chlorpropamide, Diabinese (cont.)

Pharmacy Author:
Medical and Pharmacy Editor:

All sulfonylureas can lower blood sugar (glucose levels) to the point of causing symptoms and signs (hypoglycemia). Therefore, these agents must be used carefully with patients who have other physical or medical factors that may lower their blood glucose. These factors include:

  • kidney or liver disease,
  • poor food intake,
  • alcohol use, or
  • participation in heavy exercise.

Sulfonylureas may cause:

Rarely, blood disorders occur; for example, low white cell counts or low red cell counts.

Fluid retention and swelling of the body due to jaundice, hepatitis, or a low blood sodium concentrate occur rarely.

PRESCRIPTION: Yes

GENERIC AVAILABLE: Yes

PREPARATIONS: Tablets: 100 or 250 mg

STORAGE: Chlorpropamide should be stored at room temperature, 15 C to 30 C (59 F to 86 F) in an air-tight container.

DOSING:

  • The recommended dose for middle-aged stable diabetic patients is 250 mg daily. The dose may be increased or decreased by 50 to 125 mg daily at 3 to 5 day intervals.
  • Older patients are started at 100 to 125 mg daily. The usual dose maintenance dose is 100 to 500 mg daily.
  • Chlorpropamide should be taken 30 minutes before meals.

DRUG INTERACTIONS:

Drugs that may interact with chlorpropamide and increase the risk of hypoglycemia include:

Medically Reviewed by a Doctor on 12/19/2014


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