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Drug interactions

Erythromycin + Insulin degludec

Severity: Minor

Erythromycin and Insulin degludec: 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

Erythromycin has been associated with glucose-lowering effects in some patients, which may add to the effect of insulin. This could increase the risk of hypoglycemia, though the effect is generally modest and inconsistent.

What this interaction means in plain words

Erythromycin and Insulin degludec have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Erythromycin belongs to Anti Bacterial; Insulin degludec belongs to Endocrine.

Evidence level: Low

Why it happens

Possible additive glucose-lowering effect, perhaps via increased insulin secretion or gastric motility changes; the mechanism is not well established.

What to do

Check blood glucose more often when starting or stopping erythromycin. Adjust the insulin dose if hypoglycemia occurs.

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 Erythromycin with Insulin degludec?

MediHelp rates the interaction as minor. Erythromycin and Insulin degludec have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Erythromycin has been associated with glucose-lowering effects in some patients, which may add to the effect of insulin. This could increase the risk of hypoglycemia, though the effect is generally modest and inconsistent.

How serious is the interaction between Erythromycin and Insulin degludec?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check blood glucose more often when starting or stopping erythromycin. Adjust the insulin dose if hypoglycemia occurs.

What other medicines interact with Erythromycin?

MediHelp also lists interactions of Erythromycin with, for example, Conivaptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Erythromycin page.

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