CDCES - Medications Exam Questions
& Answers (Grade A+)
metformin (Glucophage) drug class -
correct answer ✅biguanides
metformin (Glucophage) dose -
correct answer ✅500 to 2500 mg/day
metformin (Glucophage) side effects -
correct answer ✅- nausea
- bloating
- diarrhea
- B12 deficiency
Riomet -
correct answer ✅liquid metformin
biguanide benefits -
correct answer ✅- lowers cholesterol
- no hypoglycemia
- weight neutral
- affordable
,CDCES - Medications Exam Questions
& Answers (Grade A+)
biguanide use in pediatrics -
correct answer ✅approved for children 10+ years
3 types of extended release/XR metformin -
correct answer ✅- Glucophage XR
- Glumetza
- Fortamet
biguanide impact on A1c -
correct answer ✅lowers A1c by 1 - 2%
biguanide renal/GFR considerations -
correct answer ✅GFR <30... do not use
GFR <45... do not start metformin
If on metformin and GFR decreases to <30, eval risk/benefit or
decrease dose
3 types of sulfonylureas -
correct answer ✅- glipizide (Diabeta)
- glipizide (Glucotrol, "" XL)
- glimepiride (Amaryl)
,CDCES - Medications Exam Questions
& Answers (Grade A+)
doses for sulfonylureas -
correct answer ✅glyburide (Diabeta)... 1.25 to 20 QD
glipizide (Glucotrol)... 2.5 to 40 mg QD
glipizide (Glucotrol XL)... 2.5 to 20 mg QD
glimepiride (Amaryl)... 1.0 to 8 mg QD
How/where are sulfonylureas eliminated?? -
correct answer ✅kidneys
sulfonylurea impact on A1c -
correct answer ✅Lowers A1c by 1 - 2%
Sulfonylurea most likely to cause hypoglycemia -
correct answer ✅glyburide
4 types of SGLT2 inhibitors (generic/brand names) -
correct answer ✅- canagliflozin (Invokana)
- dapagliflozin (Farxiga)
- empagliflozin (Jardiance)
- ertugliflozin (Steglatro)
, CDCES - Medications Exam Questions
& Answers (Grade A+)
canagliflozin (Invokana) dosing -
correct answer ✅100 to 300 mg QD
If GFR 30-60, max dose 100 mg
dapagliflozin (Farxiga) dosing -
correct answer ✅5 to 10 mg QD
If GFR <45, see packaging
empagliflozin (Jardiance) dosing -
correct answer ✅10 to 25 mg QD
If GFR <45, see packaging
ertugliflozin (Steglatro) dosing -
correct answer ✅5 to 15 mg QD
If GFR <60, see package insert
& Answers (Grade A+)
metformin (Glucophage) drug class -
correct answer ✅biguanides
metformin (Glucophage) dose -
correct answer ✅500 to 2500 mg/day
metformin (Glucophage) side effects -
correct answer ✅- nausea
- bloating
- diarrhea
- B12 deficiency
Riomet -
correct answer ✅liquid metformin
biguanide benefits -
correct answer ✅- lowers cholesterol
- no hypoglycemia
- weight neutral
- affordable
,CDCES - Medications Exam Questions
& Answers (Grade A+)
biguanide use in pediatrics -
correct answer ✅approved for children 10+ years
3 types of extended release/XR metformin -
correct answer ✅- Glucophage XR
- Glumetza
- Fortamet
biguanide impact on A1c -
correct answer ✅lowers A1c by 1 - 2%
biguanide renal/GFR considerations -
correct answer ✅GFR <30... do not use
GFR <45... do not start metformin
If on metformin and GFR decreases to <30, eval risk/benefit or
decrease dose
3 types of sulfonylureas -
correct answer ✅- glipizide (Diabeta)
- glipizide (Glucotrol, "" XL)
- glimepiride (Amaryl)
,CDCES - Medications Exam Questions
& Answers (Grade A+)
doses for sulfonylureas -
correct answer ✅glyburide (Diabeta)... 1.25 to 20 QD
glipizide (Glucotrol)... 2.5 to 40 mg QD
glipizide (Glucotrol XL)... 2.5 to 20 mg QD
glimepiride (Amaryl)... 1.0 to 8 mg QD
How/where are sulfonylureas eliminated?? -
correct answer ✅kidneys
sulfonylurea impact on A1c -
correct answer ✅Lowers A1c by 1 - 2%
Sulfonylurea most likely to cause hypoglycemia -
correct answer ✅glyburide
4 types of SGLT2 inhibitors (generic/brand names) -
correct answer ✅- canagliflozin (Invokana)
- dapagliflozin (Farxiga)
- empagliflozin (Jardiance)
- ertugliflozin (Steglatro)
, CDCES - Medications Exam Questions
& Answers (Grade A+)
canagliflozin (Invokana) dosing -
correct answer ✅100 to 300 mg QD
If GFR 30-60, max dose 100 mg
dapagliflozin (Farxiga) dosing -
correct answer ✅5 to 10 mg QD
If GFR <45, see packaging
empagliflozin (Jardiance) dosing -
correct answer ✅10 to 25 mg QD
If GFR <45, see packaging
ertugliflozin (Steglatro) dosing -
correct answer ✅5 to 15 mg QD
If GFR <60, see package insert
