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They may also hide certain signs of low blood sugar and make it more difficult to notice angiotensin-converting enzyme ace inhibitors eg, enalapril , azole antifungals eg, miconazole, ketoconazole , chloramphenicol, clarithromycin, clofibrate, disopyramide, fenfluramine, fluoxetine, insulin, monoamine oxidase inhibitors maois eg, phenelzine , nonsteroidal anti-inflammatory drugs nsaids eg, ibuprofen , phenylbutazone, probenecid, quinolone antibiotics eg, ciprofloxacin , salicylates eg, aspirin , and sulfonamides eg, sulfamethoxazole because the risk of low blood sugar may be increased calcium channel blockers eg, diltiazem , corticosteroids eg, prednisone , decongestants eg, pseudoephedrine , diazoxide, diuretics eg, furosemide, hydrochlorothiazide , estrogens, hormonal contraceptives eg, birth control pills , isoniazid, niacin, phenothiazines eg, promethazine , phenytoin, rifamycins eg, rifampin , sympathomimetics eg, albuterol, epinephrine , or thyroid supplements eg, levothyroxine because they may decrease duetact s effectiveness, resulting in high blood sugar gemfibrozil because blood sugar may be increased or decreased anticoagulants eg, warfarin because their effectiveness may be decreased or the risk of their side effects may be increased by duetact.
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These patients should be started at 1 mg of glimepiride prior to prescribing duetact.
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1 duetact should be given in a single dose once daily with meals.
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Duetact can cause low blood sugar, so make sure you always carry a quick source of sugar, such as hard candy or fruit.
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