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Hipoglucemia inducida por fármacos - Overview

Definición:

La hipoglucemia inducida por fármacos es la presencia de un nivel bajo de azúcar en la sangre (glucemia) que resulta de un medicamento.

Causas, incidencia y factores de riesgo:

Todos los siguientes factores pueden hacer bajar los niveles de glucemia:

Tomar alcohol
Hacer demasiada actividad
Sobredosis intencional o no de medicamentos utilizados para tratar la diabetes
Omitir comidas

Incluso cuando la diabetes se maneja con cuidado, los medicamentos utilizados para tratarla pueden ocasionar episodios de hipoglucemia inducida por fármacos. Esta enfermedad también puede ocurrir cuando alguien que no tiene diabetes toma un medicamento para tratar esta afección. En casos raros, medicamentos que no tienen relación con la diabetes pueden causar hipoglucemia.

Las medicamentos que pueden causar hipoglucemia inducida por fármacos comprenden:

Bactrim (un antibiótico)
Betabloqueadores
Haloperidol
Insulina
IMAO
Metformina, cuando se utiliza con sulfonilureas
Pentamidina
Quinidina
Quinina
Sulfonilureas

Liberación de insulina y alimentos

Reviewed last on: 5/10/2010
Ari S. Eckman, MD, Division of Endocrinology and Metabolism, Johns Hopkins School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Guettier JM. Hypoglycemia. Endocrinol Metab Clin North Am. Dec 2006; 35(4): 753-66, viii-ix.

Goldman L, Ausiello D. Cecil Textbook of Medicine, 22nd ed. Philadelphia, Pa: WB Saunders; 2004:1444-1445.

Cryer, PE. Glucose Homeostasis and Hypoglycemia. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier;2008:chap 33.

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