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Drug interactions

Azilsartan + Insulin glargine

Severity: Minor

Azilsartan and Insulin glargine: 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

Angiotensin receptor blockers may improve insulin sensitivity and can modestly strengthen the glucose-lowering effect of insulin. Hypoglycemia may occur, mainly when treatment is started or the ARB dose is raised.

What this interaction means in plain words

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

Azilsartan belongs to Cardiovascular; Insulin glargine belongs to Endocrine.

Evidence level: Low

Why it happens

ARBs may enhance insulin sensitivity, producing an additive pharmacodynamic glucose-lowering effect.

What to do

Monitor blood glucose more often when azilsartan is started or titrated. Reduce the insulin dose if hypoglycemia develops.

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 glargine?

MediHelp rates the interaction as minor. Azilsartan and Insulin glargine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Angiotensin receptor blockers may improve insulin sensitivity and can modestly strengthen the glucose-lowering effect of insulin. Hypoglycemia may occur, mainly when treatment is started or the ARB dose is raised.

How serious is the interaction between Azilsartan and Insulin glargine?

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 azilsartan is started or titrated. Reduce the insulin dose if hypoglycemia develops.

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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