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Human & Experimental Toxicology
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Massive Glibenclamide Overdose without Hypoglycaemia in a Man with Diabetes after Partial Pancreatectomy

R.E. Ferner

Wolfson Unit of Clinical Pharmacology

K.G.M.M. Alberti

Department of Medicine, Royal Victoria Infirmary, Newcastle upon Tyne NE14LP, UK

M.D. Rawlins

Wolfson Unit of Clinical Pharmacology

A 49-year-old man with non-insulin-dependent diabetes mellitus (NIDDM) from alcoholic pancreatitis took 100 mg of glibenclamide without symptoms of hypoglycaemia even when glibenclamide concentrations were high (191 µg/l). There was no increase in serum C-peptide concentration. The observed half-life of glibenclamide was 6 h. It is concluded that (1) high doses of glibenclamide will not provoke pancreatic insulin secretion in NIDDM caused by pancreatic destruction, (2) there was no evidence for an acute extra-pancreatic effect of glibenclamide and (3) the elimination of glibenclamide may be slower than supposed previously.

Human & Experimental Toxicology, Vol. 5, No. 4, 283-284 (1986)
DOI: 10.1177/096032718600500413


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