Drug interactions
Insulin lispro + Prednisolone
Severity: Moderate
Insulin lispro and Prednisolone: 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
Prednisolone reduces insulin sensitivity and raises blood glucose, often necessitating larger lispro doses. Postprandial hyperglycemia is especially common.
What this interaction means in plain words
Insulin lispro and Prednisolone 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 lispro belongs to Endocrine; Prednisolone belongs to Endocrine.
Why it happens
Pharmacodynamic antagonism through glucocorticoid-induced insulin resistance and increased hepatic glucose production.
What to do
Increase glucose monitoring and adjust lispro doses upward during steroid therapy. Step down doses as prednisolone is reduced.
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?
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Other interactions of Prednisolone
- Bcg vaccine live + Prednisolone Contraindicated
- Measles mumps and rubella vaccine live + Prednisolone Contraindicated
- Measles mumps rubella and varicella vaccine live + Prednisolone Contraindicated
- Measles vaccine + Prednisolone Contraindicated
- Mifepristone + Prednisolone Contraindicated
- Prednisolone + Radium-223 dichloride Contraindicated
Other interactions of Insulin lispro
Frequently asked questions
Can I take Insulin lispro with Prednisolone?
MediHelp rates the interaction as moderate. Insulin lispro and Prednisolone 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. Prednisolone reduces insulin sensitivity and raises blood glucose, often necessitating larger lispro doses. Postprandial hyperglycemia is especially common.
How serious is the interaction between Insulin lispro and Prednisolone?
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 glucose monitoring and adjust lispro doses upward during steroid therapy. Step down doses as prednisolone is reduced.
What other medicines interact with Prednisolone?
MediHelp also lists interactions of Prednisolone with, for example, Bcg vaccine live, Measles mumps and rubella vaccine live, Measles mumps rubella and varicella vaccine live. The full list is on the Prednisolone page.
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