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Interactions: | AcarboseAdverse Effect: An increased risk of hypoglycemiaClinical Management: Monitor closely blood glucose concentrations when acarbose is added to or withdrawn from Gliclazide . Dose of either or both drugs may need to be adjusted to minimize hypoglycemic effects. Patients receiving these medications should be counselled to carry a supply of glucose tablets.
AtenololAdverse Effect: hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
BisoprololAdverse Effect: hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
CarvedilolAdverse Effect: Hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
CelecoxibAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
CeliprololAdverse Effect: hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
CimetidineAdverse Effect: hypoglycemiaClinical Management: Concurrent administration of gliclazide and cimetidine is not recommended.
Diclofenac Preps.Adverse Effect: A possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
FlurbiprofenAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
IbuprofenAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
IndomethacinAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
KetoprofenAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
KetorolacAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
LabetalolAdverse Effect: Hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
Mefenamic AcidAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy. MeloxicamAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
MetoprololAdverse Effect: hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
NabumetoneAdverse Effect: A possible increased risk of hypoglycemiaClinical Management: When Nabumetone is coadministered with Gliclazide , patients should be monitored more closely for hypoglycemia. Dose of Gliclazide may need to be reduced when Nabumetone is added to therapy.
NaproxenAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
NimesulideAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
OxprenololAdverse Effect: hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
OxyphenbutazoneAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy. ParacetamolAdverse Effect: A possible increased risk of hypoglycemiaClinical Management: When Paracetamol is coadministered with Gliclazide , patients should be monitored more closely for hypoglycemia. Doses of Gliclazide may need to be reduced when Paracetamol is added to therapy.
PhenacetinAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
PhenylbutazoneAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy. PindololAdverse Effect: hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
PiroxicamAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy.
PropranololAdverse Effect: hypoglycemia, hyperglycemia, or hypertensionClinical Management: If the use of a beta blocker is required in a diabetic, watch for decreased diabetic control by monitoring the patients glucose carefully. Cardioselective beta blockers (atenolol, metoprolol) cause less disturbance of glucose metabolism and less masking of hypoglycemic effects. Propranolol accounts for the majority of positive reports of an interaction and should clearly be avoided.
SelegilineAdverse Effect: excessive hypoglycemia, CNS depression, and seizuresClinical Management: Blood glucose levels should be closely monitored when Selegiline is added or discontinued in a patient receiving a hypoglycemic agent. Lower doses of hypoglycemic drugs may be required with concomitant therapy.
SulphadiazineAdverse Effect: enhanced hypoglycemic effectsClinical Management: Avoid the use of sulfonamide antibiotics in patients who are taking Gliclazide . If concomitant use is necessary, closely monitor blood glucose. Emergency treatment of a hypoglycemic episode may be required.
TenoxicamAdverse Effect: a possible increased risk of hypoglycemiaClinical Management: When nonsteroidal antiinflammatory agents (NSAIDs) are coadministered with a sulfonylurea drug, patients should be monitored more closely for hypoglycemia. Doses of the sulfonylurea may need to be reduced when NSAIDs are added to therapy. |
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