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- $Unique_ID{BRK03167}
- $Pretitle{}
- $Title{glipizide}
- $Subject{Glucotrol Roerig Oral antidiabetic glipizide diabetes mellitus sugar
- non-insulin-dependent maturity-onset Type II insulin pancreas}
- $Volume{}
- $Log{}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- glipizide
- ------------------------------------------------------------------------------
-
- BRAND NAME (Manufacturer)
-
- Glucotrol (Roerig)
-
- TYPE OF DRUG
-
- Oral antidiabetic
-
- INGREDIENT
-
- glipizide
-
- DOSAGE FORM
-
- Tablets (5 mg and 10 mg)
-
- STORAGE
-
- This medication should be stored at room temperature in a tightly closed
- container.
-
- USES
-
- Glipizide is used for the treatment of diabetes mellitus (sugar
- diabetes), which appears in adulthood and cannot be managed by control of diet
- alone. This type of diabetes is known as non-insulin-dependent diabetes
- (sometimes called maturity-onset or Type II diabetes). Glipizide lowers blood
- sugar levels by increasing the release of insulin from the pancreas.
-
- TREATMENT
-
- This medication should be taken on an empty stomach 30 minutes before a
- meal (unless your doctor directs you to do otherwise).
- It is important to try not to miss any doses of this medication. If you
- do miss a dose, take it as soon as possible, unless it is almost time for the
- next dose. In that case, do not take the missed dose at all; just return to
- your regular dosing schedule. Do not double the next dose. Tell your doctor
- if you feel any side effects from missing a dose of this drug.
- Diabetics who are taking oral antidiabetic medication may need to be
- switched to insulin if they develop diabetic coma, have a severe infection,
- are scheduled for major surgery, or become pregnant.
-
- SIDE EFFECTS
-
- Minor.
-
- Diarrhea, headache, heartburn, loss of appetite, nausea, stomach pain,
- stomach discomfort, or vomiting. These side effects usually go away during
- treatment, as your body adjusts to the medicine.
- Glipizide may increase your sensitivity to sunlight. It is therefore
- important to use caution during exposure to the sun. Use an effective
- sunscreen and avoid exposure to sunlamps.
-
- Major.
-
- If any side effects are persistent or particularly bothersome, it is
- important to notify your doctor. IT IS ESPECIALLY IMPORTANT TO TELL YOUR
- DOCTOR about dark urine, fatigue, itching of the skin, light-colored stools,
- rash, sore throat and fever, unusual bleeding or bruising, or yellowing of the
- eyes or skin.
-
- INTERACTIONS
-
- Glipizide interacts with a number of other medications.
- 1. Chloramphenicol, guanethidine, insulin, monoamine oxidase (MAO)
- inhibitors, oxyphenbutazone, oxytetracycline, phenylbutazone, probenecid,
- aspirin or other salicylates, and sulfonamide antibiotics, when combined with
- glipizide, can lower blood sugar levels--sometimes to dangerously low levels.
- 2. Thyroid hormones; dextrothyroxine; epinephrine; phenytoin; thiazide
- diuretics (water pills); and cortisone-like medications (such as
- dexamethasone, hydrocortisone, prednisone), combined with glipizide, can
- actually increase blood sugar levels--just what you are trying to avoid.
- 3. Anti-diabetic medications can increase the effects of warfarin, which
- can lead to bleeding complications.
- 4. Beta-blocking medications (atenolol, metoprolol, nadolol, pindolol,
- propranolol, and timolol), combined with glipizide, can result in either high
- or low blood sugar levels. Beta-blockers can also mask the symptoms of low
- blood sugar, which can be dangerous.
- BE SURE TO TELL YOUR DOCTOR if you are already taking any of the
- medications listed above.
-
- WARNINGS
-
- * It is important to tell your doctor if you have ever had any unusual or
- allergic reaction to this medicine or to any sulfa medication, including
- sulfonamide antibiotics, diuretics (water pills), or other oral antidiabetics.
- * It is also important to tell your doctor if you now have, or if you
- have ever had, kidney disease, liver disease, severe infection, or thyroid
- disease.
- * Avoid drinking alcoholic beverages while taking this medication (unless
- otherwise directed by your doctor). Some patients who take this medicine
- suffer nausea, vomiting, dizziness, stomach pain, pounding headache, sweating,
- and redness of the face and skin when they drink alcohol. Also, large amounts
- of alcohol can lower blood sugar to dangerously low levels.
- * Follow the special diet that your doctor gave you. This is an
- important part of controlling your blood sugar and is necessary in order for
- this medicine to work properly.
- * Be sure to tell your doctor or dentist that you are taking this
- medicine before having any kind of surgery or other medical or dental
- treatment.
- * Test for sugar in your urine as directed by your doctor. It is a
- convenient way to determine whether or not your diabetes is being controlled
- by this medicine.
- * Eat or drink something containing sugar right away if you experience
- any symptoms of low blood sugar (such as anxiety, chills, cold sweats, cool or
- pale skin, drowsiness, excessive hunger, headache, nausea, nervousness, rapid
- heartbeat, shakiness, or unusual tiredness or weakness). It is also important
- that your family and friends know the symptoms of low blood sugar and what to
- do if they observe any of these symptoms in you.
- * Check with your doctor as soon as possible--even if these symptoms are
- corrected by the sugar. The blood-sugar-lowering effects of this medicine can
- last for hours, and the symptoms may return during this period. Good sources
- of sugar are orange juice, corn syrup, honey, sugar cubes, and table sugar.
- You are at greatest risk of developing low blood sugar if you skip or delay
- meals, exercise more than usual, cannot eat because of nausea or vomiting, or
- drink large amounts of alcohol.
- * Be sure to tell your doctor if you are pregnant. Studies have not yet
- been completed in humans, but studies in animals have shown that this medicine
- can cause birth defects. Also, tell your doctor if you are breast-feeding an
- infant. Small amounts of glipizide pass into breast milk.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-