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Glipizide: Uses, Side Effects, and How to Take It Safely

Published: July 22, 2026Updated: July 22, 2026

Glipizide is a prescription medicine for adults with type 2 diabetes. It helps lower blood sugar by making the body release more insulin and is used along with diet, exercise, and other diabetes medicines when appropriate.

Quick summary

Glipizide can effectively lower blood sugar, but it may cause low blood sugar, especially if you skip meals or take other diabetes medicines. Follow the prescribed dose, monitor your blood sugar, and ask your doctor or pharmacist before making changes.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 22, 2026Editorial policy

Key facts at a glance

ATC
A10BB07
Generic
Glipizide
Class
sulfonylurea
Brands
Glucotrol
Availability
rx
Pregnancy
C
Lactation
unsafe
Half-life (h)
4
Onset (min)
30
Duration (h)
24
Routes
oral
Forms
tablet
Regions
CN, US, EU, JP
Monitoring
blood-glucose

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
5mg once daily
Maximum
consult physician
Frequency
once daily (before breakfast)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
not recommended
Maximum
consult physician
Frequency
N/A
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
2.5mg once daily
Maximum
consult physician
Frequency
once daily (before breakfast)
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose exceeding 500mg may cause serious toxicity including severe hypoglycemia
Chronic overdose: Repeated doses above therapeutic maximum (20mg/day) leading to cumulative hypoglycemic risk
Immediate actions
Activated charcoal within 1-2 hours if large recent ingestion, intravenous dextrose, monitor blood glucose continuously
Antidote
Octreotide (for refractory hypoglycemia from sulfonylurea overdose)(Effective in reducing insulin secretion and preventing recurrent hypoglycemia)
Poison Control: 1-800-222-1222

Special Populations

9 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

discontinue before pregnancy, switch to insulin

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks; insulin is preferred for glycemic control

Monitor

regular fetal monitoring, maternal blood glucose monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second trimester
unsafe
FDA Category
C
Dose Adjustment

discontinue, switch to insulin

Key Recommendations

discontinue sulfonylurea therapy; insulin recommended for diabetes management

Monitor

fetal growth monitoring, regular glucose checks

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
unsafe
FDA Category
C
Dose Adjustment

discontinue before delivery

Key Recommendations

switch to insulin; avoid use near delivery

Monitor

fetal monitoring, maternal hypoglycemia awareness

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

not recommended
unsafe
FDA Category
C
Dose Adjustment

avoid during breastfeeding

Key Recommendations

do not breastfeed while taking glipizide; consider alternative diabetes management

Monitor

monitor infant for signs of hypoglycemia

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly 65 years
caution
FDA Category
C
Dose Adjustment

start with lowest effective dose, 2.5mg daily

Key Recommendations

use with caution due to increased hypoglycemia risk; monitor glucose closely

Monitor

regular blood glucose monitoring, renal function assessment

Use with caution and monitor for adverse effects.

✗

pediatric_age

children under 18
unsafe
FDA Category
C
Dose Adjustment

not approved for pediatric use

Key Recommendations

glipizide is not recommended for children or adolescents; insulin or other therapies preferred

Monitor

not established for pediatric population

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

renal_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

use lower initial dose, monitor closely

Key Recommendations

use with caution; dose adjustment may be needed based on renal function

Monitor

monitor renal function regularly, check blood glucose frequently

Use with caution and monitor for adverse effects.

✗

renal_impairment

severe
unsafe
FDA Category
C
Dose Adjustment

avoid use or significantly reduce dose

Key Recommendations

not recommended in severe renal impairment; consider alternative therapy

Monitor

frequent glucose monitoring if used

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
C
Dose Adjustment

use lower dose, start conservatively

Key Recommendations

use with caution; glipizide is metabolized in liver

Monitor

monitor liver function and blood glucose

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

FDA approval year

Value:1984

FDA approval for Glipizide (Glucotrol)

drug_classWHO
2023

Drug class

Value:Sulfonylurea

Therapeutic classification based on mechanism of action

usageMedical guidelines
2023

Common uses

Value:Type 2 diabetes mellitus - glycemic control

Primary therapeutic indication for blood glucose management

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 22, 2026. · Read our editorial policy