Shared Flashcard Set

Details

Diabetes Metformin
Diabetes Metformin
16
Pharmacology
Professional
09/13/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
How does metformin work?
Definition

Decrease hepatic glucose output (the liver releases less glucose into the bloodstream)

Term
Brand name for Metformin
Definition
Glucophage, Glucophage XR
Term
ADA treatment guildelines state that metformin should be used as first - line therapy, unless?
Definition
A1C > 10% or FBG > 250 mg/dL
Term
Metformin's affect on weight and does it cause hypoglycemia?
Definition

Weight neutral and NO hypoglycemia

 

Term
Metformin + glyburide brand name?
Definition
Glucovance
Term
Metformin + Pioglitazone brand name is?
Definition
Actoplus Met
Term
Metformin + Rosiglitazone brand name is?
Definition
Avandamet
Term
Metformin + Sitagliptin brand name is?
Definition
Janumet
Term
Most common side effect of metformin?
Definition
Diarrhea
Term
Metformin contraindications?
Definition

Metformin should be stopped in any case of hpoxia, such as decompensated heart failure, respiratory failure or sepsis

 

Hold prior to use of IV contrast dye and wait 48 hours after the procedure

Term
Why iodinated contrast dye seperated from metformin?
Definition

Iodinated contrast dye increases risk of lactic acidosis - hold x 48 hours and recheck renal function prior to restarting metformin

Term
Vitamin supplement for metformin?
Definition

Metformin decreases folate and vitamin B-12 absorption: this can lead to neuropathic damage. Consider vitamin supplement

Term
Should metformin be taken with meals?
Definition
Yes. To minimize GI upset
Term
How often is metformin taken?
Definition

Twice daily with morning and evening meals (daily w/evening meal if ER)

Term
A "side effect" of Glumetza and Fortamet?
Definition

May see shell or lumpy tablets in the stool. Not a problem; the medicine has been absorbed

Term
[image]
Definition
Statement. Not a question.
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