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Drug interactions

Indinavir + Insulin degludec

Severity: Moderate

Indinavir and Insulin degludec: 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

Indinavir can cause insulin resistance and hyperglycemia, which may reduce the effectiveness of insulin degludec. Glucose control may deteriorate in diabetic patients.

What this interaction means in plain words

Indinavir and Insulin degludec 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.

Evidence level: Moderate

Why it happens

Indinavir impairs insulin-mediated glucose uptake (notably via GLUT4 inhibition), producing insulin resistance.

What to do

Monitor blood glucose regularly after initiating indinavir and titrate insulin degludec upward as required.

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 Indinavir with Insulin degludec?

MediHelp rates the interaction as moderate. Indinavir and Insulin degludec 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. Indinavir can cause insulin resistance and hyperglycemia, which may reduce the effectiveness of insulin degludec. Glucose control may deteriorate in diabetic patients.

How serious is the interaction between Indinavir and Insulin degludec?

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 blood glucose regularly after initiating indinavir and titrate insulin degludec upward as required.

What other medicines interact with Insulin degludec?

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

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