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Gliclazide Drug Name:  
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Indications
Dosages
Interactions
Precautions
Contraindications
Adverse Reactions
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Interactions:

Acarbose

  • Adverse Effect: An increased risk of hypoglycemia
  • Clinical Management: Monitor closely blood glucose concentrations when acarbose is added to or withdrawn from Gliclazide .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.

    Atenolol

  • Adverse Effect: hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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.

    Bisoprolol

  • Adverse Effect: hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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.

    Carvedilol

  • Adverse Effect: Hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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.

    Celecoxib

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Celiprolol

  • Adverse Effect: hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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.

    Cimetidine

  • Adverse Effect: hypoglycemia
  • Clinical Management: Concurrent administration of gliclazide and cimetidine is not recommended.

    Diclofenac Preps.

  • Adverse Effect: A possible increased risk of hypoglycemia
  • Clinical 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.

    Flurbiprofen

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Ibuprofen

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Indomethacin

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Ketoprofen

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Ketorolac

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Labetalol

  • Adverse Effect: Hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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 Acid

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Meloxicam

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Metoprolol

  • Adverse Effect: hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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.

    Nabumetone

  • Adverse Effect: A possible increased risk of hypoglycemia
  • Clinical 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.

    Naproxen

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Nimesulide

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Oxprenolol

  • Adverse Effect: hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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.

    Oxyphenbutazone

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Paracetamol

  • Adverse Effect: A possible increased risk of hypoglycemia
  • Clinical 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.

    Phenacetin

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Phenylbutazone

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Pindolol

  • Adverse Effect: hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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.

    Piroxicam

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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.

    Propranolol

  • Adverse Effect: hypoglycemia, hyperglycemia, or hypertension
  • Clinical 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.

    Selegiline

  • Adverse Effect: excessive hypoglycemia, CNS depression, and seizures
  • Clinical 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.

    Sulphadiazine

  • Adverse Effect: enhanced hypoglycemic effects
  • Clinical 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.

    Tenoxicam

  • Adverse Effect: a possible increased risk of hypoglycemia
  • Clinical 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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