Professional Documents
Culture Documents
Miconazole
Phenylbutazone
beta-blockers
fluconazole
angiotension converting enzyme inhibitors
Alcohol.
-medications which risk producing hyperglycemia by reducing the efficacy of the antidiabetic
agent:
danazol
chlorpromazine
glucocorticoids
salbutamol
terbutaline
ritodrine
Nursing Intervention:
1. Instruct patient to take diamicron directed at the same time every day.
2. Take medication with meals
3. Explain to patient that this medication does not cure diabetes and must be used in
conjunction with a prescribed diet, exercise regimen, to prevent hypoglycemic and
hyperglycemic events.
4. Review signs of hypoglycemia and hyperglycemia with patient. If hypoglycemia occurs,
advice patient to drink a glass of orange juice or ingest 23 tsp of sugar, honey, or corn
syrup dissolved in water or an appropriate number of glucose tablets and notify health
care professional.
5. Concurrent use of alcohol may cause a disulfiram-like reaction (abdominal cramps,
nausea, flushing, headaches, and hypoglycemia).
6. Caution patient to avoid other medications, especially aspirin and alcohol, while on this
therapy without consulting health care professional.
7. Advise patient to notify health care professional promptly if unusual weight gain,
swelling of ankles, drowsiness, shortness of breath, muscle cramps, weakness, sore
throat, rash, or unusual bleeding or bruising occurs.
8. Encourage patient to follow prescribed diet, medication, and exercise regimen to prevent
hypoglycemic or hyperglycemic episodes.
9. Advise patient to carry sugar packets or candy, and identification describing diabetes
diagnosis and medication regimen.
10. Monitor the drug efficacy.