Oral Hypoglycemic Agent Flashcards
The 1st generation sulfonyureas are
Tolbutamide
Chlopropamide
The 2nd generation sulfonyureas are
Glipizide
Glimipride
Glyburide
The indications and contraindications of sulfonyureas are
MODY -3
Type 2 diabetes
Neonatal diabetes
Contraindications
Type 1 diabetes
Pregnancy
Lactation
Significant Hepatic and renal failure
Side effect of sulfonyureas
Weight gain
Hypoglycemic
Hyperinsulinemia
Nausea
Vomiting
Agranulocytosis
Aplastic
Drug - interactions of sulfonyureas
Increase activity
Sulfonamide
Clofibrate
Salicylate
Probenecid
Clarithromycin
Chloramphenicol
MOA inhibitors
B blockers
Decrease activity
Atypical antipsychotics
Diuretics
The MOA of insulin sensitizers ( biguanides)
Decrease Gluconeogenesis
Slows intestinal absorption of sugar
Inhibits glucagon action