Drug interactions
Chlorpropamide + Insulin glargine-lixisenatide
Severity: Major
Chlorpropamide and Insulin glargine-lixisenatide: 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 stimulates insulin secretion, so combining it with insulin and lixisenatide markedly raises hypoglycemia risk. Chlorpropamide has a long half-life and is renally cleared, so hypoglycemia can be prolonged, especially in older patients or those with kidney impairment.
What this interaction means in plain words
Chlorpropamide and Insulin glargine-lixisenatide 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 glargine-lixisenatide belongs to Endocrine.
Why it happens
Additive glucose lowering from sulfonylurea-driven insulin secretion plus exogenous insulin and GLP-1 receptor agonism.
What to do
Reduce the sulfonylurea dose, or preferably switch to a shorter-acting agent, when combining with this product. Monitor glucose closely, especially with renal impairment.
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?
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Other interactions of Insulin glargine-lixisenatide
Other interactions of Chlorpropamide
Frequently asked questions
Can I take Chlorpropamide with Insulin glargine-lixisenatide?
MediHelp rates the interaction as major. Chlorpropamide and Insulin glargine-lixisenatide 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 stimulates insulin secretion, so combining it with insulin and lixisenatide markedly raises hypoglycemia risk. Chlorpropamide has a long half-life and is renally cleared, so hypoglycemia can be prolonged, especially in older patients or those with kidney impairment.
How serious is the interaction between Chlorpropamide and Insulin glargine-lixisenatide?
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 switch to a shorter-acting agent, when combining with this product. Monitor glucose closely, especially with renal impairment.
What other medicines interact with Insulin glargine-lixisenatide?
MediHelp also lists interactions of Insulin glargine-lixisenatide with, for example, Albiglutide, Dulaglutide, Ethanol. The full list is on the Insulin glargine-lixisenatide page.
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