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Drug interactions

Insulin degludec-insulin aspart + Liothyronine

Severity: Moderate

Insulin degludec-insulin aspart and Liothyronine: 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

Thyroid hormone increases glucose production and metabolic rate, which can worsen glycemic control and increase insulin requirements in diabetic patients.

What this interaction means in plain words

Insulin degludec-insulin aspart and Liothyronine 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 degludec-insulin aspart belongs to Endocrine; Liothyronine belongs to Endocrine.

Evidence level: Moderate

Why it happens

Thyroid hormone enhances gluconeogenesis, glycogenolysis and intestinal glucose absorption, opposing insulin.

What to do

Monitor glucose when starting or changing liothyronine dose and adjust insulin as needed.

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 degludec-insulin aspart with Liothyronine?

MediHelp rates the interaction as moderate. Insulin degludec-insulin aspart and Liothyronine 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. Thyroid hormone increases glucose production and metabolic rate, which can worsen glycemic control and increase insulin requirements in diabetic patients.

How serious is the interaction between Insulin degludec-insulin aspart and Liothyronine?

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 when starting or changing liothyronine dose and adjust insulin as needed.

What other medicines interact with Insulin degludec-insulin aspart?

MediHelp also lists interactions of Insulin degludec-insulin aspart with, for example, Chlorpropamide, Clozapine, Diazoxide. The full list is on the Insulin degludec-insulin aspart page.

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