Diabetic Medication Aids

Putting together info on using newer agents. Note: DPP4 and SGLT2 combo not allowed by EDS. Lectures from Dr. Sue Petersen 2017

(click on to enlarge)

 

 

Must watch GFR


Exemption Status re new drugs expects sulfonylurea to be used with metformin first.

linagliptin, tablet, 5mg (Trajenta-BOE) (possible OEA)
For treatment of patients with Type 2 diabetes who have had previous prescriptions for metformin and a sulfonylurea.
Please Note: This product should be used in patients with diabetes who are not
adequately controlled on or are intolerant to metformin and a sulfonylurea, and for whom insulin is not an option.

5 mg od


sitagliptin phosphate, tablet, 100mg (Januvia-MRK) (possible OEA)
For treatment of patients with Type 2 diabetes who have had previous prescriptions for metformin and a sulfonylurea.
Please Note: These products should be used in patients with diabetes who are not adequately controlled on or are intolerant to metformin and a sulfonylurea, and for whom insulin is not an option.

100 mg od; moderate gfr (30-50)- 50; severe – 25 mg od


canagliflozin, tablet, 100mg, 300mg (Invokana-JAN) (possible OEA)
For treatment of patients with Type 2 diabetes who have concurrent prescriptions for metformin and a sulfonylurea.
This product should not be used in combination with dipeptidyl peptidase-4 inhibitors.
Please note: This product should be used in patients with diabetes who are not adequately controlled on or are intolerant to metformin and/or a sulfonylurea, and for whom insulin is not an option

 

100 mg od start – work up to 300 mg od


empagliflozin, tablet, 10mg, 25mg (Jardiance-BOE) (possible OEA)
For treatment of patients with Type 2 diabetes who have concurrent prescriptions for metformin and a sulfonylurea.

This product should not be used in combination with dipeptidyl peptidase-4 inhibitors.
Please note: This product should be used in patients with diabetes who are not adequately controlled on or are intolerant to metformin and/or a sulfonylurea, and for whom insulin is not an option.

start with 10 mg od; work up to 25 mg od

Victoza – no coverage.
start o.6 mg/day to max 1.8 mg/day
nausea; wt loss


Byetta – no coverage
start  5 mcg bid within 1  hour after eating up to 10 bid

 


If sick, Diabetic should stop: SAD MANS

S -Sulfonylureal
A – ACE
D – duiretic

M – Metformin
A – ARB
N – NSAID
S – SGLT2

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