Drug interactions
Azilsartan-chlorthalidone + Insulin lispro protamine / insulin lispro
Severity: Moderate
Azilsartan-chlorthalidone and Insulin lispro protamine / insulin lispro: 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
ARBs may modestly improve insulin sensitivity, raising the risk of hypoglycemia in insulin-treated patients, while the thiazide-like component may raise glucose. The net effect varies, and insulin needs may change.
What this interaction means in plain words
Azilsartan-chlorthalidone and Insulin lispro protamine / insulin lispro 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.
Why it happens
ARBs may enhance insulin sensitivity, while thiazide-like diuretics impair glucose tolerance.
What to do
Monitor blood glucose more often when starting, stopping or changing doses. Adjust the insulin dose as needed.
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?
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Other interactions of Azilsartan-chlorthalidone
Frequently asked questions
Can I take Azilsartan-chlorthalidone with Insulin lispro protamine / insulin lispro?
MediHelp rates the interaction as moderate. Azilsartan-chlorthalidone and Insulin lispro protamine / insulin lispro 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. ARBs may modestly improve insulin sensitivity, raising the risk of hypoglycemia in insulin-treated patients, while the thiazide-like component may raise glucose. The net effect varies, and insulin needs may change.
How serious is the interaction between Azilsartan-chlorthalidone and Insulin lispro protamine / insulin lispro?
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 often when starting, stopping or changing doses. Adjust the insulin dose as needed.
What other medicines interact with Azilsartan-chlorthalidone?
MediHelp also lists interactions of Azilsartan-chlorthalidone with, for example, Aliskiren, Sparsentan, Aceclofenac. The full list is on the Azilsartan-chlorthalidone page.
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