Drug list

Drugs That Can Affect Blood Glucose Levels **Brought to you by your
Diabetes Educator and dLife

Drugs That May Cause Hyperglycemia (High Blood Sugar)
Abacavir + lamivudine,zidovudine (Trizivir®) Amphotericin B (Amphocin®, Fungizone®) Amphotericin B lipid formulations (IV) (Abelcet®) Betamethasone (topical) (Alphatrex®, Betatrex®, Beta-Val®, Diprolene®, Diprolene® AF,Diprolene® Lotion, Luxiq®, Maxivate®) Betamethasone +clotrimazole (Lotrisone® (topical)) Betaxolol Betoptic® (eyedrops), (KERLONE® (oral)) Benazepril + hydrochlorothiazide (Lotension®) Bisoprolol + hydrochlorothiazide (Ziac®) Caffeine - Caffeine in moderation may actual y be beneficial in diabetes but in large amounts can raise blood sugar. Candesartan + hydrochlorothiazide (Atacand HCT®) Captopril + hydrochlorothiazide (Capozide®) Chlorthalidone (Chlorthalidone Tablets®, Clorpres®, Tenoretic®, Thalitone®) Choline salicylate (Numerous tradenames of aspirin formulations; check label) Choline salicylate + magnesium salicylate (CMT®, Tricosal®, Trilisate®) Clobetasol (Clobevate®, Cormax®, Cormax® Scalp Application, Embeline® E, Olux®, Temovate®, Temovate® E, Temovate® Scalp Application) Conjugated estrogens (Estrace®, Estring®, Femring®, Premarin®, Vagifem®, Cenestin®, Enjuvia®, Estrace®, Femtrace®, Gynodiol®, Menest®, Ogen®) Conjugated estrogens + medroxyprogesterone (Premphase®, Prempro®) Cyclosporine (Sandimmune®, Neoral®, Gengraf®) Corticotropin Cortisone (Numerous tradenames; check label) Corticosteroids (Numerous tradenames; check label) Dexamethasone (Adrenocot®, Dalalone®, Decadron®, Decaject®, Dekasol®, Dexacort®, Dexasone®, Dexim®, Dexone®, Hexadrol®, Medidex®, Primethasone®, Solurex®, Dexamethasone Intensol®) Dextromethorphan + promethazine (Phenergan® with Dextromethorphan, Phen- TussDM®) Enalapril + hydrochlorothiazide (Vaseretic®) Esterified estrogens, estrone, estropipate Esterified estrogens + methyltestosterone (Estratest®) Estradiol, ethinyl estradiol (Alora® Climara®Congest® Delestrogen® Depo-Estradiol® Depogen® Estinyl® Estrace® Estraderm®, Estragyn 5®, Estragyn LA 5®, Estrasorb®, EstroGel®, Estro-L.A.®, Gynodiol®, Kestrone-5®, Neo-Estrone® Menest®, Menostar®, Ogen .625® Ogen®, Ortho-Est®, Premarin®, Valergen®, Vivel e®, Vivel e-Dot®) Estradiol + norgestimate (Prefest®) Estramustine (Emcyt®) Ethacrynic acid (Edecrin®, Sodium Edecrin®) Flurandrenolide (Cordran®, Cordran® SP, Cordran® Tape) Formoterol (Foradil® Aerolizer® Inhaler) Fosinopril + hydrochlorothiazide (Monopril HCT®) Gatifloxacin (Tequin®, Tequin® Injection, Tequin® Injection Premixed, Zymar® Hydrochlorothiazide (Aldactazide®, Aldoril®, Capozide®, Dyazide®, HydroDIURIL®, Inderide®, Lopressor® HCT, Maxzide®, Microzide®, Moduretic®, Timolide®, Vaseretic®) Hydrochlorothiazide + irbesartan (Avalide®) Hydrochlorothiazide + lisinopril (Prinzide®, Zestoretic®) Hydrochlorothiazide + losartan (Hyzaar®) Hydrochlorothiazide + metoprolol (Lopressor HCT®) Hydrochlorothiazide + moexipril (Uniretic®) Hydrochlorothiazide + quinapril (Accuretic®, Quinaretic®) Hydrochlorothiazide + telmisartan (Micardis HCT®) Hydrochlorothiazide + valsartan (Diovan HCT®) Hydrocortisone (Numerous tradenames of topical hydrocortisone formulations, check label) Interferon alfa-2b + ribavirin (Rebetron®) Levonorgestrel (Plan B®, NORPLANT System®) Magnesium salicylate (Bayer Select® Backache Pain Formula, Doans® Pil s, Mobidin®, Nuprin® Backache Caplet) Medroxyprogesterone (Provera®, Depo-Provera®) Methylprednisolone (A-methaPred®, ADD-Vantage®, Depo-Medrol®, Medrol®, Medrol® Dosepak, Meprolone® Unipak, Solu-Medrol®) Metoprolol (Lopressor®, Lopressor® HCT, Toprol XL®) Niacin, niacinamide (Niacor®, Niaspan®, Nicolar®, Nicotinex®, Slo-Niacin®) Norethindrone (Aygestin®, Nor-QD®, Micronor®) Nystatin (Mycostatin®, Nystat-Rx®, Nystop®, Pedi-Dri®) Nystatin + triamcinolone (Dermacomb®, Myco II®, Mycobiotic II®, Mycogen II®, Mycolog II®, Myco-Triacet II®, Mykacet®, Mykacet II®, Mytrex®, Tristatin II®) Octreotide (Sandostatin®, Sandostatin LAR®) Pantoprazole (Protonix®, Protonix®I.V.) ***Phenylephrine (Sudafed PE®, and others) Phenytoin (Dilantin®, Dilantin-125®, Dilantin Infatabs®, Dilantin Kapseals®, Phenytek®) ***Pseudoephedrine (Claritin D®, Sudafed®, and others) Prednisolone (AK-Pred®, Blephamide®, Blephamide® Liquifilm®, Econopred® Plus, Inflamase® Forte, Inflamase® Mild, Poly-Pred® Liquifilm®, Pred Forte®, Pred Mild®, Pred-G®, Pred-G® Liquifilm®, Delta-Cortef®, Pediapred®, Prelone®) Prednisone (Prednisone Intensol®, Sterapred®, Sterapred® DS) Risperidone (Risperdal®, Risperdal® M-TAB®) Salmeterol (Serevent®, Serevent® Diskus®) Salsalate (Argesic®-SA, Disalcid®, Mono-Gesic®, Salflex®, Salsitab®) Somatropin (Genotropin®, Genotropin Miniquick®, Humatrope®, Norditropin cartridges®, Norditropin NordiFlex®, Nutropin®, Nutropin AQ®, Saizen®, Serostim®, Zorbtive®) Sotalol (Betapace®, Betapace AF®, Sorine®) Triamcinolone (Aristocort®, Aristospan®, Asthmacort®, Flutex®, Kenalog®, Tac®, Triacet®) Ursodeoxycholic acid, ursodiol (Actigal ®, Urso®) Valproic acid, divalproex sodium (Depacon®, Depakene®, Depakene® Syrup, Depakote®, Depakote® ER, Depakote® Sprinkle) Ziprasidone (Geodone®) Drugs That May Cause Hypoglycemia (Low Blood Sugar)
Aloe - Oral Herbal Supplement, especial y if taken with other agents such as glyburide, glipizide, nateglinide, repaglinide, glimepiride, or insulin Amphotericin B (Ambisome®, Amphocin®, Fungizone Intravenous® Amphotec®, Abelcet®) Amphotericin B lipid formulations (Abelcet®, AmBisome®) Aspirin (Numerous tradenames; check label.) Atenolol (Tenormin®, Tenoretic® containing atenolol & chlorthalidone Betaxolol Betoptic®, Betoptic S® (eyedrops); Kerlone® (oral)) Bisoprolol + hydrochlorothiazide (Ziac®) Choline salicylate (Acuprin 81®, Amigesic®, Anacin Caplets®, Anacin Maximum Strength®, Anacin Tablets®, Anaflex 750® Arthritis Pain, Ascriptin® Arthritis Pain) Choline salicylate + magnesium salicylate C (MT®, Tricosal®, Trilisate®) Chromium (Various tradenames; check label) Clarithromycin B (Biaxin® Filmtab®, Biaxin® Granules, Biaxin® XL Filmtab, Biaxin® XL Pac, Prevpac®) Duetact (pioglitazone and glimepiride) - the glimepiride component of this drug gives it the possibility of causing hypoglycemia alone or in combination with other diabetes medicines. This is more likely to occur when one skips a regular meal or when unusual physical activities occur. Fosphenytoin (Cerebyx®, Dilantin®, Dilantin-125®, Dilantin Infatabs®, Dilantin Kapseals®, Mesantoin®, Peganone®, Phenytek®) Gatifloxacin (Tequin®, Tequin® Injection, Tequin® Injection Premixed, Zymar®) Glipizide (Glucotrol®, Glucotrol XL®, Glyburide Diabeta®, Glynase®, Micronase®) Hydrochlorothiazide + metoprolol (Lopressor HCT®) Insulin (Lantus®, Levimir®, NPH®, Humulin®, Novolin®, Apidra®) Levofloxacin (Levaquin®, Levaquin® in Dextrose Injection Premix, Quixin®) Magnesium salicylate (Bayer Select® Backache Pain Formula, Doans® Pil s, Mobidin®, Nuprin® Backache Caplet) Metoprolol (Lopressor®, Lopressor® HCT, Toprol XL®) Morphine (Kadian®, MS Contin®, MSIR®, Roxanol®) Nifedipine (Adalat CC®, Procardia®, Afeditab ® CR) Octreotide (Sandostatin®, Sandostatin LAR® Depot) Phenytoin (Dilantin®, Dilantin-125®, Dilantin Infatabs®, Dilantin Kapseals®, Phenytek®) Quinine (Quinamm®, Quindan®, Quiphile®, Q-vel®, Strema®) Quinupristin + dalfopristin (Synercid®) Salicylates (Numerous tradenames of aspirin formulations; check label) Salsalate (Argesic®-SA, Disalcid®, Mono-Gesic®, Salflex®, Salsitab®) Sodium ferric gluconate complex (Ferrlecit®) Somatropin (Genotropin®, Genotropin Miniquick®, Humatrope®, Norditropin cartridges®, Norditropin NordiFlex®, Nutropin, Nutropin AQ®, Saizen®, Serostim®, Zorbtive®) Sotalol (Betapace®, Betapace AF®, Sorine®) Tetracaine (Altacaine®, Tetcaine®, Pontocaine®) Theophyl ine (Theo-24®, Theo-Dur®, TheoCap®) Verapamil (Calan®, Calan SR®, Isoptin SR®, Verelan®) Drugs that can MASK Hypoglycemia
Atenol (Tenormin®, Tenoretic® containing Atenolol & Chlorthalidone) Carteolol (Cartrol® (oral), Occupress® (eyedrops)) Clonidine (Duraclon®, Catapres®, Catapres-TTS-1®, Catapres-TTS-2®, Metoprolol (Lopressor®, Lopressor® HCT, Toprol XL®) Propranolol (Inderal®, Inderal LA®, Inderide®, Innopran® XL, Propranolol Hydrochloride Intensol®) Drugs that can cause Hyper- or Hypoglycemia
Lithium (Eskalith®, Eskalith CR®, Lithobid®) ** Because of the constantly changing nature of the U.S. prescription and OTC drug marketplace, this list may not reflect the ful range of drugs that may impact blood glucose levels. The information contained in this document is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over-the-counter drugs (including any herbal medicines or supplements) or fol owing any treatment or regimen. ***There are many other OTC and prescription medications that contain pseudoephedrine and phenylephrine. Notes: 1) The ACEI and ARB drugs are preferred antihypertensive agents in people with diabetes. The combinations of those agents with thiazide diuretics are also commonly used in patients with diabetes. Although thiazides may have a tendency to affect blood sugar, the smal er doses used in these combinations may have little or no effect on blood sugars and may actual y be needed to control blood pressure. 2) Gatifloxacin (Tequin) is longer manufactured because of its serious adverse effects on blood glucose. It is stil available for sale on some online pharmacies.  

Source: http://www.talkondiabetes.org/docsTOD/Drug_List_2010.pdf

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