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Drug interactions

Liraglutide + Ramipril

Severity: Minor

Liraglutide and Ramipril: minor 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

ACE inhibitors may modestly improve glycemic control and could add to the glucose-lowering effect of liraglutide. The clinical significance is small, since liraglutide alone rarely causes hypoglycemia, but the risk rises if a sulfonylurea or insulin is also used.

What this interaction means in plain words

Liraglutide and Ramipril have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Liraglutide belongs to Endocrine; Ramipril belongs to Cardiovascular.

Evidence level: Low

Why it happens

Possible additive glucose lowering through improved insulin sensitivity with ACE inhibition; the mechanism is not firmly established.

What to do

Monitor glycemic control after starting ramipril, and reduce any concurrent sulfonylurea or insulin dose if hypoglycemia appears.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Liraglutide with Ramipril?

MediHelp rates the interaction as minor. Liraglutide and Ramipril have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. ACE inhibitors may modestly improve glycemic control and could add to the glucose-lowering effect of liraglutide. The clinical significance is small, since liraglutide alone rarely causes hypoglycemia, but the risk rises if a sulfonylurea or insulin is also used.

How serious is the interaction between Liraglutide and Ramipril?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor glycemic control after starting ramipril, and reduce any concurrent sulfonylurea or insulin dose if hypoglycemia appears.

What other medicines interact with Ramipril?

MediHelp also lists interactions of Ramipril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Ramipril page.

Full monographs, dosing and an interaction checker in the MediHelp app

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