Drug General Information (ID: DDICIVYNOW)
Drug Name			Insulin human (zinc extended)		Drug Info		Clonidine		Drug Info
Drug Type		Hormones				Small molecule
Therapeutic Class		Insulin/Antidiabetic Agents				Antihypertensive Agents
Structure

Mechanism of Insulin human (zinc extended)-Clonidine Interaction (Severity Level: Moderate)
Increased risk of hypoglycemia Click to Show/Hide Mechanism Graph
Drug Name		Insulin human (zinc extended)				Clonidine
Mechanism		Antidiabetic agent				Diminish the physiological response to hypoglycemia induced by antidiabetic agent
Key Mechanism Factor 1
		Factor Name		Hypoglycemia
		Factor Description		Hypoglycemia is a condition in which your blood sugar (glucose) level is below the standard range. It causes irregular or rapid heartbeat, pale skin, numbness of the lips, tongue or cheeks, and sweating.
Mechanism Description		Increased risk of hypoglycemia by the combination of Insulin human (zinc extended) and Clonidine

Recommended Action
Management		Patients should be instructed about the need for regular monitoring of blood glucose levels and be aware that certain symptoms of hypoglycemia such as tremors, sweating, and tachycardia may be reduced or absent during treatment with clonidine.

References
1	Product Information. NovoLog Mix 70/30 FlexPen (insulin aspart-insulin aspart protamine). Novo Nordisk Pharmaceuticals Inc, Princeton, NJ.
2	Hedeland H, Dymling JF, Hokfelt B "The effect of insulin-induced hypoglycaemia on plasma renin activity and urinary catecholamines before and following clonidine (Catapresan) in man." Acta Endocrinol (Copenh) 71 (1972): 321-30
3	Product Information. Lantus (insulin glargine) Aventis Pharmaceuticals, Swiftwater, PA.