Endo CE 2 Flashcards

1
Q

DM meds drug classes
7

A

biguanide
sulfonylurea
meglitinides
DPP-4 inhibitor
GLP-1
TZD
SGLT2

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2
Q

biguanide ex

A

metformin

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3
Q

sulfonylurea examples
3

A

glimepiride
glipizide
glyburide

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4
Q

meglitinides ex
2

A

repaglinide
nateglinide

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5
Q

DPP-4 inhibitor exs
4

A

alogliptin
linaglipitin (Tradjenta)
saxagliptin
sitagliptin (Januvia)

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6
Q

GLP-1 ex
4

A

exenatide
liraglutide (Victoza)
dulaglutide (Trulicity)
semaglutide (Ozempic, Rybelsus)

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7
Q

TZD ex
2

A

pioglitazone (Actos)
rosiglitazone (Avandia)

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8
Q

SGLT2 ex
4

A

canagliflozin (Invokana)
dapagliflozin (Farxiga)
empagliflozin (Jardiance)
ertugliflozin (Steglatro)

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9
Q

-glipitin is to

A

DPP4 inhibitors

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10
Q

-glutide is to

A

GLP-1

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11
Q

-glitazone is to

A

TZD

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12
Q

-gliflozin is to

A

SGLT2

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13
Q

liraglutide is to

A

victoza, GLP 1

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14
Q

semaglutide is to

A

ozempic, rybelsus; GLP 1

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15
Q

empagliflozin is to

A

jardiance; SGLT2

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16
Q

SU MOA

A

potentiates insulin secretion

17
Q

cheap DM drug class

A

SU

18
Q

SU - watch out for
2

A

hypoglycemia
weight gain

19
Q

which drug class can cause weight gain

A

SU - glimepiride, glipizide, glyburide

20
Q

GLP 1 MOA

A

increases synthesis of insulin in response to BG rise

21
Q

GLP-1 comments
4

A
  1. no hypoglycemia
  2. weight loss
  3. reduces CV risks
  4. delayed gastric emptying
22
Q

not for HF

A

TZDs

23
Q

increased risk of fx

A

TZD

24
Q

SGLT2 inhibitor MOA

A

prevents reabsorption of renal glucose

25
Q

prevents reabsorption of renal glucose

A

SGLT2 inhibitors -gliflozin

26
Q

SLGT-2 inhibitor comments
5

A
  1. weight loss
  2. decreased BP
  3. UTI
  4. yeast infections
  5. reduces CV risks
27
Q

increases risk of UTIs and yeast infections

A

SGLT-2 inhibitor

28
Q

preferred initial agent for pharm treatment of type 2 DM

A

metformin and weight management and physical activity

29
Q

where is metformin metabolized and excreted

A

metabolized - liver
excreted - kidneys

30
Q

what lab values would contraindicate use of metformin
2

A

decreased eGFR
elevated ALT, AST