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    HomeMedication GuideDrug InteractionsGlimepiride + Olanzapine
    Moderate interaction

    Does Glimepiride Interact With Olanzapine?

    The following are examples of medications that may reduce the glucose-lowering effect of sulfonylureas including glimepiride, leading to worsening glycemic control: danazol, glucagon, somatropin, protease inhibitors, atypical antipsychotic medications (e.g., olanzapine and clozapine), barbiturates, diazoxide, laxatives, rifampin, thiazides and other diuretics, corticosteroids, phenothiazines, thyroid hormones, estrogens, oral contraceptives, phenytoin, nicotinic acid, sympathomimetics (e.g., …

    Reviewed by the OmniRx Health clinical teamLast reviewed Jul 4, 2026

    Severity: Moderate

    Severity basis: drug interactions section (keywords: may reduce). Combining Glimepiride (Sulfonylurea) and Olanzapine (Atypical antipsychotic) is classified as a moderate interaction.

    What to Do

    Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.

    How This Interaction Works

    Interactions like this one can happen when two medicines have overlapping effects, or when one changes how the other is absorbed, broken down, or cleared from the body. Glimepiride is a sulfonylurea and Olanzapine is a atypical antipsychotic; together they are documented as a moderate interaction. How much this matters depends on your dose, your other medications, and your overall health.

    If You Take Both Medications

    If you have been prescribed both Glimepiride and Olanzapine, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.

    From the FDA Label

    The following are examples of medications that may reduce the glucose-lowering effect of sulfonylureas including glimepiride, leading to worsening glycemic control: danazol, glucagon, somatropin, protease inhibitors, atypical antipsychotic medications (e.g., olanzapine and clozapine), barbiturates, diazoxide, laxatives, rifampin, thiazides and other diuretics, corticosteroids, phenothiazines, thyroid hormones, estrogens, oral contraceptives, phenytoin, nicotinic acid, sympathomimetics (e.g., …

    Source: FDA structured product labeling (set_id 0003458f-352a-46fa-9d99-230daa76ae29).

    Glimepiride

    Sulfonylurea

    Brands: Amaryl

    View Glimepiride safety profile

    Olanzapine

    Atypical antipsychotic

    Brands: Zyprexa

    View Olanzapine safety profile

    Check these against your full medication list in our free Interaction Checker

    Frequently Asked Questions

    Can you take Glimepiride and Olanzapine together?

    Glimepiride and Olanzapine have a documented moderate interaction. Use this combination with caution. Your prescriber may monitor you more closely or adjust doses.

    How serious is the Glimepiride and Olanzapine interaction?

    It is classified as a moderate interaction, based on the FDA label's drug interactions section (keywords: may reduce). A moderate interaction can be clinically meaningful and usually calls for monitoring or a dose adjustment.

    What should I do if I'm taking both Glimepiride and Olanzapine?

    If you have been prescribed both Glimepiride and Olanzapine, do not start, stop, or change either medication on your own — some medicines are unsafe to stop suddenly. Tell your prescriber and pharmacist that you take both so they can decide whether the combination is right for you, adjust the dose, monitor you more closely, or suggest an alternative.

    This information is educational — not medical advice.

    This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.

    Questions About Your Medications?

    A licensed OmniRx provider can review your full medication list and help you understand what's safe for you — no office visit required.