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Interações medicamentosas

Insulin degludec + Megestrol

Gravidade: Moderada

Insulin degludec and Megestrol: moderate interaction.

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Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.

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Resumo

Megestrol, particularly at higher doses used for appetite stimulation, can raise blood glucose through glucocorticoid-like activity and reduce insulin effectiveness. Insulin requirements may rise.

O que esta interação significa em palavras simples

Insulin degludec and Megestrol 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; Megestrol belongs to Oncology.

Nível de evidência: Moderate

Por que acontece

Megestrol has glucocorticoid-like activity that promotes insulin resistance and hyperglycemia, opposing insulin action.

O que fazer

Monitor blood glucose when starting, adjusting or stopping megestrol and increase the insulin dose as needed. Reduce the insulin dose again after megestrol is discontinued.

O que perguntar ao farmacêutico

  • 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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Perguntas frequentes

Can I take Insulin degludec with Megestrol?

MediHelp rates the interaction as moderate. Insulin degludec and Megestrol 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. Megestrol, particularly at higher doses used for appetite stimulation, can raise blood glucose through glucocorticoid-like activity and reduce insulin effectiveness. Insulin requirements may rise.

How serious is the interaction between Insulin degludec and Megestrol?

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 when starting, adjusting or stopping megestrol and increase the insulin dose as needed. Reduce the insulin dose again after megestrol is discontinued.

What other medicines interact with Insulin degludec?

MediHelp also lists interactions of Insulin degludec with, for example, Alogliptin-pioglitazone, Ethanol, Glimepiride-pioglitazone. The full list is on the Insulin degludec page.

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