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Interações medicamentosas

Insulin degludec-liraglutide + Rosiglitazone

Gravidade: Grave

Insulin degludec-liraglutide and Rosiglitazone: major interaction.

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Resumo

Rosiglitazone improves insulin sensitivity, and combining it with insulin and liraglutide adds to the glucose-lowering effect and the risk of hypoglycemia. Rosiglitazone with insulin also increases the risk of edema and heart failure.

O que esta interação significa em palavras simples

Insulin degludec-liraglutide and Rosiglitazone 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.

Insulin degludec-liraglutide belongs to Endocrine; Rosiglitazone belongs to Endocrine.

Nível de evidência: High

Por que acontece

Additive glucose lowering from insulin sensitization combined with insulin and GLP-1 receptor agonism, with thiazolidinedione-related fluid retention.

O que fazer

Avoid the combination where possible, particularly in patients with or at risk of heart failure. If used, monitor glucose, reduce the insulin dose as needed and watch for edema and weight gain.

O que perguntar ao farmacêutico

  • 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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Perguntas frequentes

Can I take Insulin degludec-liraglutide with Rosiglitazone?

MediHelp rates the interaction as major. Insulin degludec-liraglutide and Rosiglitazone 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. Rosiglitazone improves insulin sensitivity, and combining it with insulin and liraglutide adds to the glucose-lowering effect and the risk of hypoglycemia. Rosiglitazone with insulin also increases the risk of edema and heart failure.

How serious is the interaction between Insulin degludec-liraglutide and Rosiglitazone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible, particularly in patients with or at risk of heart failure. If used, monitor glucose, reduce the insulin dose as needed and watch for edema and weight gain.

What other medicines interact with Insulin degludec-liraglutide?

MediHelp also lists interactions of Insulin degludec-liraglutide with, for example, Albiglutide, Chlorpropamide, Clozapine. The full list is on the Insulin degludec-liraglutide page.

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