Sulfonylureas: Basic Aspects and Clinical Uses

H.E. Lebovitz

H.E. Lebovitz

State University of New York, Brooklyn, NY, USA

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A. Melander

A. Melander

The NEPI Foundation, Medical Research Centre, University Hospital, Malmö, Sweden

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First published: 15 March 2004
Citations: 2

Abstract

This chapter describes the chemistry, mechanism of action, pharmacodynamics, pharmacokinetics, kinetics–effect relations, clinically beneficial and adverse effects of sulfonylurea drugs, as well as the efficacy of these agents in randomized-controlled clinical trials and other studies. It also compares the different sulfonylurea compounds, especially in terms of differences in potency, rate of onset, and duration of action, and how such differences may contribute to different clinical profiles of the various compounds. In addition, some important interactions with other drugs are listed. Their appropriate place in the therapeutic armamentarium concerning type 2 diabetes is thoroughly discussed.

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