|
|
Aloe vera* | |
|
Chromium* Ginkgo biloba | |
|
Biotin Gymnema sylvestre Vitamin E | |
| Depletion or interference |
None known |
| Side effect reduction/prevention |
None known |
| Reduced drug absorption/bioavailability |
None known |
An asterisk (*) next to an item in the summary indicates that the interaction is supported only by weak, fragmentary, and/or contradictory scientific evidence.
Aloe (Aloe
vera)
One single-blind study in Thailand reported that combining 1 Tbsp (15 ml) of aloe juice twice
daily with glyburide significantly improved blood sugar and lipid levels in people with
diabetes, compared with placebo.1 Previously, glyburide by itself had not
effectively controlled the diabetes in the people in this study.
Ginkgo
biloba*
In a preliminary trial, administration of Ginkgo biloba extract (120 mg per day) for
three months to patients with type 2 diabetes who were taking oral anti-diabetes medication
resulted in a significant worsening of glucose tolerance. Ginkgo did not impair glucose
tolerance in individuals whose diabetes was controlled by diet.2 Individuals taking
oral anti-diabetes medication should consult a doctor before taking Ginkgo
biloba.
Food
Glyburide may be taken with food to avoid gastrointestinal (GI) upset.3 Effective
treatment of type 2 diabetes with glyburide includes adherence to recommended dietary
guidelines.
Alcohol
Alcohol consumption may interfere with blood-sugar control during glyburide
therapy.4 Alcohol may interact with glyburide, causing facial flushing, headache,
light-headedness, nausea, breathlessness, and other symptoms.5 People taking
glyburide should avoid alcohol.
1. Bunyapraphatsara N, Yongchaiyudha S, Rungpitarangsi V, Chokechaijaroenporn O. Antidiabetic activity of Aloe vera L. juice. II. Clinical trial in diabetes mellitus patients in combination with glibenclamide. Phytomed 1996;3:245–8.
2. Kudolo GB. The effect of 3-month ingestion of Ginkgo biloba extract (EGb 761) on pancreatic beta-cell function in response to glucose loading in individuals with non-insulin-dependent diabetes mellitus. J Clin Pharmacol 2001;41:600–11.
3. Threlkeld DS, ed. Hormones, Antidiabetic Agents, Sulfonylureas. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Jun 1992, 130m.
4. Threlkeld DS, ed. Hormones, Antidiabetic Agents, Sulfonylureas. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Jun 1992, 130m.
5. Threlkeld DS, ed. Hormones, Antidiabetic Agents, Sulfonylureas. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Jun 1992, 130m.
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