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Drug interactions

Deflazacort + Insulin isophane protamine human

Severity: Moderate

Deflazacort and Insulin isophane protamine human: 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

Deflazacort is a glucocorticoid that raises blood glucose and can reduce the effectiveness of insulin, so higher insulin doses are often needed. Both drugs can also lower serum potassium, though the main clinical concern is hyperglycemia.

What this interaction means in plain words

Deflazacort and Insulin isophane protamine human 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.

Deflazacort belongs to Miscellaneous; Insulin isophane protamine human belongs to Endocrine.

Evidence level: High

Why it happens

Glucocorticoid-induced insulin resistance and increased hepatic glucose output oppose insulin; both agents additionally promote potassium loss or intracellular shift.

What to do

Monitor blood glucose more often when starting, increasing or stopping deflazacort and adjust the insulin dose accordingly. Check serum potassium in patients on prolonged therapy or at risk of hypokalemia.

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?

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 Deflazacort with Insulin isophane protamine human?

MediHelp rates the interaction as moderate. Deflazacort and Insulin isophane protamine human 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. Deflazacort is a glucocorticoid that raises blood glucose and can reduce the effectiveness of insulin, so higher insulin doses are often needed. Both drugs can also lower serum potassium, though the main clinical concern is hyperglycemia.

How serious is the interaction between Deflazacort and Insulin isophane protamine human?

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, increasing or stopping deflazacort and adjust the insulin dose accordingly. Check serum potassium in patients on prolonged therapy or at risk of hypokalemia.

What other medicines interact with Insulin isophane protamine human?

MediHelp also lists interactions of Insulin isophane protamine human with, for example, Ethanol, Pioglitazone, Rosiglitazone. The full list is on the Insulin isophane protamine human page.

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