Drug General Information (ID: DDI9LGDMO7)
  Drug Name Insulin human (inhalation, rapid acting) Drug Info Pentamidine Drug Info
  Drug Type Hormones Small molecule
  Therapeutic Class Insulin/Antidiabetic Agents Antifungal Agents
  Structure

 Mechanism of Insulin human (inhalation, rapid acting)-Pentamidine Interaction (Severity Level: Moderate)
     Antagonize the effect of antidiabetic agents Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Insulin human (inhalation, rapid acting) Pentamidine
      Mechanism Inhaled human insulin Interfere with the therapeutic efficacy of insulin
      Key Mechanism Factor 1
Factor Name Antidiabetic agents
Factor Description The hypoglycemic effect of antidiabetes may be reduced, leading to higher blood glucose, increased blood glucose fluctuations, and the possibility of hyperglycemic complications
      Mechanism Description
  • Antagonize the effect of Insulin human (inhalation, rapid acting) when combined with Pentamidine 

Recommended Action
      Management Blood glucose should be monitored closely during and after pentamidine therapy in patients receiving insulin and/or oral antidiabetic agents, especially if they are elderly or have renal impairment. Patients should be counseled to recognize symptoms of hypoglycemia such as headache, dizziness, drowsiness, nausea, tremor, weakness, hunger, excessive perspiration, and palpitations. If hypo- or hyperglycemia occurs during pentamidine therapy, patients should initiate appropriate remedial therapy immediately, discontinue pentamidine therapy, and contact their physician.

References
1 Shen M, Orwoll ES, Conte JE, Prince MJ "Pentamidine-induced pancreatic beta-cell dysfunction." Am J Med 86 (1989): 726-8. [PMID: 2658578]
2 Wood G, Wetzig N, Hogan P, Whitby M "Survival from pentamidine induced pancreatitis and diabetes mellitus." Aust N Z J Med 21 (1991): 341-2
3 Stahl-Bayliss CM, Kalman CM, Laskin OL "Pentamidine-induced hypoglycemia in patients with the acquired immune deficiency syndrome." Clin Pharmacol Ther 39 (1986): 271-5