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Interaction Check

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Selected Drugs Clear All

  • remove NovoLog
    insulin aspart
  • remove Soliqua 100/ 33
    insulin glargine/ lixisenatide
  • remove Vestura
    drospirenone/ ethinyl estradiol

multicheck MultiCheck Results - 7 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Soliqua 100/33 (insulin glargine/ lixisenatide) + Vestura (drospirenone/ ethinyl estradiol)

Avoid/Use Alternative


lixisenatide + drospirenone (contraceptive)

consider alternative or monitor glucose; give drospirenone at least 1h before or at least 11h after lixisenatide: combo may decr. peak drospirenone levels, contraceptive efficacy; may decr. antidiabetic agent efficacy (absorption delayed, possibly decreased; antagonistic effects)

lixisenatide + ethinyl estradiol (contraceptive)

consider alternative or monitor glucose; give oral ethinyl estradiol at least 1h before or at least 11h after lixisenatide: combo may decr. peak ethinyl estradiol levels, contraceptive efficacy; may decr. antidiabetic agent efficacy (absorption delayed, possibly decreased; antagonistic effects)

Monitor/Modify Tx


insulin + drospirenone (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

insulin + ethinyl estradiol (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

Monitor/Modify Tx

Smiley face Smiley face NovoLog (insulin aspart) + Soliqua 100/33 (insulin glargine/ lixisenatide)

Monitor/Modify Tx


insulin + lixisenatide

monitor glucose; consider dose adjustment of one or both drugs: combo may incr. risk of hypoglycemia (additive effects)

Smiley face Smiley face NovoLog (insulin aspart) + Vestura (drospirenone/ ethinyl estradiol)

Monitor/Modify Tx


insulin + drospirenone (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

insulin + ethinyl estradiol (contraceptive)

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

Additional Considerations

Smiley face Smiley face lixisenatide in Soliqua 100/33

caution advised with oral drugs, especially narrow therapeutic index; lixisenatide delays gastric emptying, may alter absorption of concomitant oral drugs

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