Treatment Options for Patients with Type 2 diabetes - Prescribing Information PLEASE CHECK FULL SPECIFIC PRODUCT CHARACTERISTICS FOR MORE DETAILED AND CURRENT INFORMATION: http://www.medicines.org.uk/emc/please Monthly Cost Contraindications Cautions and monitoring requirements Advantages Disadvantages Metformin Stop if eGFR <30 Use with caution if eGFR <45 Stop in severe acute illness e.g.
sachets when patient has swallowing difficulties.
Sulphonylureas Long acting: Glibenclamide
Severe renal impairment glibenclamide in the elderly, use a
Shorter acting: Glimepiride Gliclazide Tolbutamide Glipizide Treatment Options for Patients with Type 2 diabetes - Prescribing Information PLEASE CHECK FULL SPECIFIC PRODUCT CHARACTERISTICS FOR MORE DETAILED AND CURRENT INFORMATION: http://www.medicines.org.uk/emc/please Monthly Cost Contraindications Cautions and monitoring requirements Advantages Disadvantages Glitazones
prior initiation in all patients. Do not
Cardiac failure or history any other evidence of liver disease.
Pioglitazone and should be continued only if the patient shows a reduction of at least 0.5% in HbA1c in 6 months. This should be explained to the patient at initiation.
Treatment Options for Patients with Type 2 diabetes - Prescribing Information PLEASE CHECK FULL SPECIFIC PRODUCT CHARACTERISTICS FOR MORE DETAILED AND CURRENT INFORMATION: http://www.medicines.org.uk/emc/please Monthly Cost Contraindications Cautions and monitoring requirements Advantages Disadvantages SGLT inhibitors
status (e.g. physical examination, BP measurements,) and electrolytes
in blood pressure, which may be more pronounced in patients with very high blood glucose concentrations.
Experience in heart failure, NYHA class I-II is limited, and there is no experience in clinical studies with dapagliflozin in NYHA class III-IV.
Dapagliflozin has not been studied in combination with glucagon-like peptide 1 (GLP-1) analogues
A lower dose of insulin or an insulin secretagogue may be required to reduce the risk of hypoglycaemia when used in combination with dapagliflozin
Treatment Options for Patients with Type 2 diabetes - Prescribing Information PLEASE CHECK FULL SPECIFIC PRODUCT CHARACTERISTICS FOR MORE DETAILED AND CURRENT INFORMATION: http://www.medicines.org.uk/emc/please Monthly Cost Contraindications Cautions and monitoring requirements Advantages Disadvantages Gliptins inhibitors) Sitagliptin: Pancreatitis – rare, spontaneous
impairment and to 25mg reports of acute pancreatitis, inform
Janumet®: only use in Vildagliptin: Monitor liver function Vildagliptin: Sitagliptin: Vildagliptin: - do not use in hepatic Eucreas®: do not use in patients with CrCl<60 ml/min Treatment Options for Patients with Type 2 diabetes - Prescribing Information PLEASE CHECK FULL SPECIFIC PRODUCT CHARACTERISTICS FOR MORE DETAILED AND CURRENT INFORMATION: http://www.medicines.org.uk/emc/please Monthly Cost Contraindications Cautions and monitoring requirements Advantages Disadvantages Saxagliptin: Saxagliptin: Saxagliptin: - dual therapy –with
metformin or a
sulphonylurea or a
+sulphonylurea ( not -as combination Komboglyze®: - do not use in hepatic DPP-4 inhibitors should be Linagliptin▼: continued only if the patient shows a reduction of at Jentadueto®▼: least 0.5% in HbA1c in 6 months. This should be explained to the patient at initiation.
product Jentadueto®▼ Treatment Options for Patients with Type 2 diabetes - Prescribing Information PLEASE CHECK FULL SPECIFIC PRODUCT CHARACTERISTICS FOR MORE DETAILED AND CURRENT INFORMATION: http://www.medicines.org.uk/emc/please Monthly Cost Contraindications Cautions and monitoring requirements Advantages Disadvantages
Exenatide(Byetta®)▼ £68.24
In patients taking Byetta®▼and
weekly: Bydureon®▼
disease (exenatide▼).
Liraglutide(1.8mg but not recommended
with liraglutide in New York Heart exenatide▼. Liraglutide: only
-do not use exenatide▼ if Reduction of dose of concomitant
Exenatide▼ and Lixisenatide▼ Bydureon®▼ and (BMI) ≥ 35 kg/m2 in Lixisenatide▼ if
liraglutide▼ if <60ml/min. require careful clinical monitoring or
Dual Therapy: Continue therapy if 1% HbA1c reduction at 6 months. (Please explain to the patient at initiation.) Triple Therapy: GLP-1s should be continued only if there is a reduction of at least 1.0% in HbA1c AND a weight loss of at least 3% of initial body weight, at 6 months. (Please explain to the patient at initiation)
ATTACHMENT NCAA Banned-Drug Classes 2007-2008 The NCAA list of banned-drug classes is subject to change by the NCAA Executive Committee. Contact NCAA education services other anabolic agents for the current list. The term “related compounds” comprises substances that are included in the class by their pharmacological action and/or chemical structure. No (c) Substanc
I first went to see Dr. Chung because my left ear was blocked from a sinus infection. I had tried Western medicine, done 2 rounds of steroids, and gone to an ENT, none of which worked. Dr. Chung saw me for about 4-5 months (once every 2-3 weeks) and finally my ear opened up. (During this time, I also took some herbs prescribed by Dr. Chung to help clean my digestive system and I gave up drinking