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GLIMEPIRIDE

GLIMEPIRIDE

It is a hypoglycaemic agent belonging to the second generation sulfonylureas. It appears to lower blood glucose by stimulating insulin release from beta cells in the pancreatic islets possibly due to increased intracellular cAMP.

Indications

Non-insulin dependent diabetes.


Dosage

Initially 1 mg once daily is given. Based on regular blood sugar monitoring, titration in dose is carried out step wise at intervals of 1 to 2 weeks.


Contra-Indications

Hypersensitivity. Pregnancy and lactation.


Special Precautions

Not to operate machinery or vehicle.


Side Effects

Hypoglycaemia, temporary visual impairment, gastrointestinal disturbences.


Drug Interactions

Insulin and other oral antidiabetics, ACE inhibitors, allopurinol anabolic steroids and male sex hormones, chloramphenicol, coumarin derivatives, cyclophosphamide, disopyramide, fenfluramine, fluoxetine, guanethidine, ifosfamide, MAO inhibitors, miconazole, phenylbutazone, oxyphenbutazone, probenecid causes potentiation of hypoglycaemic effect.


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