Interactions médicamenteuses
Chlorpropamide + Insulin degludec-insulin aspart
Gravité: Majeure
Chlorpropamide and Insulin degludec-insulin aspart: major interaction.
Dernière mise à jour
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Résumé
Combining insulin with a sulfonylurea gives additive glucose lowering and raises the risk of hypoglycemia. Chlorpropamide has a long half-life, so hypoglycemia can be prolonged, especially in older adults and in renal impairment.
Ce que signifie cette interaction, en termes simples
Chlorpropamide and Insulin degludec-insulin aspart 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.
Chlorpropamide belongs to Endocrine; Insulin degludec-insulin aspart belongs to Endocrine.
Pourquoi elle survient
Additive effect: chlorpropamide stimulates insulin secretion while exogenous insulin directly lowers glucose.
Conduite à tenir
Reduce the insulin or sulfonylurea dose when combining and monitor blood glucose closely. Consider a shorter-acting agent instead of chlorpropamide, particularly in elderly or renally impaired patients.
Questions à poser à votre pharmacien
- 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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Autres interactions de Chlorpropamide
Questions fréquentes
Can I take Chlorpropamide with Insulin degludec-insulin aspart?
MediHelp rates the interaction as major. Chlorpropamide and Insulin degludec-insulin aspart 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. Combining insulin with a sulfonylurea gives additive glucose lowering and raises the risk of hypoglycemia. Chlorpropamide has a long half-life, so hypoglycemia can be prolonged, especially in older adults and in renal impairment.
How serious is the interaction between Chlorpropamide and Insulin degludec-insulin aspart?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the insulin or sulfonylurea dose when combining and monitor blood glucose closely. Consider a shorter-acting agent instead of chlorpropamide, particularly in elderly or renally impaired patients.
What other medicines interact with Insulin degludec-insulin aspart?
MediHelp also lists interactions of Insulin degludec-insulin aspart with, for example, Clozapine, Diazoxide, Ethanol. The full list is on the Insulin degludec-insulin aspart page.
Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp
Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.
