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Drug interactions

Insulin glargine-lixisenatide + Salsalate

Severity: Moderate

Insulin glargine-lixisenatide and Salsalate: 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

Salsalate is metabolized to salicylate, which can enhance the glucose-lowering effect of insulin and raise the risk of hypoglycemia.

What this interaction means in plain words

Insulin glargine-lixisenatide and Salsalate 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.

Evidence level: Moderate

Why it happens

Salicylates increase insulin secretion and peripheral glucose utilization, adding to insulin's effect.

What to do

Monitor glucose more often when salsalate is started or titrated and 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 glargine-lixisenatide with Salsalate?

MediHelp rates the interaction as moderate. Insulin glargine-lixisenatide and Salsalate 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. Salsalate is metabolized to salicylate, which can enhance the glucose-lowering effect of insulin and raise the risk of hypoglycemia.

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

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 more often when salsalate is started or titrated and reduce the insulin dose if hypoglycemia occurs.

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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