Drug interactions
Insulin neutral human + Prednisone
Severity: Moderate
Insulin neutral human 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
Prednisone raises blood glucose by promoting hepatic glucose production and peripheral insulin resistance, so it can reduce the glucose-lowering effect of insulin. Patients with diabetes may need higher insulin doses during corticosteroid therapy, and doses may need to be lowered again after the steroid is stopped.
What this interaction means in plain words
Insulin neutral human 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 neutral human belongs to Endocrine; Prednisone belongs to Endocrine.
Why it happens
Glucocorticoids cause insulin resistance and increase gluconeogenesis, opposing insulin's pharmacodynamic effect.
What to do
Monitor blood glucose more frequently when starting, changing or stopping prednisone, and titrate insulin accordingly. Anticipate a need for increased prandial insulin, especially with morning steroid dosing.
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 Insulin neutral human
Other interactions of Prednisone
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- Prednisone + Radium-223 dichloride Contraindicated
- Prednisone + Smallpox vaccine live Contraindicated
- Adenovirus types 4 and 7 live + Prednisone Major
Frequently asked questions
Can I take Insulin neutral human with Prednisone?
MediHelp rates the interaction as moderate. Insulin neutral human 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. Prednisone raises blood glucose by promoting hepatic glucose production and peripheral insulin resistance, so it can reduce the glucose-lowering effect of insulin. Patients with diabetes may need higher insulin doses during corticosteroid therapy, and doses may need to be lowered again after the steroid is stopped.
How serious is the interaction between Insulin neutral human 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: Monitor blood glucose more frequently when starting, changing or stopping prednisone, and titrate insulin accordingly. Anticipate a need for increased prandial insulin, especially with morning steroid dosing.
What other medicines interact with Insulin neutral human?
MediHelp also lists interactions of Insulin neutral human with, for example, Chlorpropamide, Ethanol, Mecasermin. The full list is on the Insulin neutral human page.
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