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Drug interactions

Nateglinide + Risperidone

Severity: Moderate

Nateglinide and Risperidone: 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

Risperidone can raise blood glucose and reduce insulin sensitivity, which may reduce the effect of nateglinide. Glycemic control may worsen.

What this interaction means in plain words

Nateglinide and Risperidone 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.

Nateglinide belongs to Endocrine; Risperidone belongs to Central Nervous System.

Evidence level: Low

Why it happens

Pharmacodynamic antagonism: antipsychotic-induced insulin resistance opposes glucose lowering.

What to do

Monitor blood glucose and HbA1c, and adjust the nateglinide dose or add therapy if control worsens.

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 Nateglinide with Risperidone?

MediHelp rates the interaction as moderate. Nateglinide and Risperidone 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. Risperidone can raise blood glucose and reduce insulin sensitivity, which may reduce the effect of nateglinide. Glycemic control may worsen.

How serious is the interaction between Nateglinide and Risperidone?

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 and HbA1c, and adjust the nateglinide dose or add therapy if control worsens.

What other medicines interact with Risperidone?

MediHelp also lists interactions of Risperidone with, for example, Ibutilide, Vandetanib, Adagrasib. The full list is on the Risperidone page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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