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Drug interactions

Imidapril + Insulin glargine-lixisenatide

Severity: Moderate

Imidapril and Insulin glargine-lixisenatide: 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

ACE inhibitors can improve insulin sensitivity and occasionally lead to hypoglycemia in patients on insulin. The effect is usually modest but can be noticeable early in therapy.

What this interaction means in plain words

Imidapril and Insulin glargine-lixisenatide 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.

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

Evidence level: Moderate

Why it happens

ACE inhibition increases bradykinin and may improve insulin sensitivity and glucose uptake, adding to insulin's effect.

What to do

Monitor glucose more often when starting or adjusting the ACE inhibitor. Reduce insulin dose if hypoglycemia occurs.

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 Imidapril with Insulin glargine-lixisenatide?

MediHelp rates the interaction as moderate. Imidapril and Insulin glargine-lixisenatide 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. ACE inhibitors can improve insulin sensitivity and occasionally lead to hypoglycemia in patients on insulin. The effect is usually modest but can be noticeable early in therapy.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor glucose more often when starting or adjusting the ACE inhibitor. Reduce insulin dose if hypoglycemia occurs.

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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