Drug interactions
Ethanol + Insulin degludec-insulin aspart
Severity: Major
Ethanol and Insulin degludec-insulin aspart: 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
Alcohol impairs hepatic gluconeogenesis and can cause severe, delayed hypoglycemia in insulin-treated patients, and can mask hypoglycemia symptoms. Heavy intake may also cause hyperglycemia from carbohydrate content.
What this interaction means in plain words
Ethanol and Insulin degludec-insulin aspart 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.
Why it happens
Ethanol suppresses hepatic glucose production, adding to the glucose-lowering effect of insulin.
What to do
Advise intake only with food and in moderation, with frequent glucose monitoring including overnight and the next day. Counsel patients and companions on recognizing 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?
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Other interactions of Insulin degludec-insulin aspart
- Chlorpropamide + Insulin degludec-insulin aspart Major
- Clozapine + Insulin degludec-insulin aspart Major
- Diazoxide + Insulin degludec-insulin aspart Major
- Insulin degludec-insulin aspart + Mecasermin Major
- Insulin degludec-insulin aspart + Pioglitazone Major
- Insulin degludec-insulin aspart + Pramlintide Major
Frequently asked questions
Can I take Ethanol with Insulin degludec-insulin aspart?
MediHelp rates the interaction as major. Ethanol and Insulin degludec-insulin aspart 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. Alcohol impairs hepatic gluconeogenesis and can cause severe, delayed hypoglycemia in insulin-treated patients, and can mask hypoglycemia symptoms. Heavy intake may also cause hyperglycemia from carbohydrate content.
How serious is the interaction between Ethanol and Insulin degludec-insulin aspart?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise intake only with food and in moderation, with frequent glucose monitoring including overnight and the next day. Counsel patients and companions on recognizing hypoglycemia.
What other medicines interact with Insulin degludec-insulin aspart?
MediHelp also lists interactions of Insulin degludec-insulin aspart with, for example, Chlorpropamide, Clozapine, Diazoxide. The full list is on the Insulin degludec-insulin aspart page.
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