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PRESENTED BY:
ARJUMAND NAVEERA
PHARMD [PB].
SULTAN –UL-ULOOM COLLEGE OF PHARMACY
Guided by:
Dr. S P Srinivas Nayak, Assistant Professor, SUCP, Hyd.
OBJECTIVES
1. Introduction
2. Types
3. Mechanism of Action
4. Pharmacokinetics
5. Side Effects
6. Drug Interactions
Sulfonylureas are most commonly used Oral
Hypoglycemic drugs helpful in treating Diabetes
Mellitus .
They show their effects on beta cells of the pancreas
to release insulin which maintains the blood sugar
level.
They are also called as ATP sensitive Potassium[K]
channel blockers.
First Generation
• Tolbutamide
• Chlorpropamide
• Tolazamide
Second Generation
• Glibenclimide
• Glimepiride
• Glipizide
• Gliclazide
• Glibornuride
Sulfonylureas bind to and
close ATP-sensitive K+ (KATP)
channels on the cell membrane
of pancreatic beta cells, which
depolarizes the cell by
preventing potassium from
exiting.
This depolarization opens
voltage-gated Ca2+ channels.
The rise in intracellular
calcium leads to increased
fusion of insulin granules with
the cell membrane, and
therefore,
increased secretion of mature
insulin.
 The most common side effect is low blood sugar.
This can make you feel shaky, sweaty, dizzy, and
confused. Severe low blood sugar can be life-
threatening. To prevent it, eat regularly.
 Other side effects can be weight gain, dark urine,
and stomach upset. Sulfonylureas can also cause skin
rashes and adverse reactions to the sun.
Drugs Increasing the activity
 NSAIDS, Warfarin, Sulphonamide drugs – By
displacing the protein binding
 Alcohol , Cimitidine , Chloramphenicol – By
decreasing SU metabolism
Drugs Decreasing the activity
 Diuretics , Corticosteroids – By increasing blood
sugar level
• Text book of PHARMACOLOGY – KD TRIPATHI
• Clinical Pharmacy and Therapeutics [ 3 Edition ] – ROGER
WALKER
• Wikipedia
• Text book of PHARMACOLOGY [ 2 Edition ] – JAGDISH
PRASAD
Sulfonyl ureas arjumand

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Sulfonyl ureas arjumand

  • 1. PRESENTED BY: ARJUMAND NAVEERA PHARMD [PB]. SULTAN –UL-ULOOM COLLEGE OF PHARMACY Guided by: Dr. S P Srinivas Nayak, Assistant Professor, SUCP, Hyd.
  • 2. OBJECTIVES 1. Introduction 2. Types 3. Mechanism of Action 4. Pharmacokinetics 5. Side Effects 6. Drug Interactions
  • 3. Sulfonylureas are most commonly used Oral Hypoglycemic drugs helpful in treating Diabetes Mellitus . They show their effects on beta cells of the pancreas to release insulin which maintains the blood sugar level. They are also called as ATP sensitive Potassium[K] channel blockers.
  • 4. First Generation • Tolbutamide • Chlorpropamide • Tolazamide Second Generation • Glibenclimide • Glimepiride • Glipizide • Gliclazide • Glibornuride
  • 5. Sulfonylureas bind to and close ATP-sensitive K+ (KATP) channels on the cell membrane of pancreatic beta cells, which depolarizes the cell by preventing potassium from exiting. This depolarization opens voltage-gated Ca2+ channels. The rise in intracellular calcium leads to increased fusion of insulin granules with the cell membrane, and therefore, increased secretion of mature insulin.
  • 6.
  • 7.  The most common side effect is low blood sugar. This can make you feel shaky, sweaty, dizzy, and confused. Severe low blood sugar can be life- threatening. To prevent it, eat regularly.  Other side effects can be weight gain, dark urine, and stomach upset. Sulfonylureas can also cause skin rashes and adverse reactions to the sun.
  • 8. Drugs Increasing the activity  NSAIDS, Warfarin, Sulphonamide drugs – By displacing the protein binding  Alcohol , Cimitidine , Chloramphenicol – By decreasing SU metabolism Drugs Decreasing the activity  Diuretics , Corticosteroids – By increasing blood sugar level
  • 9. • Text book of PHARMACOLOGY – KD TRIPATHI • Clinical Pharmacy and Therapeutics [ 3 Edition ] – ROGER WALKER • Wikipedia • Text book of PHARMACOLOGY [ 2 Edition ] – JAGDISH PRASAD