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Novolin N and Repaglinide

Determining the interaction of Novolin N and Repaglinide and the possibility of their joint administration.

Check result:
Novolin N <> Repaglinide
Relevance: 18.02.2023 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using repaglinide together with insulin isophane (NPH) has been occasionally associated with serious cardiovascular side effects such as heart attacks in clinical studies. Talk to your doctor if you have any questions or concerns. Your doctor may be able to prescribe alternatives that do not interact. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

GENERALLY AVOID: Serious cardiovascular adverse reactions have been reported when repaglinide is used concomitantly with NPH (isophane) insulin. The potential mechanism of interaction has not been established. Across seven controlled clinical trials that included repaglinide combination therapy with NPH insulin (n=431), insulin formulations alone (n=388) or other combinations (sulfonylurea plus NPH insulin or repaglinide plus metformin) (n=120), there were six serious adverse events of myocardial ischemia in patients treated with repaglinide and NPH insulin from two studies, and one event in patients using insulin formulations alone from another study. The manufacturers note that repaglinide is not indicated for use in combination with NPH insulin.

MANAGEMENT: Concomitant use of repaglinide with NPH insulin should generally be avoided.

References
  • "Product Information. Prandin (repaglinide)." Novo Nordisk Pharmaceuticals Inc, Princeton, NJ.
Novolin N

Generic Name: insulin isophane

Brand name: Humulin N, HumuLIN N KwikPen, Novolin N, ReliOn/NovoLIN N, Humulin N, Novolin N, Insulin Purified NPH Pork, Iletin II NPH Pork, Iletin NPH, HumuLIN N Pen, NovoLIN N PenFill, NovoLIN N Innolet

Synonyms: n.a.

Repaglinide

Generic Name: repaglinide

Brand name: Prandin

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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