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Drug interactions

Bendroflumethiazide + Insulin glargine

Severity: Minor

Bendroflumethiazide 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

Thiazide diuretics can raise blood glucose and reduce the effect of insulin, particularly at higher doses. Insulin requirements may increase.

What this interaction means in plain words

Bendroflumethiazide 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.

Evidence level: Moderate

Why it happens

Thiazides impair glucose tolerance, partly through potassium depletion that reduces insulin secretion, and may increase insulin resistance.

What to do

Monitor glucose and potassium after starting the thiazide and increase the insulin dose if needed.

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 Bendroflumethiazide with Insulin glargine?

MediHelp rates the interaction as minor. Bendroflumethiazide 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. Thiazide diuretics can raise blood glucose and reduce the effect of insulin, particularly at higher doses. Insulin requirements may increase.

How serious is the interaction between Bendroflumethiazide 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 glucose and potassium after starting the thiazide and increase the insulin dose if needed.

What other medicines interact with Insulin glargine?

MediHelp also lists interactions of Insulin glargine with, for example, Alogliptin-pioglitazone, Ethanol, Glimepiride-pioglitazone. The full list is on the Insulin glargine page.

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