Varenicline may trigger severe hypoglycaemia in Type 1 diabetes
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Background Varenicline is a new drug indicated for smoking cessation. It has primarily been investigated in healthy adults. The commonest side-effects are nausea, headache, sleep disturbance, constipation, flatulence and vomiting. Hypoglycaemia has not been reported. As smoking cessation is important to reduce risk of cardiovascular morbidity, especially in diabetes, use of effective drugs indicated for smoking cessation is rational. Case report We report multiple episodes of severe hypoglycaemia after starting varenicline in a 53-year-old woman with Type 1 diabetes. Since onset of diabetes at age 25 years and until start of varenicline therapy, she had only experienced one episode of severe hypoglycaemia and hypoglycaemia awareness was not impaired. The severe hypoglycaemic episodes disappeared after withdrawal of varenicline. Conclusions We recommend cautious prescription of varenicline, intensified blood glucose monitoring and careful education of patients with diabetes treated with varenicline. Further investigation of the use of varenicline in patients with diabetes is warranted
Udgivelsesdato: 2008/5
Udgivelsesdato: 2008/5
Originalsprog | Engelsk |
---|---|
Tidsskrift | Diabetic Medicine |
Vol/bind | 25 |
Udgave nummer | 5 |
Sider (fra-til) | 625-626 |
Antal sider | 1 |
ISSN | 0742-3071 |
Status | Udgivet - 2008 |
Bibliografisk note
Times Cited: 0ArticleEnglishKristensen, P. LCent Hosp Hillerod, Endocrinol Sect, Div Internal Med, Helsevej 2, DK-3400 Hillerod, DenmarkCited References Count: 5292SEBLACKWELL PUBLISHING9600 GARSINGTON RD, OXFORD OX4 2DQ, OXON, ENGLANDOXFORD
ID: 10479433