Diabetes Meds Flashcards
Metformin Brand
Glucophage
Metformin SR Dosing
500mg QD to BID up to 850mg TID
Dec dose in CrCl <45
Metformin ER Dosing
Max 2000mg QD
Metformin MOA
inhibits liver from producing glucose and inc peripheral glucose uptake
Metformin ADR
GI, bloating, gas, weight loss, dec B12 levels
serious: inc acidity of blood
Metformin BBW
lactic acidosis
Metfromin CI
CrCl < 30
acute HF, contrast media
Glyburide Brand
Diabeta, Micronase, Glynase
Glyburide Dosing
1.25 to 20mg QD to BID w/ meals
Glipizide Brand
Glucotrol
Glipizide SR Dosing
5 to 40mg QD-BID 30 minutes before breakfast
Glipizide ER Dosing
2.5 to 20mg QD with breakfast
Glimiperide Brand
Amaryl
Glimiperide Dosing
1 to 8mg QD w/ meals
SFU MOA
stimulated insulin release from b cells
SFU ADR
hypoglycemia, weight gain, hypersensitivity with sulfa allergy, sun sensitivity
Glyburide CI
CrCl <50
Pioglitazone Brand
Actos
Pioglitazone Dosing
15 to 30mg QD max: 45mg
Rosiglitazone Brand
Avandia
Rosiglitazone Dosing
4mg QD
TZD MOA
enhances peripheral insulin sensitivity by activating PPARy
TZD ADR
weight gain, fluid retention, inc in bone fractures, hepatic dysfunction, CHF exacerbation
TZD CI
CHF, LFT >2.5x ULN
Nateglinide Brand
Starlix
Repaglinide Brand
Prandin
Meglitinides MOA
stimulate the rapid but short acting release of insulin
Meglitinides ADR
weight gain, hypoglycemia
Acarbose Brand
Precose
Miglitol Brand
Glycet
a GDI MOA
delay intestinal glucose absorption via inhibition of enzyme that breaks down CHO
a GDI ADR
GI, elevated LFT with A
a GDI CI
CrCl < 25, IBD
Exenatide Brand
Byetta