Gliclazide: Difference between revisions

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{{DrugProjectFormSinglePage
{{drugbox
|genericName=Gliclazide
| IUPAC_name = 3-(7-azabicyclo[3.3.0]oct-7-yl)-<br />1-(4-methylphenyl)sulfonyl-urea
|aOrAn=a
| image =
|drugClass=hypoglycemic agent
| CAS_number = 21187-98-4
|hasBlackBoxWarning=Yes
| ATC_prefix = A10
|adverseReactions=<!--Black Box Warning-->
| ATC_suffix = BB09
|blackBoxWarningTitle=<span style="color:#FF0000;">ConditionName: </span>
| PubChem = 3475
|blackBoxWarningBody=<i><span style="color:#FF0000;">ConditionName: </span></i>
| DrugBank = APRD00460
 
| C = 15 |H = 21 |N = 3 |O = 3 |S = 1
* Content
| molecular_weight = 323.412 [[Gram|g]]/[[Mole (unit)|mol]]
 
| bioavailability =  
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| protein_bound =  
 
| metabolism =  
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| elimination_half-life =  
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| legal_status =  
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* Dosing Information
 
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* Strength of Evidence:
 
* Dosing Information
 
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|warnings=* Description
 
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=====Cardiovascular=====
 
 
 
 
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=====Neurologic=====
 
 
 
 
=====Respiratory=====
 
 
 
 
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=====Special Senses=====
 
 
 
 
=====Urogenital=====
 
 
 
 
=====Miscellaneous=====
 
 
 
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|postmarketing=There is limited information regarding <i>Postmarketing Experience</i> of {{PAGENAME}} in the drug label.
 
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=====Endocrine=====
 
 
 
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=====Neurologic=====
 
 
 
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|useInHepaticImpair=There is no FDA guidance on the use of {{PAGENAME}} in patients with hepatic impairment.
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* Intravenous
|monitoring=There is limited information regarding <i>Monitoring</i> of {{PAGENAME}} in the drug label.


* Description
{{SI}}


<!--IV Compatibility-->
|IVCompat=There is limited information regarding <i>IV Compatibility</i> of {{PAGENAME}} in the drug label.


<!--Overdosage-->
==Overview==
|overdose====Acute Overdose===
'''Gliclazide''' is an oral hypoglycemic ([[anti-diabetic drug]]) and is classified as a [[sulfonylurea]]. It is marketed as '''Diamicron MR®'''.
'''DIAMICRON MR''' is also distributed as:
Diabeton MR, Diamicron 30mg, Diamicron LM 30mg, Diamicron MR 30 mg, Diamicron Uno 30mg, Dianormax MR, Diaprel MR and Uni Diamicron.


====Signs and Symptoms====
== Form and Composition: ==
Each tablet contains 80 mg of gliclazide.


* Description
Not marketed in the United States.


====Management====
== Indication: ==
Control of [[hyperglycemia]] in gliclazide responsive [[diabetes mellitus]] of stable, mild, non-[[ketosis]] prone, maturity onset or adult type which cannot be controlled by proper dietary management and exercise, or when [[insulin]] therapy is not appropriate.


* Description
== Dosage: ==
40 to 240 mg depending on response, once or twice daily before food, no more that 160 mg at a time.


===Chronic Overdose===
== Properties: ==
 
There is limited information regarding <i>Chronic Overdose</i> of {{PAGENAME}} in the drug label.
[[Hypoglycemic]] [[sulfonylurea]], restoring first peak of [[insulin]] secretion, increasing [[insulin sensitivity]].
 
[[Glycemia]]-independent hemovascular effects, [[antioxidant]] effect.  
<!--Pharmacology-->
No active circulating [[metabolite]]s.  
 
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<!--Structure-->
|structure=*
 
: [[File:{{PAGENAME}}01.png|thumb|none|600px|This image is provided by the National Library of Medicine.]]
 
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|alcohol=* Alcohol-{{PAGENAME}} interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
 
<!--Brand Names-->
|lookAlike=* A® — B®<ref name="www.ismp.org">{{Cite web  | last =  | first =  | title = http://www.ismp.org | url = http://www.ismp.org | publisher =  | date =  }}</ref>
 
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}}
{{PillImage
|fileName=No image.jpg
}}
{{LabelImage
|fileName={{PAGENAME}}11.png
}}
{{LabelImage
|fileName={{PAGENAME}}11.png
}}
<!--Pill Image-->


== Contraindications: ==
[[type 1 diabetes]],
hypersensitivity to [[sulfonylureas]],
severe [[renal failure|renal]] or [[hepatic failure]],
[[pregnancy]] and [[lactation]],
[[miconazole]] coprescription.


== Interactions: ==
[[Hyperglycemic]] action may be caused by [[danazol]], [[chlorpromazine]], [[glucocorticoids]], [[progestogens]], β-2 agonists.
Its [[hypoglycemic]] action may be potentiated by [[phenylbutazone]], [[alcohol]], [[fluconazole]], [[β-blockers]], possibly [[ACE inhibitors]].


<!--Label Display Image-->
== Adverse effects: ==
[[Hypoglycemia]], [[gastrointestinal]] disturbance (reported), [[skin]] reactions (rare), [[hematological]] disorders (rare), [[hepatic]] [[enzyme]] rises (exceptional).


== Overdosage: ==
Possible severe [[hypoglycemia]] requiring urgent [[IV]] [[glucose]] and monitoring.


==External links==
*[http://www.diamicronmr.com Official site for Diamicron MR]


{{Oral_hypoglycemics}}


[[Category:Sulfonylureas]]
[[Category:Endocrinology]]


<!--Category-->
[[fr:Gliclazide]]


[[Category:Drug]]
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Latest revision as of 17:55, 24 December 2014

Gliclazide
Clinical data
ATC code
Identifiers
CAS Number
PubChem CID
DrugBank
E number{{#property:P628}}
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Chemical and physical data
FormulaC15H21N3O3S
Molar mass323.412 g/mol

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Overview

Gliclazide is an oral hypoglycemic (anti-diabetic drug) and is classified as a sulfonylurea. It is marketed as Diamicron MR®. DIAMICRON MR is also distributed as: Diabeton MR, Diamicron 30mg, Diamicron LM 30mg, Diamicron MR 30 mg, Diamicron Uno 30mg, Dianormax MR, Diaprel MR and Uni Diamicron.

Form and Composition:

Each tablet contains 80 mg of gliclazide.

Not marketed in the United States.

Indication:

Control of hyperglycemia in gliclazide responsive diabetes mellitus of stable, mild, non-ketosis prone, maturity onset or adult type which cannot be controlled by proper dietary management and exercise, or when insulin therapy is not appropriate.

Dosage:

40 to 240 mg depending on response, once or twice daily before food, no more that 160 mg at a time.

Properties:

Hypoglycemic sulfonylurea, restoring first peak of insulin secretion, increasing insulin sensitivity. Glycemia-independent hemovascular effects, antioxidant effect. No active circulating metabolites.

Contraindications:

type 1 diabetes, hypersensitivity to sulfonylureas, severe renal or hepatic failure, pregnancy and lactation, miconazole coprescription.

Interactions:

Hyperglycemic action may be caused by danazol, chlorpromazine, glucocorticoids, progestogens, β-2 agonists. Its hypoglycemic action may be potentiated by phenylbutazone, alcohol, fluconazole, β-blockers, possibly ACE inhibitors.

Adverse effects:

Hypoglycemia, gastrointestinal disturbance (reported), skin reactions (rare), hematological disorders (rare), hepatic enzyme rises (exceptional).

Overdosage:

Possible severe hypoglycemia requiring urgent IV glucose and monitoring.

External links

Template:Oral hypoglycemics


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