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Interactions Some drugs can also interact with Rybelsus, including: Insulin Sulfonylureas (these can cause blood sugar levels to drop dangerously low when combined with Rybelsus) Some birth control pills Other GLP-1 or GLP-1/GIP receptor agonist medications such as liraglutide, dulaglutide, or tirzepatide You should not drink alcohol while taking this drug because alcohol can lower blood sugar

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