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Drug interactions

Insulin glargine-lixisenatide + Liraglutide

Severity: Major

Insulin glargine-lixisenatide and Liraglutide: major 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

Both liraglutide and lixisenatide are GLP-1 receptor agonists, so combining them duplicates therapy and increases gastrointestinal adverse effects and hypoglycemia risk. There is no established benefit from using two together.

What this interaction means in plain words

Insulin glargine-lixisenatide and Liraglutide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Insulin glargine-lixisenatide belongs to Endocrine; Liraglutide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Therapeutic duplication of GLP-1 receptor agonism with additive effects alongside insulin.

What to do

Avoid concurrent use of two GLP-1 receptor agonists and choose a single agent. If one must be switched, stop the other first.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 glargine-lixisenatide with Liraglutide?

MediHelp rates the interaction as major. Insulin glargine-lixisenatide and Liraglutide can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both liraglutide and lixisenatide are GLP-1 receptor agonists, so combining them duplicates therapy and increases gastrointestinal adverse effects and hypoglycemia risk. There is no established benefit from using two together.

How serious is the interaction between Insulin glargine-lixisenatide and Liraglutide?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use of two GLP-1 receptor agonists and choose a single agent. If one must be switched, stop the other first.

What other medicines interact with Insulin glargine-lixisenatide?

MediHelp also lists interactions of Insulin glargine-lixisenatide with, for example, Albiglutide, Chlorpropamide, Dulaglutide. The full list is on the Insulin glargine-lixisenatide page.

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