Oral Antidiabetes Medications

Category Action Generic Name Brand Name Manufacturer Approval Date Comments
Sulfonylurea Stimulates beta cells to release more insulin Chlorpropamide Diabinese Pfizer 10/58 Generally taken one to two times daily, before meals; can have interactions with other drugs. First generation sulfonylurea (older drug)
Glipizide Glucotrol Pfizer 5/84 Second generation used in smaller doses than first generation.
Glyburide DiaBeta/Micronase/ Pfizer 5/84
Glimepiride Amaryl Aventis, Pharmacia and Upjohn 11/95
Meglitinide Works with similar action to sulfonylureas Repaglinide Prandin Novo Nordisk 12/97 Taken before each of three meals
Nateglinide Works with similar action to sulfonylureas Nateglinide Starlix Novartis 12/00 Taken before each of three meals
Biguanide Sensitizes the body to the insulin already present Metformin Glucophage Bristol Meyers Squibb 3/95 Taken two times daily with food for best results
Metformin (long lasting) Glucophage XR Bristol Meyers Squibb 10/00
Metformin with glyburide Glucovance Bristol Meyers Squibb 7/00
Thiazolidinedione (Glitazone) Helps insulin work better in muscle and fat; lowers insulin resistance Rosiglitazone Avandia SmithKline Beecham (now Glaxo SmithKline) 5/99 Taken once or twice daily with food
Pioglitazone Actos Takeda Pharmaceuticals 7/99
Alpha-Glucose Inhibitor Slows or blocks the breakdown of starches and certain sugars; action slows the rise in blood sugar levels following a meal Miglitol Glyset Phamacia and Upjohn 12/96 Should be take with first bite of meal


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