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Starlix.

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| February 15, 2001 | Mechcatie, Elizabeth | COPYRIGHT 2001 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

(nategilnide, Novartis)

An oral antidiabetic agent for use as monotherapy, with diet and exercise to improve glycemic control in people with type 2 diabetes. Also approved for use in combination with metformin (Glucophage) when that drug does not adequately control hyperglycemia.

* Dosage: 60-mg or 120-mg tablets taken 1-30 minutes before all three daily meals, skipping a dose when meals are skipped (120 mg recommended as the starting and maintenance dose; 60 mg can be used for people near their target Hp[A.sub.1c] when starting treatment).

* Special Considerations: No dose adjustments necessary for elderly. Use cautiously in people with chronic liver disease. Hypoglycemia a potential risk, but labeling says hypoglycemia was "relatively uncommon" in clinical trials. In monotherapy trials, 2.4% of 1,441 patients on Starlix had hypoglycemia, vs. 0.4% of 458 on placebo.

* Comment: Starlix, an amino acid derivative, stimulates pancreatic insulin secretion within 20 minutes of administration; plasma insulin levels peak after about 1 hour and drop to baseline after 4 hours. The drug "is ...

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Starlix.(Brief Article)
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