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Drug interactions

Imipramine + Insulin lispro

Severity: Minor

Imipramine and Insulin lispro: 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

Tricyclic antidepressants may alter glycemic control and potentiate the glucose-lowering effect of insulin. Hypoglycemia may occur unexpectedly and its adrenergic warning symptoms may be blunted.

What this interaction means in plain words

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

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

Evidence level: Low

Why it happens

Tricyclics may alter insulin sensitivity and glucose homeostasis, an additive pharmacodynamic effect that is not fully characterized.

What to do

Monitor blood glucose more often when imipramine is started, changed or stopped. Reduce the insulin dose if hypoglycemia occurs.

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 Imipramine with Insulin lispro?

MediHelp rates the interaction as minor. Imipramine and Insulin lispro have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Tricyclic antidepressants may alter glycemic control and potentiate the glucose-lowering effect of insulin. Hypoglycemia may occur unexpectedly and its adrenergic warning symptoms may be blunted.

How serious is the interaction between Imipramine and Insulin lispro?

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 more often when imipramine is started, changed or stopped. Reduce the insulin dose if hypoglycemia occurs.

What other medicines interact with Imipramine?

MediHelp also lists interactions of Imipramine with, for example, Dronedarone, Isocarboxazid, Phenelzine. The full list is on the Imipramine page.

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

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