Endocrine (Biguanides) Flashcards

1
Q

Examples of drug (Biguanides)

A
  • Metformin
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2
Q

Mechanism of action (Biguanides)

A
  • Increase the activity of AMP-dependent protein kinase (AMPK)
  • This inhibits gluconeogenesis
  • Reduces insulin resistance
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3
Q

Indications (Biguanides)

A
  • Type 2 diabetes mellitus along with diet and exercise

- Metabolic and reproductive abnormalities associated with Polycystic ovarian syndrome

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4
Q

Side-effects (Biguanides)

A
  • Diarrhoea
  • Nausea
  • Vomiting
  • Taste disturbances
  • Lack of appetite
  • Risk of lactic acidosis in patients with renal failure
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5
Q

Important pharmacokinetics/pharmacodynamics (Biguanides)

A
  • Not recommended in pregnancy and renal failure (eGFR <30 mls/min)
  • Absorption reduces when taken with food
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6
Q

Patient information (Biguanides)

A
  • Take them at the same time everyday

- Avoid alcohol

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7
Q

Other information (Biguanides)

A
  • Does not increase weight
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