A.Sulfonylureas Mechanisms and Pharmacokinetics

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12 Questions

What is the primary mechanism of action of sulfonylureas?

Stimulation of insulin release by blocking ATP-sensitive K+ channels

Which sulfonylurea has the shortest half-life?

Glipizide

What adverse effect is commonly associated with sulfonylureas?

Hypoglycemia

Which sulfonylurea has minimal transfer across the placenta and can be used as an alternative to insulin during pregnancy?

Glyburide

In which conditions should sulfonylureas be used with caution due to the risk of hypoglycemia?

Hepatic insufficiency

What distinguishes Meglitidines from Sulfonylureas in terms of duration of action?

Shorter duration of action

Which of the following statements about Metformin is true?

Metformin reduces LDL and VLDL levels

What is a common side effect of α-glucosidase inhibitors like Acarbose and Miglitol?

Flatulence and diarrhea

Why should Acarbose and Miglitol be used with caution in combination with insulin secretagogues or insulin?

They may cause hypoglycemia

What distinguishes Biguanides like Metformin from Sulfonylureas in terms of their mechanism of action?

Do not induce hypoglycemia

Which group of medications is contraindicated in patients with irritable or inflammatory bowel disease?

Alpha-glucosidase inhibitors like Acarbose and Miglitol

What is a risk factor for hypoglycemia associated with Insulin Sensitizers like Metformin?

Delayed or skipped meals

Learn about the mechanisms of action of sulfonylureas including stimulation of insulin release, reduction in hepatic glucose production, and increase in insulin sensitivity. Explore their pharmacokinetics which involves oral administration, liver metabolism, and excretion through the liver or kidney.

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