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藥物交互作用

Insulin degludec-insulin aspart + Mecasermin

嚴重程度: 嚴重

Insulin degludec-insulin aspart and Mecasermin: major interaction.

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僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Mecasermin is recombinant IGF-1 and has insulin-like glucose-lowering activity, so combining it with insulin can cause additive and sometimes severe hypoglycemia.

用白話說明這項交互作用的意義

Insulin degludec-insulin aspart and Mecasermin 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-insulin aspart belongs to Endocrine; Mecasermin belongs to Endocrine.

證據等級: Moderate

為什麼會發生

Additive pharmacodynamic effect: IGF-1 acts on insulin receptors and IGF-1 receptors to lower blood glucose.

處置方式

Give mecasermin with or shortly after a meal and monitor blood glucose closely. Reduce the insulin dose as needed.

可向藥師詢問的問題

  • 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Insulin degludec-insulin aspart with Mecasermin?

MediHelp rates the interaction as major. Insulin degludec-insulin aspart and Mecasermin 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. Mecasermin is recombinant IGF-1 and has insulin-like glucose-lowering activity, so combining it with insulin can cause additive and sometimes severe hypoglycemia.

How serious is the interaction between Insulin degludec-insulin aspart and Mecasermin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give mecasermin with or shortly after a meal and monitor blood glucose closely. Reduce the insulin dose as needed.

What other medicines interact with Insulin degludec-insulin aspart?

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

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