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Drug Interactions With Inhaled Insulin

More Information on Interactions With Inhaled Insulin

The following sections explain in detail the potentially negative interactions that can occur when inhaled insulin is taken with any of the drugs listed above.
 
ACE Inhibitors
Taking inhaled insulin with ACE inhibitors can increase your risk of low blood sugar (hypoglycemia). You may need to be monitored more closely, and your healthcare provider may need to adjust your inhaled insulin dose, especially when starting or stopping an ACE inhibitor.
 
Albuterol
Albuterol can make inhaled insulin less effective. If you are using more (or less) albuterol than usual, your blood sugar may need to be monitored more closely, and your healthcare provider may need to adjust your inhaled insulin dosage. If you are taking albuterol and inhaled insulin at the same time, use the albuterol first.
 
Alcohol
Drinking alcohol while taking inhaled insulin can either raise or lower your blood sugar. Avoid binge drinking, and test your blood sugar often if you are drinking alcohol.
 
Atypical Antipsychotics
Combining inhaled insulin with atypical antipsychotics can make inhaled insulin less effective, increasing your chance of high blood sugar (hyperglycemia). You may need to be monitored more closely, and your healthcare provider may need to adjust your inhaled insulin dose, especially when starting or stopping an atypical antipsychotic.
 
Beta Blockers
If inhaled insulin is taken with a beta blocker, this can increase or decrease your blood sugar. You may need to be monitored more closely, and your healthcare provider may need to adjust your inhaled insulin dose, especially when starting or stopping a beta blocker. In addition, beta blockers can mask the symptoms of hypoglycemia, which may prevent you from feeling when your blood sugar drops too low.
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Inhaled Insulin (Exubera)

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