País: Estados Unidos
Língua: inglês
Origem: NLM (National Library of Medicine)
GLYBURIDE (UNII: SX6K58TVWC) (GLYBURIDE - UNII:SX6K58TVWC)
Blenheim Pharmacal, Inc.
GLYBURIDE
GLYBURIDE 2.5 mg
ORAL
PRESCRIPTION DRUG
Glyburide tablets is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Glyburide tablets are contraindicated in patients: - With known hypersensitivity the drug or any of its excipients. - Diabetic ketoacidosis, with or without coma. This condition should be treated with insulin. - Type I diabetes mellitus. - Concomitant administration of bosentan. WARNINGS SPECIAL WARNING ON INCREASED RISK OF CARDIOVASCULAR MORTALITY The administration of oral hypoglycemic drugs has been reported to be associated with increased cardiovascular mortality as compared to treatment with diet alone or diet plus insulin. This warning is based on the study conducted by the University Group Diabetes Program (UGDP), a long-term prospective clinical trial designed to evaluate the effectiveness of glucose-lowering drugs in preventing or delaying vascular complications in patients with non-insulin-dependent diabetes. The study involved 823 patients who were randomly assigned
Glyburide tablets are supplied as follows: Glyburide tablets 1.25 mg (White to off white colored, capsule shaped, biconvex tablets de-bossed with ‘I35’ on one side and scored on the other side) Bottles of 100 NDC 23155-056-01 Bottles of 1000 NDC 23155-056-10 Glyburide tablets 2.5 mg (Pink colored, slightly mottled, capsule shaped, biconvex tablets de-bossed with ‘I36’ on one side and scored on the other side) Bottles of 100 NDC 23155-057-01 Bottles of 1000 NDC 23155-057-10 Glyburide tablets 5 mg (Blue colored, slightly mottled, capsule shaped, biconvex tablets de-bossed with ‘I37 ’ on one side and scored on the other side) Bottles of 100 NDC 23155-058-01 Bottles of 1000 NDC 23155-058-10 Rx only Store at 20° to 25°C (68° to 77°F) [see USP controlled room temperature ]. Dispense in well closed containers with safety closures. Keep container tightly closed. Manufactured for : Heritage Pharmaceuticals Inc. Eatontown, NJ 07724 1.866.901.DRUG (3784) Made in India. 11/13
Abbreviated New Drug Application
GLYBURIDE- GLYBURIDE TABLET BLENHEIM PHARMACAL, INC. ---------- GLYBURIDE TABLETS, USP 1.25 MG, 2.5 MG AND 5 MG FOR ORAL USE CLINICAL PHARMACOLOGY Glyburide appears to lower the blood glucose acutely by stimulating the release of insulin from the pancreas, an effect dependent upon functioning beta cells in the pancreatic islets. The mechanism by which glyburide lowers blood glucose during long-term administration has not been clearly established.With chronic administration in Type II diabetic patients, the blood glucose lowering effect persists despite a gradual decline in the insulin secretory response to the drug. Extrapancreatic effects may be involved in the mechanism of action of oral sulfonylurea hypoglycemic drugs. The combination of glyburide and metformin may have a synergistic effect, since both agents act to improve glucose tolerance by different but complementary mechanisms. In addition to its blood glucose lowering actions, glyburide produces a mild diuresis by enhancement of renal free water clearance. Disulfiram-like reactions have very rarely been reported in patients treated with glyburide tablets. PHARMACOKINETICS Single dose studies with glyburide tablets in normal subjects demonstrate significant absorption within one hour, peak drug levels at about four hours, and low but detectable levels at twenty-four hours. Mean serum levels of glyburide, as reflected by areas under the serum concentration-time curve, increase in proportion to corresponding increases in dose. Multiple dose studies with glyburide tablets in diabetic patients demonstrate drug level concentration-time curves similar to single dose studies, indicating no buildup of drug in tissue depots. The decrease of glyburide in the serum of normal healthy individuals is biphasic; the terminal half-life is about 10 hours. In single dose studies in fasting normal subjects, the degree and duration of blood glucose lowering is proportional to the dose administered and to the area under the drug level concentration-time curve. The blood gluco Leia o documento completo