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Pharm For S102
This is the medications you need to know for the second spring exam
18
Other
Graduate
02/04/2009

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Term
Metformin
Definition
Works to dec. insulin output and inc the muscular sensitivity to insulin.
500 mg DID or 850 mg once a day
Term
Biguanides
Definition
Drug of choice for T2DM, Many contraindications.
Adv: No Hypoglycemia or weight gain
Dis: Gi discomfort (take in slow dose), tastes like metal.
Works on liver to dec. glucose output and on muscles to inc. insulin sensitivity.
Term
Pioglitazone
Definition
Thiazolidinedione
15 or 30 mg once daily.
Primarily inc. muscle sensitivity and secondary dec. glucose output.
Adv: no hypoglycemia and fav lipid effects.
Dis: adema and fluid retention, weight gain, heart failure, osteopenia
Term
Glipizide (Glucotrol)
Definition
5 mg once a day.
Sulfonylurea: Incretin mimetic, stimulates the pancreas to release insulin.
Dis: hypoglycemia, weight gain
Term
Repaglinide (prandin)
Definition
.5-2 mg before the meal
Glinide: Incretin mimetic (stimulate pancreas to release insulin).
Dis: weight gain, hypoglycemia (slight)
Term
Acarbose (precose)
Definition
Alpha-Glucosidase Inhibitor
Delays carbohydrate absorption in small intestine (type II)
Dis: GI problems (gas, bloating, diarrhea).
Do not use oral sucrose.
Term
Exenatide (Byetta)
Definition
Incretin Mimetic
5 mcg subqutaniously twice a day
Found in Gila Monster
Limits food intake and gastric emptying as well as postprandial glucagon if inappropriate.
Dis: Nausea, hypoglycemia, slows the extent and rate of absorption of other meds (meds taken 1 hour before exenatide)
Term
GLP-1
Definition
Incretin Mimetic
Limits food intake, gastric emptying and postprandial glucagon.
Adv: weight loss
Dis: Nausea, hypoglycemia, slows the extent and rate of absorption of other meds (meds taken 1 hour before exenatide)
Term
Sitagliptin (Januvia)
Definition
DPP-4 Inhibitor
100 mg by mouth once daily
Adv: No hypoglycemia
Dis: hypersensitivity, placebo esq, Nasopharyngitis, upper respiratory infection
Term
Pramlintide (Symlin)
Definition
Amylinomimetric
SubQ
Mimics Amylin which is secreted with insulin
Adv: weight loss, lower risk of hypoglycemia
Dis: severe hypoglycemia, nausea, vomiting, Meds need to be taken 1 hour before
Term
Colesevelam (Welchol)
Definition
6 tablets once daily
Unknown Mechanism
Adv: no hypoglycemia, favorable effects on lipis
Dis: may contraindications, constipation, many drug interactions (drugs should be admin 4 hours before taking this)
Term
Lispro (Homolog)
Definition
Bolus/mealtime insulin
Term
Aspart (Novolog)
Definition
Bolus/mealtime insulin
Term
Inhaled (exubera)
Definition
Bolus/Mealtime insulin
Term
Glulisine (Apidra)
Definition
Bolus/mealtime insulin
Term
NPH
Definition
Basal Insulin
Peak 4-10 hours, duration 10-16 hours
Term
Detemir (levemir)
Definition
Basal Insulin
Peak: 6-8 Hours, duration: 6-23 hours
Term
Glargine (Lantus)
Definition
Basal Insulin
Peak: NONE, Duration: 24 Hours
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