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Interactions médicamenteuses

Insulin degludec + Vitamin b3

Gravité: Modérée

Insulin degludec and Vitamin b3: moderate interaction.

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Résumé

High-dose niacin, as used for lipid lowering, can impair glucose tolerance and raise blood glucose. This may reduce the glucose-lowering effect of insulin degludec and lead to worsened glycemic control in patients with diabetes.

Ce que signifie cette interaction, en termes simples

Insulin degludec and Vitamin b3 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 degludec belongs to Endocrine; Vitamin b3 belongs to Gastrointestinal Tract.

Niveau de preuve: Moderate

Pourquoi elle survient

Niacin induces insulin resistance and increases hepatic glucose output, which opposes the glucose-lowering action of insulin.

Conduite à tenir

Monitor blood glucose more frequently when starting, adjusting or stopping high-dose niacin. Increase the insulin dose as needed and reduce it again if niacin is withdrawn.

Questions à poser à votre pharmacien

  • 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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Questions fréquentes

Can I take Insulin degludec with Vitamin b3?

MediHelp rates the interaction as moderate. Insulin degludec and Vitamin b3 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. High-dose niacin, as used for lipid lowering, can impair glucose tolerance and raise blood glucose. This may reduce the glucose-lowering effect of insulin degludec and lead to worsened glycemic control in patients with diabetes.

How serious is the interaction between Insulin degludec and Vitamin b3?

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, adjusting or stopping high-dose niacin. Increase the insulin dose as needed and reduce it again if niacin is withdrawn.

What other medicines interact with Vitamin b3?

MediHelp also lists interactions of Vitamin b3 with, for example, Lovastatin, Simvastatin, Atorvastatin. The full list is on the Vitamin b3 page.

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Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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