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Sulfonylurea drugs are extensively bound to serum proteinsDisplacement from protein binding sites by other drugs may lead to enhanced hypoglycemic actionIn vitrothe protein binding exhibited by glyburide is predominantly non-ionicwhereas that of other sulfonylureaschlorpropamidetolbutamidetolazamideis predominantly ionicAcidic drugssuch as phenylbutazonewarfarinand salicylatesdisplace the ionic-binding sulfonylureas from serum proteins to a far greater extent than the non-ionic binding glyburideIt has not been shown that this difference in protein binding results in fewer drug-drug interactions with glyburide tablets in clinical use.
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reproduction studies were performed in rats and rabbits at doses up to 500 times the mrhd dose of 20 mg of the glucovance mite component of glucovance mite based on body surface area comparisons and revealed no evidence of impaired fertility or harm to the fetus due to glyburide.
