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What the FDA labels say about taking them together

Insulin glulisine and isoniazid

Insulin glulisine's FDA label of November 25, 2025 names isoniazid in its drug interactions section; the isoniazid label PlainMeds reads does not name insulin glulisine. The insulin glulisine label: “Drugs that May Decrease the Blood Glucose Lowering Effect of APIDRA Drugs: Atypical antipsychotics, corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, phenothiazine derivatives, progestogens …”

Check it at the source: the insulin glulisine FDA label on DailyMed (effective November 25, 2025); the isoniazid FDA label on DailyMed (effective July 8, 2025, OMNIVIUM PHARMACEUTICALS LLC.).

What does the insulin glulisine label say about isoniazid?

Insulin glulisine label, drug interactions

Drugs that May Decrease the Blood Glucose Lowering Effect of APIDRA Drugs: Atypical antipsychotics, corticosteroids, danazol, diuretics, estrogens, glucagon, isoniazid, niacin, phenothiazine derivatives, progestogens (e.g., in oral contraceptives), protease inhibitors, somatropin, sympathomimetic agents (e.g., albuterol, epinephrine, terbutaline), and thyroid hormones. Intervention: Dose adjustment and increased frequency of glucose monitoring may be required when APIDRA is coadministered with these drugs.

Source: FDA drug label (Apidra), sanofi-aventis U.S. LLC, effective November 25, 2025 (SPL set e7af6a7a-8046-4fb4-9979-4ec4230b23aa), via openFDA; the full label on DailyMed

What does the isoniazid label say about insulin glulisine?

Isoniazid's label (effective July 8, 2025) does not name insulin glulisine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (isoniazid), OMNIVIUM PHARMACEUTICALS LLC., effective July 8, 2025 (SPL set 35400f1d-fd25-4bfa-a382-ac390e21bf2e), 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 glulisine generic labelers
14Isoniazid generic labelers
Insulin glulisineIsoniazid
Labeled forType 2 diabetes, Type 1 diabetesn/a
Boxed warningNoYes
Pharmacy cost (NADAC)$8.16 per mL 100 unit/mL vial$3.40 per tablet 300 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?