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Drug interactions

Insulin degludec-liraglutide + Prednisone

Severity: Moderate

Insulin degludec-liraglutide and Prednisone: 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

Systemic corticosteroids such as prednisone raise blood glucose and can cause marked hyperglycemia, which opposes the effect of insulin degludec-liraglutide. Insulin requirements often rise during steroid treatment and fall again when it is stopped.

What this interaction means in plain words

Insulin degludec-liraglutide and Prednisone 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-liraglutide belongs to Endocrine; Prednisone belongs to Endocrine.

Evidence level: High

Why it happens

Glucocorticoids increase hepatic gluconeogenesis and cause peripheral insulin resistance, opposing the antidiabetic effect.

What to do

Increase blood glucose monitoring and titrate the insulin dose upward during steroid therapy. Reduce the dose again as the steroid is tapered to avoid hypoglycemia.

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-liraglutide with Prednisone?

MediHelp rates the interaction as moderate. Insulin degludec-liraglutide and Prednisone 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. Systemic corticosteroids such as prednisone raise blood glucose and can cause marked hyperglycemia, which opposes the effect of insulin degludec-liraglutide. Insulin requirements often rise during steroid treatment and fall again when it is stopped.

How serious is the interaction between Insulin degludec-liraglutide and Prednisone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Increase blood glucose monitoring and titrate the insulin dose upward during steroid therapy. Reduce the dose again as the steroid is tapered to avoid hypoglycemia.

What other medicines interact with Insulin degludec-liraglutide?

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

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