Drug interactions
Insulin neutral human + Mecasermin
Severity: Major
Insulin neutral human and Mecasermin: 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
Mecasermin is recombinant IGF-1 and has insulin-like glucose-lowering effects, so combining with insulin can cause additive and sometimes severe hypoglycemia. Mecasermin labeling warns of hypoglycemia, particularly without food.
What this interaction means in plain words
Insulin neutral human and Mecasermin 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 neutral human belongs to Endocrine; Mecasermin belongs to Endocrine.
Why it happens
IGF-1 receptor activation, with some insulin receptor activity, adds to insulin's glucose-lowering effect.
What to do
Give mecasermin with or shortly after a meal and monitor glucose closely, reducing the insulin dose as needed. Ensure the patient and caregivers know how to treat hypoglycemia.
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?
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Other interactions of Insulin neutral human
Other interactions of Mecasermin
Frequently asked questions
Can I take Insulin neutral human with Mecasermin?
MediHelp rates the interaction as major. Insulin neutral human and Mecasermin 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. Mecasermin is recombinant IGF-1 and has insulin-like glucose-lowering effects, so combining with insulin can cause additive and sometimes severe hypoglycemia. Mecasermin labeling warns of hypoglycemia, particularly without food.
How serious is the interaction between Insulin neutral human and Mecasermin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give mecasermin with or shortly after a meal and monitor glucose closely, reducing the insulin dose as needed. Ensure the patient and caregivers know how to treat hypoglycemia.
What other medicines interact with Insulin neutral human?
MediHelp also lists interactions of Insulin neutral human with, for example, Chlorpropamide, Ethanol, Pentamidine. The full list is on the Insulin neutral human page.
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