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Drug interactions

Amlodipine-olmesartan + Insulin nph

Severity: Moderate

Amlodipine-olmesartan and Insulin nph: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Angiotensin receptor blockers may enhance insulin sensitivity and in some patients increase the glucose-lowering effect of insulin. This can occasionally result in hypoglycemia, particularly when treatment is started.

What this interaction means in plain words

Amlodipine-olmesartan and Insulin nph can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Angiotensin receptor blockade may improve insulin sensitivity, adding to insulin glucose-lowering; the mechanism is not fully established.

What to do

Monitor blood glucose more frequently when olmesartan is started or changed, and adjust the insulin dose if hypoglycemia occurs.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amlodipine-olmesartan with Insulin nph?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan and Insulin nph can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Angiotensin receptor blockers may enhance insulin sensitivity and in some patients increase the glucose-lowering effect of insulin. This can occasionally result in hypoglycemia, particularly when treatment is started.

How serious is the interaction between Amlodipine-olmesartan and Insulin nph?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose more frequently when olmesartan is started or changed, and adjust the insulin dose if hypoglycemia occurs.

What other medicines interact with Amlodipine-olmesartan?

MediHelp also lists interactions of Amlodipine-olmesartan with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Amlodipine-olmesartan page.

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