Drug Class II Pharmacology - Biguanides

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Questions and Answers

Which of these are examples of biguanides?

  • Insulin
  • Glyburide
  • Sitagliptin
  • Metformin (Glucophage) (correct)

What are biguanides used to treat?

Type 2 diabetes

What is the main pharmacological action of biguanides?

Reduces production of glucose within the liver through suppression of glucogenesis.

Common side effects of biguanides include ______.

<p>metallic taste, diarrhea, anorexia, nausea, vomiting, vitamin B-12 deficiency</p> Signup and view all the answers

Concurrent use of iodine-containing contrast for diagnostic tests may result in acute renal failure when using biguanides.

<p>True (A)</p> Signup and view all the answers

Alcohol decreases the risk of lactic acidosis when taking biguanides.

<p>False (B)</p> Signup and view all the answers

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Study Notes

Biguanides Overview

  • Biguanides are a class of oral medications used to treat type 2 diabetes, primarily represented by metformin (Glucophage).
  • These drugs impact glucose production from digestion.

Pharmacological Action

  • Biguanides reduce liver glucose production through the suppression of gluconeogenesis.

Side Effects

  • Common side effects include:
    • Metallic taste
    • Diarrhea
    • Anorexia
    • Nausea
    • Vomiting
    • Vitamin B-12 and folic acid deficiencies
    • Altered absorption of nutrients

Nursing Implications

  • Use of iodine-containing contrast agents in diagnostic tests may lead to acute renal failure when combined with biguanides.

Important Interactions

  • Alcohol consumption with biguanides elevates the risk of lactic acidosis, a condition of excess lactic acid in the body.

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