful monitoring.

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