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Old 02-20-2012
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Drug Diabetic & Relecoxib Allergy

A 48 year old man comes to your clinic because of increase thirst and multiply urination. BMI is 21 kg/m2. Lab studies show a fasting blood glucose of 195mg/dl. a look of his record showa an anaphylatic reation 2 years ago when given relecoxib. Which of the following drugs is most appropiate for this patient?

A- Chlorprpopamide
B- Glipizide
C- Glucagon
D- Metformin
E- NPH insulin
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Old 02-20-2012
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selective cox 2 inhibitors show cross sensitivity with sulfonamides,so sulfanylureas like chlorpropamide and glipizide cant be given so i choose biguanides like metformin..
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Old 02-20-2012
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Quote:
Originally Posted by pnreddy View Post
selective cox 2 inhibitors show cross sensitivity with sulfonamides,so sulfanylureas like chlorpropamide and glipizide cant be given so i choose biguanides like metformin..

thanks didnt know about this , where did you read it from ???
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Old 02-21-2012
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If you are doing UW and Kaplan bank they give you a list of drugs with SULFONAMIDE reaction as like: CO2 inhibitor, Furosemide,HCTZ, Dapsone, etc....
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  #5  
Old 02-21-2012
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Metformin
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Old 02-22-2012
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But what do you think of the BMI
Will you give metformin for such low BMI?
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Old 02-22-2012
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Originally Posted by JFMD View Post
But what do you think of the BMI
Will you give metformin for such low BMI?
I not anderstand your question
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Old 02-22-2012
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metformin lowers body weight so its generally used in obese patients.
the question presented is is it ok to give metformin when the patient is clearly underweight?
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Old 02-22-2012
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Originally Posted by Dr.NickRiviera View Post
metformin lowers body weight so its generally used in obese patients.
the question presented is is it ok to give metformin when the patient is clearly underweight?

Ok! Now I posted another one if you should give us a puch I will aprecaite it
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Old 01-17-2013
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Default nph insulin

i would rather go for nph insulin
cz the patient is under wight so wont go for metformin
its given in type 2 obese people
based on BMI insulin should be the choice
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Old 01-18-2013
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A and b shows cross reaction.. Metformin ( has bmi of just 21 ).. Best guess NPH?? ( dont know)).. Waiting for answer...
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