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Drug interactions

Hydrochlorothiazide + Insulin glargine-lixisenatide

Severity: Minor

Hydrochlorothiazide and Insulin glargine-lixisenatide: 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

Thiazide diuretics can impair glucose tolerance and raise blood glucose, partly offsetting the effect of antidiabetic therapy. The effect is generally modest and is more evident at higher doses.

What this interaction means in plain words

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

Hydrochlorothiazide belongs to Cardiovascular; Insulin glargine-lixisenatide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Thiazide-induced hypokalemia and reduced insulin secretion and sensitivity oppose glucose lowering.

What to do

Monitor blood glucose and serum potassium after starting or changing hydrochlorothiazide, and adjust the antidiabetic dose if needed.

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 Hydrochlorothiazide with Insulin glargine-lixisenatide?

MediHelp rates the interaction as minor. Hydrochlorothiazide and Insulin glargine-lixisenatide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Thiazide diuretics can impair glucose tolerance and raise blood glucose, partly offsetting the effect of antidiabetic therapy. The effect is generally modest and is more evident at higher doses.

How serious is the interaction between Hydrochlorothiazide and Insulin glargine-lixisenatide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose and serum potassium after starting or changing hydrochlorothiazide, and adjust the antidiabetic dose if needed.

What other medicines interact with Insulin glargine-lixisenatide?

MediHelp also lists interactions of Insulin glargine-lixisenatide with, for example, Albiglutide, Chlorpropamide, Dulaglutide. The full list is on the Insulin glargine-lixisenatide page.

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