Pramlintide and Insulin Degludec Interaction
Drug interaction information between Pramlintide and Insulin Degludec.
Pramlintide and Insulin Degludec have a documented moderate interaction in FDA labeling.
FDA drug labeling documents a moderate-severity interaction between Pramlintide and Insulin Degludec. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.
How They Interact
Both drugs work to lower blood sugar, so taking them at the same time can cause your blood sugar to drop too low.
What To Do
You should monitor your blood sugar levels closely and your doctor may need to lower your insulin dose.
FDA Label Information
Drugs That May Increase the Risk of Hypoglycemia Drugs: Antidiabetic agents, ACE inhibitors, angiotensin II receptor blocking agents, disopyramide, fibrates, fluoxetine, monoamine oxidase inhibitors, pentoxifylline, pramlintide, salicylates, somatostatin analogs (e.g., octreotide), and sulfonamide antibiotics Intervention: Dosage reductions and increased frequency of glucose monitoring may be required when XULTOPHY 100/3.6 is coadministered with these drugs.
Pramlintide Also Interacts With
- Insulin Aspart moderate
- Insulin Detemir moderate
- Insulin Glargine moderate
- Insulin Glulisine moderate
- Insulin Human/Insulin Isophane moderate
Insulin Degludec Also Interacts With
- Fluoxetine moderate
- Liraglutide moderate
- Octreotide moderate
- Albuterol minor
- Clonidine minor
Frequently Asked Questions
Can I take Pramlintide and Insulin Degludec together?
This is a moderate interaction. You should monitor your blood sugar levels closely and your doctor may need to lower your insulin dose.
How serious is the interaction between Pramlintide and Insulin Degludec?
This interaction is classified as "moderate" severity by the FDA. Moderate interactions may worsen your condition or change how your medications work.
Why do Pramlintide and Insulin Degludec interact?
Both drugs work to lower blood sugar, so taking them at the same time can cause your blood sugar to drop too low.
Understanding the Pramlintide and Insulin Degludec Interaction
FDA-approved prescribing information for these two drugs flags their combination as a moderate-severity interaction. Pramlintide belongs to the Amylin Analog class and Insulin Degludec belongs to the Ultra-Long-Acting Insulin class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: Both drugs work to lower blood sugar, so taking them at the same time can cause your blood sugar to drop too low. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.
Context around a specific patient determines real-world impact. Pramlintide has 13 total documented interactions on file in this dataset, and Insulin Degludec has 12. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: You should monitor your blood sugar levels closely and your doctor may need to lower your insulin dose. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.
An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Pramlintide or Insulin Degludec based on a web page, speak with your prescriber or pharmacist before making any change.
Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.
Read our methodology - how this data is sourced, computed, and verified.