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Drug interactions

Hydrochlorothiazide-losartan + Insulin isophane human / insulin regular human

Severity: Minor

Hydrochlorothiazide-losartan and Insulin isophane human / insulin regular human: 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

Losartan can improve insulin sensitivity and occasionally increase the risk of hypoglycemia in insulin-treated patients, whereas hydrochlorothiazide may raise glucose. Overall glycemic effects are usually small.

What this interaction means in plain words

Hydrochlorothiazide-losartan and Insulin isophane human / insulin regular human 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

Angiotensin receptor blockade may improve insulin sensitivity, while thiazide diuretics may impair glucose tolerance.

What to do

Monitor blood glucose after starting or changing the antihypertensive and adjust the insulin 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-losartan with Insulin isophane human / insulin regular human?

MediHelp rates the interaction as minor. Hydrochlorothiazide-losartan and Insulin isophane human / insulin regular human have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Losartan can improve insulin sensitivity and occasionally increase the risk of hypoglycemia in insulin-treated patients, whereas hydrochlorothiazide may raise glucose. Overall glycemic effects are usually small.

How serious is the interaction between Hydrochlorothiazide-losartan and Insulin isophane human / insulin regular human?

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 after starting or changing the antihypertensive and adjust the insulin dose if needed.

What other medicines interact with Hydrochlorothiazide-losartan?

MediHelp also lists interactions of Hydrochlorothiazide-losartan with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Hydrochlorothiazide-losartan page.

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