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What the FDA labels say about taking them together

Insulin detemir and olanzapine

Insulin detemir's FDA label of October 9, 2024 names olanzapine in its drug interactions section; the olanzapine labels PlainMeds reads (3) do not name insulin detemir. The insulin detemir label: “Drugs That May Decrease the Blood Glucose Lowering Effect of LEVEMIR Drugs: Atypical antipsychotics, corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, oral contraceptives, phenothiazines …”

Check it at the source: the insulin detemir FDA label on DailyMed (effective October 9, 2024); the olanzapine FDA label on DailyMed (effective March 5, 2026, Macleods Pharmaceuticals Limited).

What does the insulin detemir label say about olanzapine?

Insulin detemir label, drug interactions

Drugs That May Decrease the Blood Glucose Lowering Effect of LEVEMIR Drugs: Atypical antipsychotics (e.g., olanzapine and clozapine), corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, oral contraceptives, phenothiazines, progestogens (e.g., in oral contraceptives), protease inhibitors, somatropin, sympathomimetic agents (e.g., albuterol, epinephrine, terbutaline), and thyroid hormones. Intervention: Dosage increases and increased frequency of glucose monitoring may be required when LEVEMIR is co-administered with these drugs.

Source: FDA drug label (Levemir), A-S Medication Solutions, effective October 9, 2024 (SPL set 82192527-99aa-4b53-8ce9-9173668d309c), via openFDA; the full label on DailyMed

What does the olanzapine label say about insulin detemir?

Olanzapine's label (effective March 5, 2026) and its 2 other brand-application labels do not name insulin detemir in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Olanzapine), Macleods Pharmaceuticals Limited, effective March 5, 2026 (SPL set 8e095987-bdea-42f2-9550-c7155cf07d30), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

0Insulin detemir generic labelers
43Olanzapine generic labelers
Insulin detemirOlanzapine
Labeled forType 2 diabetes, Type 1 diabetesSchizophrenia, Bipolar disorder, Depression
Boxed warningNoYes
Pharmacy cost (NADAC)n/a$0.147 per tablet 20 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?