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Drug interactions

Insulin aspart + Lisinopril

Severity: Moderate

Insulin aspart and Lisinopril: 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 increase insulin sensitivity and may enhance the hypoglycemic effect of insulin aspart. Hypoglycemia may occur, particularly after starting the ACE inhibitor.

What this interaction means in plain words

Insulin aspart and Lisinopril 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.

Insulin aspart belongs to Endocrine; Lisinopril belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

ACE inhibition may improve insulin sensitivity and raise bradykinin, adding to insulin's glucose-lowering effect.

What to do

Monitor blood glucose more often when starting lisinopril. Reduce the 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 Insulin aspart with Lisinopril?

MediHelp rates the interaction as moderate. Insulin aspart and Lisinopril 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 increase insulin sensitivity and may enhance the hypoglycemic effect of insulin aspart. Hypoglycemia may occur, particularly after starting the ACE inhibitor.

How serious is the interaction between Insulin aspart and Lisinopril?

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 more often when starting lisinopril. Reduce the insulin dose if hypoglycemia occurs.

What other medicines interact with Lisinopril?

MediHelp also lists interactions of Lisinopril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Lisinopril page.

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

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