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Drug interactions

Glucagon intranasal + Labetalol

Severity: Minor

Glucagon intranasal and Labetalol: 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

Glucagon can briefly raise heart rate and blood pressure through catecholamine release, and in patients taking beta-blockers this rise may be more marked because of unopposed alpha stimulation. The effect is usually short-lived after a single rescue dose. Labetalol's alpha blockade offsets this partly.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Glucagon-induced catecholamine release may cause transient pressor and chronotropic effects that are altered by beta blockade.

What to do

Give glucagon as needed for severe hypoglycemia and monitor blood pressure and pulse afterwards. Be aware that beta-blockers can also mask hypoglycemia symptoms.

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 Glucagon intranasal with Labetalol?

MediHelp rates the interaction as minor. Glucagon intranasal and Labetalol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Glucagon can briefly raise heart rate and blood pressure through catecholamine release, and in patients taking beta-blockers this rise may be more marked because of unopposed alpha stimulation. The effect is usually short-lived after a single rescue dose. Labetalol's alpha blockade offsets this partly.

How serious is the interaction between Glucagon intranasal and Labetalol?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give glucagon as needed for severe hypoglycemia and monitor blood pressure and pulse afterwards. Be aware that beta-blockers can also mask hypoglycemia symptoms.

What other medicines interact with Labetalol?

MediHelp also lists interactions of Labetalol with, for example, Amifostine, Amiodarone, Atenolol-chlorthalidone. The full list is on the Labetalol page.

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