Skip to content

Drug interactions

Hydrochlorothiazide-lisinopril + Insulin aspart

Severity: Minor

Hydrochlorothiazide-lisinopril and Insulin aspart: 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

Thiazides can raise blood glucose and reduce the effect of insulin, so insulin requirements may rise. Conversely, ACE inhibitors may enhance insulin sensitivity, so the net effect varies.

What this interaction means in plain words

Hydrochlorothiazide-lisinopril and Insulin aspart 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-lisinopril belongs to Cardiovascular; Insulin aspart belongs to Endocrine.

Evidence level: Moderate

Why it happens

Thiazide-induced impairment of insulin secretion and sensitivity opposes insulin action.

What to do

Monitor blood glucose when starting or changing the combination and adjust insulin doses accordingly.

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.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Hydrochlorothiazide-lisinopril and Insulin aspart, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 14 days on the web. No card needed.

Frequently asked questions

Can I take Hydrochlorothiazide-lisinopril with Insulin aspart?

MediHelp rates the interaction as minor. Hydrochlorothiazide-lisinopril and Insulin aspart have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Thiazides can raise blood glucose and reduce the effect of insulin, so insulin requirements may rise. Conversely, ACE inhibitors may enhance insulin sensitivity, so the net effect varies.

How serious is the interaction between Hydrochlorothiazide-lisinopril and Insulin aspart?

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 when starting or changing the combination and adjust insulin doses accordingly.

What other medicines interact with Hydrochlorothiazide-lisinopril?

MediHelp also lists interactions of Hydrochlorothiazide-lisinopril with, for example, Dofetilide, Sacubitril / valsartan, Amifostine. The full list is on the Hydrochlorothiazide-lisinopril page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in