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Drug interactions

Iloperidone + Insulin lispro

Severity: Moderate

Iloperidone and Insulin lispro: moderate 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

Atypical antipsychotics such as iloperidone can cause hyperglycemia and weight gain, which may worsen glycemic control in insulin-treated patients. Insulin requirements may rise.

What this interaction means in plain words

Iloperidone and Insulin lispro can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Iloperidone belongs to Central Nervous System; Insulin lispro belongs to Endocrine.

Evidence level: Moderate

Why it happens

Antipsychotic-induced insulin resistance and metabolic effects oppose the action of insulin.

What to do

Check glucose regularly after starting iloperidone and increase the insulin dose as needed. Monitor weight and HbA1c over time.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Iloperidone with Insulin lispro?

MediHelp rates the interaction as moderate. Iloperidone and Insulin lispro can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Atypical antipsychotics such as iloperidone can cause hyperglycemia and weight gain, which may worsen glycemic control in insulin-treated patients. Insulin requirements may rise.

How serious is the interaction between Iloperidone and Insulin lispro?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check glucose regularly after starting iloperidone and increase the insulin dose as needed. Monitor weight and HbA1c over time.

What other medicines interact with Insulin lispro?

MediHelp also lists interactions of Insulin lispro with, for example, Alogliptin-pioglitazone, Ethanol, Metreleptin. The full list is on the Insulin lispro page.

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