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Drug Interactions With Inhaled Insulin

Disopyramide
Taking inhaled insulin with disopyramide can increase your risk of low blood sugar (hypoglycemia). Depending on your situation, 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 disopyramide.
 
Estrogens
Combining inhaled insulin with estrogens can make inhaled insulin less effective, which may increase your chance of high blood sugar (hyperglycemia). To prevent this interaction from occurring, 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 estrogen.
 
Fibrates
If inhaled insulin is taken with fibrates, this 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 a fibrate.
 
Fluoxetine
Taking inhaled insulin with fluoxetine can increase your risk of low blood sugar (hypoglycemia). As a result, 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 fluoxetine.
 
Isoniazid
If inhaled insulin and isoniazid are combined, this can make inhaled insulin less effective, which may increase 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 isoniazid.
 
Lithium
If inhaled insulin is combined with lithium, this can increase or decrease your blood sugar levels. Depending on your situation, 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 lithium.
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