Drug General Information (ID: DDIWIFLO7V)
  Drug Name Pentamidine Drug Info Insulin glulisine Drug Info
  Drug Type Small molecule Hormones
  Therapeutic Class Antifungal Agents Antidiabetic Agents
  Structure

 Mechanism of Pentamidine-Insulin glulisine Interaction (Severity Level: Moderate)
     Antagonize the effect of antidiabetic agents Click to Show/Hide Mechanism Graph
Could Not Find 2D Structure
      Drug Name Pentamidine Insulin glulisine
      Mechanism Direct toxic effects on beta cells of the pancreas Antidiabetic agent
      Key Mechanism Factor 1
Factor Name Antidiabetic agents
Factor Description The hypoglycemic effect of antidiabetes may be reduced, leading to higher blood glucose, increased blood glucose fluctuations, and the possibility of hyperglycemic complications
      Mechanism Description
  • Antagonize the effect of Insulin glulisine when combined with Pentamidine 

Recommended Action
      Management Blood glucose should be monitored closely during and after pentamidine therapy in patients receiving insulin or other antidiabetic agents, especially if they are elderly or have renal impairment. Patients should learn to recognize the symptoms of hypoglycemia such as headache, dizziness, drowsiness, nervousness, confusion, tremor, hunger, weakness, perspiration, palpitation, and tachycardia. If hypo- or hyperglycemia occur during pentamidine therapy, patients should initiate appropriate remedial therapy immediately and contact their physician. Dosage adjustments may be required if an interaction is suspected.

References
1 Product Information. Pentam 300 (pentamidine). Fujisawa, Deerfield, IL.
2 Coyle P, Carr AD, Depczynski BB, Chisholm DJ "Diabetes mellitus associated with pentamidine use in HIV-infected patients." Med J Aust 165 (1996): 587-8. [PMID: 8941253]
3 Shen M, Orwoll ES, Conte JE, Prince MJ "Pentamidine-induced pancreatic beta-cell dysfunction." Am J Med 86 (1989): 726-8. [PMID: 2658578]