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藥物交互作用

Insulin degludec-insulin aspart + Pioglitazone

嚴重程度: 嚴重

Insulin degludec-insulin aspart and Pioglitazone: 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

Pioglitazone combined with insulin gives additive glucose lowering and increases the risk of hypoglycemia. The combination also raises the risk of fluid retention, edema and heart failure.

用白話說明這項交互作用的意義

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

證據等級: High

為什麼會發生

Pioglitazone improves insulin sensitivity, adding to insulin effect; it also promotes sodium and fluid retention.

處置方式

Consider reducing the insulin dose when pioglitazone is started and monitor glucose. Watch for weight gain, edema and heart failure symptoms.

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 Pioglitazone?

MediHelp rates the interaction as major. Insulin degludec-insulin aspart and Pioglitazone 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. Pioglitazone combined with insulin gives additive glucose lowering and increases the risk of hypoglycemia. The combination also raises the risk of fluid retention, edema and heart failure.

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

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider reducing the insulin dose when pioglitazone is started and monitor glucose. Watch for weight gain, edema and heart failure symptoms.

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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