GLUCOTROL Rx

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GLUCOTROL

Diabetes
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Generic Name and Formulations:

Glipizide 5mg, 10mg; scored tabs.

Company:

Pfizer Inc.

Select therapeutic use:

Indications for GLUCOTROL:

Adjunct to diet and exercise in type 2 diabetes mellitus.

Adult:

Give 30 mins before a meal. Initially 5mg daily. Elderly or hepatic disease: initially 2.5mg daily. Increase by 2.5–5mg every few days based on blood glucose response. Max once daily dose: 15mg. Max total daily dose: 40mg. Give in divided doses if >15mg. Transferring from other hypoglycemics to Glucotrol: see full labeling.

Children:

Not established.

Contraindications:

Type 1 diabetes, diabetic ketoacidosis, with or without coma.

Warnings/Precautions:

Increased risk of cardiovascular mortality. Renal or hepatic impairment. Adrenal or pituitary insufficiency. Stress. Secondary failure may occur with extended therapy. Risk of hemolytic anemia in G6PD deficiency; consider non-sulfonylurea alternative. Monitor urine and blood glucose. Impaired GI function or GI narrowing (XL). Discontinue if jaundice occurs or skin reactions persist. Malnourished. Elderly. Debilitated. Pregnancy (Cat.C): consider using insulin instead. Nursing mothers: not recommended.

Interactions:

May be potentiated by NSAIDs, alcohol, highly protein bound drugs, salicylates, sulfonamides, chloramphenicol, probenecid, coumarins, MAOIs, quinolones, β-blockers, oral miconazole (possibly), fluconazole. May be antagonized by thiazides, diuretics, steroids, phenothiazines, thyroid products, estrogens, oral contraceptives, phenytoin, niacin, sympathomimetics, calcium channel blockers, isoniazid. Monitor closely for hypoglycemia when concomitant drugs that affect glucose metabolism and upon withdrawal. May be antagonized by colesevelam; administer glipizide ≥4hrs prior to colesevelam. Disulfiram-like reaction with alcohol (rare). Monitor for 1–2 weeks if transferring from long-acting sulfonylureas.

See Also:

GLUCOTROL XL

Pharmacological Class:

Sulfonylurea (2nd generation).

Adverse Reactions:

Hypoglycemia, tremor, asthenia, diarrhea, flatulence, allergic skin reactions, photosensitivity, blood dyscrasias, hyponatremia, dizziness, drowsiness, headache; rare: cholestatic jaundice, hepatic porphyria.

Generic Availability:

YES

How Supplied:

XL tabs 2.5mg—30; XL tabs 5mg, 10mg—100, 500; Tabs—100

GLUCOTROL 10mg tablets (Qty:30)

appx. price $93.00