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Table 1 Commonly used medications that can produce hypoglycaemia and hyperglycaemia as adverse effects

From: Tight glycaemic control: a prospective observational study of a computerised decision-supported intensive insulin therapy protocol

Adverse effect

Drugs

Hypoglycaemia

Angiotensin-converting enzyme inhibitors

 

Budesonide

 

Chlorpromazine

 

Disopyramide (isolated cases)

 

Ethanol

 

Quinine

Hyperglycaemia

Adrenaline (ephinephrine)

 

β2 agonists (in diabetes)

 

Ciclosporin

 

Clonidine

 

Corticosteroids

 

Diazoxide

 

Diuretics (mainly thiazides)

 

Glucose

 

Isoniazid

 

Nicotinic acid

 

Noradrenaline (norephinephrine)

 

Octreotide

 

Olanzapine

 

Oral contraceptives

 

Phenytoin

 

Risperidone

 

Rituximab

 

Theophylline

Miscellaneous

Acetazolamide (potentiates action of hypoglycaemics)

 

Amitriptyline (elevates or decreases blood sugar levels)

 

Imipramine (isolated cases of increase or decrease in blood sugar levels)

 

Pentamidine (life threatening hypoglycaemia, less severe hyperglycaemia)

 

Tacrolimus (elevates or decreases blood sugar levels)

 

Triamterene (impaired glucose metabolism [<1/100] [33])