Glisoxepide: Difference between revisions

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'''Glisoxepide''' is a [[sulfonylurea]] [[antidiabetic drug]] that is used in the management of [[type 2 diabetes]]. It works by increasing the release of [[insulin]] from the [[pancreas]], helping to control blood sugar levels.
{{Short description|An oral antidiabetic drug}}
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| image = Glisoxepide.svg
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| image_alt = Structural formula of Glisoxepide
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== Mechanism of Action ==
'''Glisoxepide''' is an oral [[antidiabetic drug]] belonging to the class of [[sulfonylureas]]. It is used in the management of [[type 2 diabetes mellitus]] to help control blood sugar levels.


Glisoxepide, like other sulfonylureas, works by closing [[ATP-sensitive potassium channel]]s in the [[beta cells]] of the [[Islets of Langerhans]] in the pancreas. This depolarizes the beta cells and opens [[voltage-gated calcium channels]], allowing calcium to enter the cell. The increase in intracellular calcium stimulates the release of insulin.
==Mechanism of Action==
Glisoxepide works by stimulating the [[pancreas]] to release more [[insulin]]. It binds to the sulfonylurea receptor on the [[beta cells]] of the pancreas, leading to the closure of [[ATP-sensitive potassium channels]]. This results in the depolarization of the cell membrane and the opening of [[voltage-gated calcium channels]], allowing calcium influx and subsequent insulin release.


== Side Effects ==
==Pharmacokinetics==
Glisoxepide is absorbed from the [[gastrointestinal tract]] and undergoes hepatic metabolism. It has a relatively long half-life, which allows for once-daily dosing. The drug and its metabolites are excreted primarily via the [[kidneys]].


Possible side effects of glisoxepide include [[hypoglycemia]], [[nausea]], [[vomiting]], [[diarrhea]], [[abdominal pain]], and [[allergic reactions]]. In rare cases, it can cause [[liver damage]] or [[blood disorders]].
==Clinical Use==
Glisoxepide is indicated for the treatment of [[type 2 diabetes mellitus]] in patients who cannot achieve adequate glycemic control with [[diet]] and [[exercise]] alone. It may be used as monotherapy or in combination with other antidiabetic agents such as [[metformin]] or [[insulin]].


== Contraindications ==
==Side Effects==
Common side effects of glisoxepide include [[hypoglycemia]], [[weight gain]], and [[gastrointestinal disturbances]] such as [[nausea]] and [[diarrhea]]. Rarely, it may cause [[allergic reactions]] or [[hematological disorders]] such as [[leukopenia]] or [[thrombocytopenia]].


Glisoxepide should not be used in patients with [[type 1 diabetes]] or [[diabetic ketoacidosis]]. It is also contraindicated in patients with severe [[liver disease]] or [[kidney disease]], and in those who are allergic to sulfonylureas.
==Contraindications==
 
Glisoxepide is contraindicated in patients with [[type 1 diabetes mellitus]], [[diabetic ketoacidosis]], or severe [[renal]] or [[hepatic impairment]]. It should be used with caution in patients with [[cardiovascular disease]].
== Interactions ==
 
Glisoxepide may interact with other medications, including [[beta blockers]], [[warfarin]], and [[phenytoin]]. It may also interact with alcohol, increasing the risk of hypoglycemia.
 
== See Also ==


==Related pages==
* [[Sulfonylurea]]
* [[Sulfonylurea]]
* [[Type 2 diabetes]]
* [[Type 2 diabetes mellitus]]
* [[Insulin]]
* [[Insulin]]
* [[Hypoglycemia]]
* [[Metformin]]


[[Category:Sulfonylureas]]
[[Category:Antidiabetic drugs]]
[[Category:Antidiabetic drugs]]
[[Category:Sulfonylureas]]
[[Category:Medications]]
{{stub}}

Latest revision as of 03:32, 13 February 2025

An oral antidiabetic drug


Glisoxepide
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Glisoxepide is an oral antidiabetic drug belonging to the class of sulfonylureas. It is used in the management of type 2 diabetes mellitus to help control blood sugar levels.

Mechanism of Action[edit]

Glisoxepide works by stimulating the pancreas to release more insulin. It binds to the sulfonylurea receptor on the beta cells of the pancreas, leading to the closure of ATP-sensitive potassium channels. This results in the depolarization of the cell membrane and the opening of voltage-gated calcium channels, allowing calcium influx and subsequent insulin release.

Pharmacokinetics[edit]

Glisoxepide is absorbed from the gastrointestinal tract and undergoes hepatic metabolism. It has a relatively long half-life, which allows for once-daily dosing. The drug and its metabolites are excreted primarily via the kidneys.

Clinical Use[edit]

Glisoxepide is indicated for the treatment of type 2 diabetes mellitus in patients who cannot achieve adequate glycemic control with diet and exercise alone. It may be used as monotherapy or in combination with other antidiabetic agents such as metformin or insulin.

Side Effects[edit]

Common side effects of glisoxepide include hypoglycemia, weight gain, and gastrointestinal disturbances such as nausea and diarrhea. Rarely, it may cause allergic reactions or hematological disorders such as leukopenia or thrombocytopenia.

Contraindications[edit]

Glisoxepide is contraindicated in patients with type 1 diabetes mellitus, diabetic ketoacidosis, or severe renal or hepatic impairment. It should be used with caution in patients with cardiovascular disease.

Related pages[edit]