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GLICLAZIDE

GLICLAZIDE

Gliclazide is an oral hypoglycemic (anti-diabetic) medication belonging to the sulfonylurea class. It helps control blood sugar levels in patients with type 2 diabetes mellitus by stimulating the release of insulin from the pancreas.

Indications

Non-insulin dependent diabetes mellitus; diabetes with or without obesity in adults, diabetes in the elderly, diabetes with vascular complications.


Dosage

80-320 mg daily. Usually 160 mg daily.


Contra-Indications

Pregnancy, severe renal or hepatic failure, severe ketosis, acidosis, diabetic precoma and coma.


Special Precautions

-Regular monitoring of blood glucose levels is essential. -Caution in elderly patients. -Avoid in pregnant and lactating women unless benefits outweigh risks. -Risk of hypoglycemia (low blood sugar) especially in patients with renal impairment or malnourished.


Side Effects

Cutaneous reactions, blood dyscrasias.


Drug Interactions

Hypoglycaemic effect increased by aspirin, phenylbutazone, clofibrate, sulphona-mides, oral anticoagulants and MAOI’s. Hypo-glycaemic effect opposed by rifampicin, barbiturates, alcohol, diuretics, diazoxide, glucocorticoids, oestrogens and sympathomimetic drugs.


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