is gliclazide listed in your drug book? please help w/info!

Jolie, BSN · Jul 13, 2009

I think you man glipizide.

calypte · Jul 13, 2009

Maybe... glipizide is listed in prentice hall with the trade names "glucotrol" and "glucotrol XL". The availability is in 5mg and 10 mg tablets or SR tablets... in the MAR I'm using for this pt, it states "one tablet" under the listing for gliclazide, 80mg...

*sigh*

This is the link I was looking at: http://www.drugs.com/cons/gliclazide.html

I'm sure that the drug are really, really similar, which is why I'm sure the ns. considerations for any in that class are also really, really similar...

morte, LPN, LVN · Jul 13, 2009

Maybe... glipizide is listed in prentice hall with the trade names "glucotrol" and "glucotrol XL". The availability is in 5mg and 10 mg tablets or SR tablets... in the MAR I'm using for this pt, it states "one tablet" under the listing for gliclazide, 80mg...
*sigh*
This is the link I was looking at: http://www.drugs.com/cons/gliclazide.html
I'm sure that the drug are really, really similar, which is why I'm sure the ns. considerations for any in that class are also really, really similar...

are you in canada, because it is listed as not commercially available in the states......

calypte · Jul 13, 2009

yes I'm in canada... I know the drug isn't available in the states. I suppose this is why my drug guides don't list it...

Daytonite, BSN, RN · Jul 14, 2009

In the U.S. this is glimepiride (brand name Amaryl) and glipizide (grand name Glucotrol), a 2nd generation antidiabetic sulfonylurea. Here are the nursing considerations for it from my copy of 2007 Mosby's Nursing Drug Reference page 509:

Assess:

Blood, A1C levels during treatment to determine diabetes control
CBC baseline and throughout treatment
Hypo/hyperglycemic reaction that can occur soon after meals; for severe hypoglycemia give D50W then IV dextrose solution

Administer:

Do not break, crush or chew ext rel tabs
Drug 30 min before meals; if pt is NPO may need to hold dose to prevent hypoglycemia
May crush tabs and mix with fluids, if unable to swallow whole

Perform/provide:

Storage in tight, light-resistant container at room temperature

Evaluate:

Therapeutic response: decrease in polyuria, polydipsia, polyphagia, clear sensorium, absence of dizziness, stable gait

Teach patient/family:

Not to drink alcohol; explain disulfiram reaction (nausea, headache, cramps, flushing, hypoglycemia)
To check for symptoms of cholestatic jaundice: dark urine, pruritis, yellow sclera; prescriber should be notified
The symptoms of hypo/hyperglycemia, what to do about each; to have glucagon emergency kit available, carry sugar packets
That drug must be continued on daily basis; explain consequences of discontinuing drug abruptly
To take drug in morning to prevent hypoglycemic reactions at night
To use sunscreen or stay out of sun to prevent photosensitivity
To avoid OTC medications unless ordered by prescriber
That diabetes is a lifelong illness; drug will not cure disease
That all food in diet plan must be eaten to prevent hypoglycemia
To carry emergency ID with prescriber and medications
To test using blood glucose meter while on this drug
To continue weight control, dietary restrictions, exercise, hygiene
Ext rel tab may appear in stool

Treatment of overdose:

Glucose 25 g IV via dextrose 50% solution 50 ml or 1 mg glucagon

calypte · Jul 14, 2009

Thank you so much!