Drug interactions
Chlorpropamide + Insulin degludec-liraglutide
Severity: Major
Chlorpropamide and Insulin degludec-liraglutide: major 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
Chlorpropamide, a long-acting sulfonylurea, combined with insulin and liraglutide substantially raises the risk of hypoglycemia, which can be severe and prolonged, especially in older adults or those with renal impairment.
What this interaction means in plain words
Chlorpropamide and Insulin degludec-liraglutide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Chlorpropamide belongs to Endocrine; Insulin degludec-liraglutide belongs to Endocrine.
Why it happens
Additive glucose lowering from sulfonylurea-driven insulin secretion, exogenous insulin and glucose-dependent GLP-1 receptor stimulation.
What to do
Reduce the sulfonylurea dose, or preferably replace chlorpropamide with a safer agent, and monitor blood glucose closely. Educate patients on recognizing and treating hypoglycemia.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Chlorpropamide and Insulin degludec-liraglutide, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Insulin degludec-liraglutide
Other interactions of Chlorpropamide
Frequently asked questions
Can I take Chlorpropamide with Insulin degludec-liraglutide?
MediHelp rates the interaction as major. Chlorpropamide and Insulin degludec-liraglutide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Chlorpropamide, a long-acting sulfonylurea, combined with insulin and liraglutide substantially raises the risk of hypoglycemia, which can be severe and prolonged, especially in older adults or those with renal impairment.
How serious is the interaction between Chlorpropamide and Insulin degludec-liraglutide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the sulfonylurea dose, or preferably replace chlorpropamide with a safer agent, and monitor blood glucose closely. Educate patients on recognizing and treating hypoglycemia.
What other medicines interact with Insulin degludec-liraglutide?
MediHelp also lists interactions of Insulin degludec-liraglutide with, for example, Albiglutide, Clozapine, Diazoxide. The full list is on the Insulin degludec-liraglutide page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
