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Drug interactions

Azilsartan + Insulin aspart protamine / insulin aspart

Severity: Minor

Azilsartan and Insulin aspart protamine / insulin aspart: minor 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

ARBs may slightly enhance insulin sensitivity and in some patients increase the risk of hypoglycemia with insulin. The effect is usually small but can be noticed when starting the ARB.

What this interaction means in plain words

Azilsartan and Insulin aspart protamine / insulin aspart have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible improvement in insulin sensitivity from angiotensin receptor blockade, adding to insulin glucose-lowering.

What to do

Monitor blood glucose more often when starting azilsartan and reduce insulin dose if hypoglycemia occurs.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Azilsartan with Insulin aspart protamine / insulin aspart?

MediHelp rates the interaction as minor. Azilsartan and Insulin aspart protamine / insulin aspart have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. ARBs may slightly enhance insulin sensitivity and in some patients increase the risk of hypoglycemia with insulin. The effect is usually small but can be noticed when starting the ARB.

How serious is the interaction between Azilsartan and Insulin aspart protamine / insulin aspart?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose more often when starting azilsartan and reduce insulin dose if hypoglycemia occurs.

What other medicines interact with Azilsartan?

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

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