dibetes Flashcards
Biguanide
works primarily by decreasing hepatic glucose production. Also decreases instestinal absorption of glucose and improves insulin sensitivity
Glucophage, XR, Fortamet, Glumetza
decrease A1C 1-2%, BBW: lactic acidosis, C/I: men Scr>=1.5, female >=1.4, Crcl < 60, caution in heart failure if worsening hold metformin, SE: NVD, flatulence, B12 deficiency, NO hypoglycemia, hold iodinated contrast dye for 48 hours, decrease in B12 absoroption
Metaglip
metformin + glipizide
Glucovance
metformin + glyburide
Actoplus Met
metformin + pioglitazone
Avandamet
metformin + rosiglitazone
Janumet, XR
metformin + sitagliptin
Kombiglyze, XR
metformin + saxagliptin
Jentadueto
metformin + linagliptin
PrandiMet
metformin + repaglinide
Sulfonylureas
work by stimulating insulin secretion from the pancreatic beta cells. Do not use with meglitinides due to similar MOA
Diabinese
chlorpropamide, SE hypoglycemia, weight gain
Older sulfonylureas no longer used
acetohexamide, tolazamide, tolbutamide
Glucotrol, XL
glipizide
Amaryl
glimepiride
Duetact
glimepiride + pioglitazone
DiaBeta
glyburide
Glynase PresTab
micronized glyburide
Meglitinides
work by stimulating insulin secretion from the pancreatic beta cells. Do not use with sulfonylureas due to similar MOA
Prandin
repaglinide SE:hypoglycemia, weight gain, URTI, gemfibrozil increases prandin concentration