Can I take 4.5mg and Lantus for in a cartridge together?
Drug interaction guide
Originally published 14 Mar 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
- Audio Version
Low-dose naltrexone (LDN) may occasionally cause changes in blood sugar levels or alter how your body responds to insulin. While not a common interaction, some patients using both may experience unexpected drops in blood sugar (hypoglycaemia).
In this article:
Video picks for Drug interactions
Continue reading below
Why this happens
Naltrexone can influence the endocrine system and metabolic processes. In some cases, it may increase insulin sensitivity, meaning your usual dose of Lantus (insulin glargine) could work more strongly than expected.
What you should do
Back to contentsYou should monitor your blood sugar levels more frequently when starting or changing the dose of naltrexone. If you notice your blood sugar is consistently lower than usual, or if you experience symptoms of a 'hypo' (such as shakiness, sweating, or confusion), contact your doctor or diabetes specialist. They may need to adjust your Lantus dose.
Continue reading below
Using other medicines
Back to contentsTaking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
Patient picks for Drug interactions

Treatment and medication
Can I take Levothyroxine and Ramipril together?
There is no direct interaction between levothyroxine and ramipril. However, if your thyroid levels are not well-controlled, it can affect how well your blood pressure medication works.

Treatment and medication
Can I take 7.5mg and Medikinet together?
Taking Zopiclone and Medikinet (methylphenidate) together can cause a 'tug-of-war' effect in your body. Medikinet is a stimulant designed to wake you up and help you focus, while Zopiclone is a sedative designed to make you sleepy. Taking them at the same time can make both medicines less effective. Additionally, while Medikinet is active, it may be harder for you to fall asleep, even after taking Zopiclone. In some cases, mixing stimulants and sedatives can lead to unpredictable effects on your coordination, heart rate, or mental state (such as feeling confused or agitated).
Continue reading below
Article history
The information on this page is written and peer reviewed by qualified clinicians.
14 Mar 2026 | Originally published

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.