Glipizide and Quercetin, a caution.
Quercetin is a flavonoid that inhibits CYP2C9 in human studies (it reduced diclofenac CYP2C9-mediated metabolism at 500 mg twice daily). Glipizide is metabolized primarily by CYP2C9. The combination can raise glipizide exposure and amplify its glucose-lowering, particularly at concentrated supplemental doses (versus dietary quercetin from fruits and vegetables).
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At a glance
- Pair type
- Caution
- Evidence (highest tier)
- Moderate
- Source citations
- 2 sources
- Stack Score effect
- −5 to your Stack Score (per scored caution row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Caution · Moderate evidence
Caution
What is happening. Quercetin is a flavonoid that inhibits CYP2C9 in human studies (it reduced diclofenac CYP2C9-mediated metabolism at 500 mg twice daily). Glipizide is metabolized primarily by CYP2C9. The combination can raise glipizide exposure and amplify its glucose-lowering, particularly at concentrated supplemental doses (versus dietary quercetin from fruits and vegetables).
Mechanism. Quercetin and other flavonols inhibit CYP2C9 (Ki ~1-2 microM) by binding the active site. CYP2C9 is the primary enzyme metabolizing glipizide, so inhibition raises plasma drug concentrations and prolongs the hypoglycemic effect.
Recommendation. Avoid concentrated quercetin supplements (>500 mg/day) on glipizide unless your prescriber agrees. If you take both, monitor fingerstick glucose more often during the first 2-4 weeks and ask whether the glipizide dose should be reduced. Dietary quercetin from foods is unlikely to matter clinically.
Sources (2)
- Bedada SK, Neerati P. Evaluation of the effect of quercetin treatment on CYP2C9 enzyme activity of diclofenac in healthy human volunteers. Phytother Res. 2018;32(2):305-311. PMID 29168292
- Si D, Wang Y, Zhou YH, et al. Mechanism of CYP2C9 inhibition by flavones and flavonols. Drug Metab Dispos. 2009;37(3):629-634. PMID 19074529
Stack Score
How this pair moves the number.
Effect on the composite score
If both Glipizide and Quercetin are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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