Drug Interaction Report

Use of other orally inhaled products can sometimes affect the absorption of inhaled insulin into the bloodstream. In addition, medications like vilanterol can increase blood sugar and worsen diabetes in some people. If you use inhaled insulin with other orally inhaled medications, you should keep the timing of their dosing consistent relative to each other on a daily basis and monitor your blood glucose closely. Talk to your doctor or pharmacist if you have any questions on how to use these medications properly. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Using insulin inhalation, rapid acting together with other inhaled products such as umeclidinium may affect the absorption of insulin into the blood stream. This may alter the effectiveness of the insulin. Consistent timing of dosing of other inhaled products relative to insulin inhalation, rapid acting is recommended, and blood glucose should be closely monitored. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Alcohol may affect blood glucose levels in patients with diabetes. Both hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar) may occur, depending on how much and how often you drink. You should avoid using alcohol if your diabetes is not well controlled or if you have high triglycerides, neuropathy (nerve damage), or pancreatitis. Moderate alcohol consumption generally does not affect blood glucose levels if your diabetes is under control. However, it may be best to limit alcohol intake to one drink daily for women and two drinks daily for men (1 drink = 5 oz wine, 12 oz beer, or 1.5 oz distilled spirits) in conjunction with your normal meal plan. Avoid drinking alcohol on an empty stomach or following exercise, as it may increase the risk of hypoglycemia. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.