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Drug interactions

Insulin degludec-insulin aspart + Thioridazine

Severity: Moderate

Insulin degludec-insulin aspart and Thioridazine: 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

Thioridazine, like other phenothiazines, can raise blood glucose and impair glycemic control. In a patient on insulin this may lead to higher glucose readings and a need for higher insulin doses.

What this interaction means in plain words

Insulin degludec-insulin aspart and Thioridazine 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; Thioridazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism, as phenothiazines can cause insulin resistance and reduce insulin secretion.

What to do

Monitor blood glucose more frequently when thioridazine is started, changed or stopped, and adjust the insulin dose 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 Thioridazine?

MediHelp rates the interaction as moderate. Insulin degludec-insulin aspart and Thioridazine 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. Thioridazine, like other phenothiazines, can raise blood glucose and impair glycemic control. In a patient on insulin this may lead to higher glucose readings and a need for higher insulin doses.

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

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 frequently when thioridazine is started, changed or stopped, and adjust the insulin dose 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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