Pioglitazone Flashcards

1
Q

MoA

A

Reduces peripheral resistance

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2
Q

NICE recommendation

A

Continue if HbA1C reduced by 0.5% within 6 months

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3
Q

Side effects

A

Heart failure
Bladder cancer
Hepatotoxicity

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4
Q

Heart failure

A

Increased risk when combined with insulin
C/I in history of HF

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5
Q

Bladder cancer

A

C/I in history of bladder cancer or un-investigated macroscopic haematuria
Caution in elderly (increased risk)
Counsel patient to report:
- Haematuria
- Dysuria
- Urgency

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6
Q

Hepatotoxicity

A

STOP if jaundice occurs
Counsel pt to report:
- N + V
- Abdominal pain
- Fatigue
- Dark urine
- Itching

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7
Q

Common SE

A

Bone fracture
Infection
Numbness
Visual impairment
Weight increase

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8
Q

Caution

A

Elderly
Bone fractures esp women
Risk factors for HF/bladder cancer

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