• question-icon

    What are the guidelines for shifting from Farxia to Glipizide?

default
Posted on Wed, 9 Aug 2017 in Diabetes
Question: Are there any instructions regarding changing from Farxia 10 mg daily to Glipizide ER 5mg daily?
doctor
Answered by Dr. Panagiotis Zografakis 41 minutes later
Brief Answer:
no guidelines

Detailed Answer:
Hello,

there are no guidelines that I know of regarding switching from dapagliflozin to glipizide. You just have to stop one drug and start the other (the next day).

May I just say that this decision sounds a little strange to me? Are you sure this is your doctor's orders? I can't question your doctor's orders since only your doctor knows your history but changing from dapagliflozin to glipizide does sound a little strange for the following reasons. It's not a mistake (particularly if it works to control your blood sugar) but it doesn't sound like the best option to me.

Dapagliflozin loses some sugar into the urine and may reduce blood glucose levels and reduce the patient's weight. Glipizide pushes the pancreas to excrete insulin and may raise the patient's weight. Weight loss is desired for patients with diabetes, as it helps a lot to control the blood sugar levels. Glipizide may be ineffective for patients with diabetes of more than 5-10 years duration as the pancreas progressively loses the ability to produce adequate amounts of insulin.

I hope you find my comments helpful!
Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3691 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Weight loss

doctor1 MD

I have recently started natural hormone replacement therapy = all is going well & Im feeling much better but I have noticed a big weight gain (I...

doctor1 MD

Hi doctor, my daughter is 17yr old. She is having Hypothyroid problem since last 2 yrs. She is gaining weight and there is no period without pills....

doctor1 MD

I was prescribed Duphaston for pre-menstual spotting....I have been taking it for two months now. I have been experiencing gastric problems and...

doctor1 MD

I am having abladder emptying problem I have unexplained weight loss thelymph nodes in my groin area are swollen real bad on both sides I can have...

doctor1 MD

I am a 39 year male and I am urinating every 30 minutes to 1 hour. I don't have any pain or discoloration. Just concerned at how often im going I'd...

doctor1 MD

Can I reverse a possible chance that I have Typ 2 diebetties ?

doctor1 MD

How much ghee is good in a day if I have normal health reports

Get personalised answers from verified doctor in minutes across 80+ specialties

186 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Panagiotis Zografakis
  • Q - Suggest treatment for splenic cyst

  • Q - What causes dry throat?

  • Q - What causes itching in breast?

  • Q - What causes chest pain and heart burn?

  • Q - Suggest treatment for pain in heels

  • Q - Can i take Paxil along with Clonidine?

  • Q - Suggest ways to manage diabetes

  • Q - Does taking Plaquinel for lupus affect the memory?

  • Q - What does an enlarged lymph node on neck indicate?

  • Q - Is infection possible by touching a dead bird despite using a disinfectant?

backtotop2