Drug & supplement interaction

Bergamot + Insulin Glargine

Insulin Glargine brand names: Basaglar, Lusduna, Semglee.

Moderate Interaction
The bottom line Moderate

Bergamot has a moderate interaction with Insulin Glargine. Theoretically, taking bergamot with antidiabetes drugs might increase the risk of hypoglycemia.

Read the full interaction report
SeverityModerate
LikelihoodPossible
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Bergamot and Insulin Glargine

Here is the interaction we found between these two, with the evidence behind it.

Moderate

ANTIDIABETES DRUGS

Why this applies to Insulin Glargine

Insulin Glargine falls under ANTIDIABETES DRUGS — the group Bergamot interacts with.

Theoretically, taking bergamot with antidiabetes drugs might increase the risk of hypoglycemia.
Animal research suggests that bergamot juice has hypoglycemic effects.
Severity Moderate Likelihood Possible Evidence D

Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the simple version: bergamot supplements may have a mild blood-sugar-lowering effect of their own. Insulin glargine (Basaglar, Semglee, Lusduna) is your long-acting background insulin, and it already works to bring blood sugar down. Stack the two together and, in theory, your numbers could drop a little lower than expected. That can show up as shakiness, sweating, a fast heartbeat, confusion, or feeling lightheaded.

I want to be honest about how strong this evidence is, though. It's mostly theoretical and based on animal studies, not solid human data, so it's not a reason to panic. The amount you'd get from eating bergamot fruit is unlikely to matter. If you decide to use a concentrated bergamot supplement, just check in with your pharmacist or doctor first and keep an eye on your glucose readings.

References
  1. Mollace, V., Sacco, I., Janda, E., Malara, C., Ventrice, D., Colica, C., Visalli, V., Muscoli, S., Ragusa, S., Muscoli, C., Rotiroti, D., and Romeo, F. Hypolipemic and hypoglycaemic activity of bergamot polyphenols: from animal models to human studies. F PubMed

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Bergamot Also Interacts With Other Medications

Bergamot has 409 moderate known drug interactions in our database — the Insulin Glargine one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Bergamot

Covers the 2,830 medications we’ve checked against Bergamot. Pick one to open its full report.

From our Q&A

Questions About Bergamot or Insulin Glargine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Bergamot or Insulin Glargine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Insulin Glargine

This page covers Bergamot only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Insulin Glargine page lists 242 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Chelation Therapy Products (major), Siberian Cocklebur (major), Acai (moderate), African Wild Potato (moderate) and Agaricus Mushroom (moderate).

By severity: 2 major · 211 moderate · 29 minor.

Open the Insulin Glargine interaction page

One more smart check

Taking Bergamot as Part of a Dietary Supplement Product? Check It for Interactions

We hold 47 real supplement products containing Bergamot, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Bergamot. Your product may carry other ingredients that interact with Insulin Glargine too, on top of Bergamot — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Bergamot and Insulin Glargine Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Bergamot
Top half

#392 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Insulin Glargine
Top half

#1,374 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Bergamot

What is Bergamot?

Bergamot
  • High cholesterol
  • Heart and metabolic health
  • Anxiety and stress (aromatherapy)
  • Antimicrobial/antiseptic
  • Skin care and fragrance

Bergamot is a Mediterranean citrus fruit, and its standardized extract is most often used to support cholesterol and heart health, with some early but promising research. The essential oil is widely used for fragrance and aromatherapy but should not be taken by mouth, and it can make skin more sensitive to sunlight. Talk with your pharmacist or doctor before using bergamot supplements, especially if you take medicine for cholesterol or blood sugar.

Read the full Bergamot monograph & all interactions
Medication

About Insulin Glargine (rDNA origin) Injection

What Is Insulin Glargine (rDNA origin) Injection Used For?

Brand names: Basaglar, Lusduna, Semglee

Insulin glargine is used to improve glycemic control (blood sugar management) in adults and pediatric patients with type 1 diabetes mellitus, and in adults with type 2 diabetes mellitus. It is a long-acting basal insulin, meaning it works gradually over the course of the day to keep blood sugar steady.

Insulin glargine is not recommended for treating diabetic ketoacidosis (a serious complication where the blood becomes dangerously acidic).

See full Insulin Glargine (rDNA origin) Injection drug information
Keep checking

Other Drugs & Bergamot

Browse every other medication we’ve checked against Bergamot — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
409Moderate
0Minor
2,420No known interaction
Moderate

409 interactions

Showing 60 of 409 moderate interactions — see all 409 on the Bergamot page.

No interaction 2,420 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Bergamot and Insulin Glargine Together: Common Questions

Can you take Bergamot with Insulin Glargine?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Bergamot and Insulin Glargine interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Insulin Glargine and Bergamot?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.