Drug & supplement interaction

Fig + Inhaled Insulin

Inhaled Insulin brand name: Exubera.

Moderate Interaction
The bottom line Moderate

Inhaled Insulin falls into 2 drug categories that Fig can interact with; the most serious is rated moderate. Theoretically, fig leaf might enhance the blood glucose lowering effects of hypoglycemic drugs.

Read the full interaction report
SeverityModerate
LikelihoodProbable
Interactions2
EvidenceB
What do Severity, Likelihood & Evidence mean?
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Interaction report

Fig and Inhaled Insulin

These two interact in 2 distinct ways. Each one is explained separately below.

Why Are There 2 Interactions?

Fig interacts with whole categories of medication. Inhaled Insulin falls into 2 of those categories, so it can interact with Fig in 2 different ways. We’ve listed each one below — your overall risk is driven by the most serious of them (Moderate).

Moderate

ANTIDIABETES DRUGS

1 of 2

Why this applies to Inhaled Insulin

Inhaled Insulin falls under ANTIDIABETES DRUGS — the group Fig interacts with.

Theoretically, fig leaf might enhance the blood glucose lowering effects of hypoglycemic drugs.
A small clinical study in patients with type 1 diabetes shows that consuming a tea made from fig leaves modestly reduces postprandial glucose levels and insulin requirements.
Severity Moderate Likelihood Probable Evidence B

Interaction 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..

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

Here's the gist for inhaled insulin (Exubera): fig leaf may gently lower your blood sugar on its own. A small study in people with type 1 diabetes found that fig leaf tea modestly trimmed after-meal glucose and even lowered how much insulin folks needed. So if you're dosing inhaled insulin and also using concentrated fig leaf products, your sugar could dip lower than you'd expect, which can bring on shakiness, sweating, dizziness, or confusion (hypoglycemia).

Keep in mind, this is mostly about fig leaf supplements or tea, not eating a few figs as food. The evidence is still limited. Don't change your insulin on your own. Just check your sugars more closely and loop in your pharmacist or doctor before starting fig leaf.

References
  1. Serraclara A, Hawkins F, Perez C, et al. Hypoglycemic action of an oral fig-leaf decoction in type-I diabetic patients. Diabetes Res Clin Pract 1998;39:19-22. PubMed
Moderate

INSULIN

2 of 2

Inhaled Insulin also falls under INSULIN.

Fig leaf may enhance the blood glucose lowering effects of insulin.
A small clinical study in patients with type 1 diabetes shows that consuming a tea made from fig leaves modestly reduces postprandial glucose levels and insulin requirements.
Severity Moderate Likelihood Probable Evidence B

Interaction 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..

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

Here's the thing to keep in mind with inhaled insulin (like Exubera) and fig leaf. A small study in people with type 1 diabetes found that fig leaf tea modestly lowered blood sugar after meals and slightly reduced how much insulin folks needed. So fig leaf seems to nudge your sugar down on its own. When you stack that on top of your insulin, the two can add up, and your blood sugar could drop lower than you expect.

That matters because too-low blood sugar can leave you shaky, sweaty, dizzy, confused, or even faint. This is really about concentrated fig leaf products or teas, not eating a fig or two as food. If you want to try fig leaf supplements, check with your pharmacist or doctor first and keep an eye on your glucose readings.

References
  1. Serraclara A, Hawkins F, Perez C, et al. Hypoglycemic action of an oral fig-leaf decoction in type-I diabetic patients. Diabetes Res Clin Pract 1998;39:19-22. 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

Fig Also Interacts With Other Medications

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

Taking anything else?

Check Another of Your Medications Against Fig

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

Everything else you take

See Every Supplement That Interacts With Inhaled Insulin

This page covers Fig only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Inhaled Insulin page lists 259 supplements it has a documented interaction with, worst first, each one explained.

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

By severity: 3 major · 218 moderate · 38 minor.

From our pharmacist’s overview on the Inhaled Insulin page

“Inhaled insulin (Exubera) comes with a supplement list that warrants real caution, and the three major-rated entries deserve your attention first. Siberian cocklebur has caused severe hypoglycemia in people, activated charcoal can pull medications out of the body, and chelation products containing EDTA can drive blood sugar dangerously…”

Reviewed by 2 · Jul 18, 2026

Open the Inhaled Insulin interaction page

One more smart check

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

We hold 189 real supplement products containing Fig, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Fig. Your product may carry other ingredients that interact with Inhaled Insulin too, on top of Fig — 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 Fig and Inhaled Insulin 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 Fig
Top half

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

29 days ago today
Medication Inhaled Insulin
Top 25%

#671 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 Fig

What is Fig?

  • Constipation and digestive health
  • Blood sugar support
  • Cough and sore throat
  • Skin conditions (topical sap)
  • Source of fiber and minerals

Fig (Ficus carica) is a common fruit that has long been used as a gentle food remedy for constipation, and its leaves are used traditionally for blood sugar and coughs. The fruit is a safe and nutritious food, but evidence for fig leaf supplements treating specific health conditions is limited. Talk to your pharmacist or doctor before using concentrated fig leaf products, especially if you have diabetes.

Read the full Fig monograph & all interactions
Keep checking

Other Drugs & Fig

Browse every other medication we’ve checked against Fig — 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 Fig 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 Fig and Inhaled Insulin Together: Common Questions

Can you take Fig with Inhaled Insulin?
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.
Why are there 2 interactions listed for Fig and Inhaled Insulin?
Inhaled Insulin belongs to more than one drug category, and Fig interacts with each of those categories a little differently. We list every one so nothing is missed — your overall risk is driven by the most serious of them.
How serious is the Fig and Inhaled Insulin 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

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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.