الادوية التي تؤثر على سكر الدم

الادوية التي تسبب ارتفاع سكر الدم أو انخفاضه

ينصح الأطباء دائماً مرضى السكري بضرورة المحافظة على سكر الدم تحت السيطرة وذلك باتباع نظام غذاء خاص والمحافظة على تناول الدواء بانتظام منعا لحدوث اضطراب ومشاكل فجائية تسبب ارتفاع سكر الدم أو انخفاضه مما يدخل المريض في مشاكل صحية صعبة قد تكون قاتلة في بعض الأحيان ولكن ذلك ليس هو الحال فقط وإنما يجب على المريض والطبيب الانتباه الى الادوية الأخرى التي قد توصف للمريض من طبيب آخر غير طبيبه أو قد يستخدمها المريض على عاتقه دون الرجوع الى الطبيب أو الصيدلي لطلب الاستشارة وهذه الادوية قد تسبب ارتفاع أو انخفاض سكر الدم آلمفاجىء للمريض دون علمه أو قد تخفي أعراض انخفاض السكر لديه وعادة يقوم الطبيب بمعادلة جرعة أدوية السكري للمريض تبعا للأدوية التي يتناولها فقد يقوم بزيادة الجرعة أو أنقاصها للوصول الى حالة من التوازن بين جميع الادوية التي يتناولها المريض ويجب على المريض ان لا يتهاون في أي نوع دواء جديد يتناوله وعليه طلب الاستشارة الفورية من الطبيب أو الصيدلي بخصوص تأثير هذا الدواء على سكر الدم 

هذه القائمة من الادوية يجب ان ترافق الأطباء في عياداتهم والصيادلة وحتى مع المريض نفسه لمراعاة تأثيرها على سكر الدم لتلافي المشكلة قبل حدوثها 

هذه القائمة بالأسماء العلمية والتجارية 

أولا الادوية التي تسبب ارتفاع سكر الدم 

Abacavir (Ziagen®)

Abacavir + lamivudine, zidovudine (Trizivir®) Acetazolamide (Diamox®)

Acitretin (Soriatane®)

Albuterol (Ventolin®, Proventil®)

Albuterol + ipratropium (Combivent®) Ammonium chloride

Amphotericin B (Amphocin®, Fungizone®) Amphotericin B lipid formulations IV (Abelcet®) Amprenavir (Agenerase®)

Anidulafungin (Eraxis®)

Aripiprazole (Abilify®)

Arsenic trioxide (Trisenox®)

Asparaginase (Elspar®)

Atazanavir (Reyataz ®)

Atenolol + chlorthalidone (Tenoretic®) Atorvastatin (Lipitor®)

Atovaquone (Mepron®)

Baclofen (Lioresal®)

Benazepril + hydrochlorothiazide (Lotension®) Betamethasone topical (Alphatrex®,

Betatrex®, Beta-Val®, Diprolene®, Diprolene® AF, Diprolene® Lotion, Luxiq®, Maxivate®)

Betamethasone +clotrimazole (Lotrisone® topical)

Betaxolol Betoptic® eyedrops, (Kerlone® oral) Bexarotene (Targretin®)

Bicalutamide (Casodex®)

Bisoprolol + hydrochlorothiazide (Ziac®) Bumetanide (Bumex®)

Caffeine 

Candesartan + hydrochlorothiazide (Atacand HCT®)

Captopril + hydrochlorothiazide (Capozide®) Carteolol (Cartrol® oral, Occupress®

eyedrops) Carvedilol (Coreg®)

Chlorothiazide (Diuril®)

Chlorthalidone (Chlorthalidone Tablets®,

Clorpres®, Tenoretic®, Thalitone®) Choline salicylate (Numerous tradenames of

aspirin formulations: check label.) Choline salicylate + magnesium salicylate

(CMT®, Tricosal®, Trilisate®) Clobetasol (Clobevate®, Cormax®, Cormax®

Scalp Application, Embeline® E, Olux®, Temovate®, Temovate® E, Temovate® Scalp Application)

Clozapine (Clozaril®, FazaClo®) Conjugated estrogens (Estrace®, Estring®,

Femring®, Premarin®, Vagifem®, Cenestin®, Enjuvia®, Estrace®, Femtrace®, Gynodiol®, Menest®, Ogen®)

Conjugated estrogens + medroxyprogesterone (Premphase®, Prempro®)

Corticosteroids 

Corticotropin

Cortisone

Cyclosporine (Sandimmune®, Neoral®,

Gengraf®) Daclizumab (Zenapax®)

Decitabine (Dacogen®)

Desonide (DesOwen®, Tridesilon®) Desoximetasone (Topicort®)

Dexamethasone (Adrenocot®, Dalalone®, Decadron®, Decaject®, Dekasol®, Dexacort®, Dexasone®, Dexim®, Dexone®, Hexadrol®, Medidex®, Primethasone®, Solurex®, Dexamethasone Intensol®)

Dextromethorphan + promethazine (Phenergan® with Dextromethorphan, Phen- TussDM®)

Diazoxide (Proglycem®)

Enalapril + hydrochlorothiazide (Vaseretic®) Encainide (Enkaid®)

Ephedrine and Guaifenesin (Primatene ®

tablets, OTC - this medication includes ephedrine and guaifenesin. Guaifenesin is not responsible for hyperglycemia.)

Epinephrine (EpiPen ®, EpiPen® Jr, Primatene® Mist, OTC)

Esterified estrogens, estrone, estropipate Esterified estrogens + methyltestosterone

(Estratest®)

Estradiol, ethinyl estradiol (Alora®, Climara®,

Congest®, Delestrogen®, Depo- Estradiol®, Depogen®, Estinyl®, Estrace®, Estraderm®, Estragyn 5®, Estragyn LA 5®, Estrasorb®, EstroGel®, Estro-L.A.®, Gynodiol®, Kestrone-5®, Neo-Estrone®, Menest®, Menostar®, Ogen .625®, Ogen®, Ortho-Est®, Premarin®, Valergen®, Vivelle®, Vivelle-Dot®)

Estradiol + norethindrone (Activella®) Estradiol + norgestimate (Prefest®) Estramustine (Emcyt®)

Ethacrynic acid (Edecrin®, Sodium Edecrin®) Everolimus (Afinitor®)

Everolimus (Zortress®)

Fluoxetine (Prozac®, Sarafem®) Flurandrenolide (Cordran®, Cordran® SP,

Cordran® Tape)

Formoterol (Foradil® Aerolizer® Inhaler) Fosamprenavir (Lexiva ®)

Fosinopril + hydrochlorothiazide (Monopril

HCT®) Furosemide (Lasix®)

Gemtuzumab ozogamicin (Mylotarg®)

Glucosamine 

Hydrochlorothiazide (Aldactazide®, Aldoril®,

Capozide®, Dyazide®, HydroDIURIL®, Inderide®, Lopressor® HCT, Maxzide®, Microzide®, Moduretic®, Timolide®, Vaseretic®)

Hydrochlorothiazide + irbesartan (Avalide®) Hydrochlorothiazide + lisinopril (Prinzide®,

Zestoretic®)

Hydrochlorothiazide + losartan (Hyzaar®) Hydrochlorothiazide + metoprolol (Lopressor

HCT®)

Hydrochlorothiazide + moexipril (Uniretic®) Hydrochlorothiazide + quinapril (Accuretic®,

Quinaretic®)

Hydrochlorothiazide + telmisartan (Micardis

HCT®)

Hydrochlorothiazide + valsartan (Diovan

HCT 

Indapamide (Lozol®)

Indinavir (Crixivan®)

Interferon alfa-2a (Roferon-A®)

Interferon alfa-2b (Intron-A®)

Interferon alfa-2b + ribavirin (Rebetron®) Interferon alfa-n1 (Alferon-N®)

Irinotecan (Camptosar®)

Isoniazid (Laniazid®, Nydrazid®)

Isotretinoin (Accutane®)

Lamivudine (Epivir®, Epivir-HBV®) Levalbuterol (Xoponex®, Xopenex HFA®) Levonorgestrel (Plan B®, Norplant System®) Levothyroxine (Synthroid®, Levoxyl®) Lopinavir + ritonavir (Kaletra®)

Magnesium salicylate (Bayer Select®

Backache Pain Formula, Doans® Pills,

Mobidin®, Nuprin® Backache Caplet) Medroxyprogesterone (Provera®, Depo-

Provera®) Megestrol (Megace®)

Methylprednisolone (A-methaPred®, ADD- Vantage®, Depo-Medrol®, Medrol®, Medrol® Dosepak, Meprolone® Unipak, Solu-Medrol®)

Metolazone (Zaroxolyn®, Mykrox®) Metoprolol (Lopressor®, Lopressor® HCT,

Toprol XL®) Modafinil (Provigil®)

Moxifloxacin (Avelox®, Avelox® I.V.) Mycophenolate (CellCept®)

Nadolol (Corgard®)

Nelfinavir (Viracept®)

Niacin, niacinamide (Niacor®, Niaspan®, Nicolar®, Nicotinex®, Slo-Niacin®)

Nilotinib (Tasigna®)

Nilutamide (Nilandron®)

Nitric oxide (INOmax®) Norethindrone (Aygestin®, Nor-QD®,

Micronor®) Norgestrel (Orvette®)

Nystatin (Mycostatin®, Nystat-Rx®, Nystop®, Pedi-Dri®)

Nystatin + triamcinolone (Dermacomb®, Myco II®, Mycobiotic II®, Mycogen II®, Mycolog II®, Myco-Triacet II®, Mykacet®, Mykacet II®, Mytrex®, Tristatin II®)

Octreotide (Sandostatin®, Sandostatin LAR®) Olanzapine (Zyprexa®)

Pantoprazole (Protonix®, Protonix® I.V.) Pegaspargase (Oncaspar®)

Peginterferon alfa-2b (PEG-Intron®) Pentamidine (Pentam 300®) Phenylephrine* (Sudafed PE®, 

Phenytoin (Dilantin®, Dilantin-125®, Dilantin

Infatabs®, Dilantin Kapseals®,

Phenytek®)

Prednisolone (AK-Pred®, Blephamide®,

Blephamide®, Liquifilm®, Econopred® Plus, Inflamase® Forte, Inflamase® Mild, Poly-Pred® Liquifilm®, Pred Forte®, Pred Mild®, Pred-G®, Pred-

G® Liquifilm®, Delta Cortef®,

Pediapred®, Prelone®) Prednisone (Prednisone Intensol®,

Sterapred®, Sterapred® DS) Progesterone (Prometrium®)

Pseudoephedrine* (Claritin D®, Sudafed®, 

Quetiapine (Seroquel®)

Risperidone (Risperdal®, Risperdal® M-

TAB®) Ritodrine (Yutopar®)

Ritonavir (Norvir®)

Rituximab (Rituxan®)

Salmeterol (Serevent®, Serevent® Diskus®) Salsalate (Argesic®-SA, Disalcid®, Mono-

Gesic®, Salflex®, Salsitab®) Saquinavir (Invirase®)

Sodium oxybate (Xyrem®) Somatropin (Genotropin®, Genotropin

Miniquick®, Humatrope®, Norditropin artridges®, Norditropin NordiFlex®, Nutropin®, Nutropin AQ®, Saizen®, Serostim®, Zorbtive®)

Sotalol (Betapace®, Betapace AF®, Sorine®) Streptozocin (Zanosar®)

Tacrolimus (Prograf®, Protopic®) Temsirolimus (Torisel®)

Tipranavir (Aptivus®)

Tolvaptan (Samsca®)

Torsemide (Demadex®, Demadex Oral®) Triamcinolone (Aristocort®, Aristospan®,

Asthmacort®, Flutex®, Kenalog®,

Tac®, Triacet®)

Ursodeoxycholic acid, ursodiol (Actigall®,

Urso®)

Valproic acid, divalproex sodium (Depacon®,

Depakene®, Depakene® Syrup, Depakote®, Depakote® ER, Depakote® Sprinkle)

Vitamin C (Ascorbic acid, Ascorbate) Vitamin E (Tocopherol, Tocotrienol) Ziprasidone (Geodone®)ج

الادوية التي تسبب انخفاض سكر الدم 

Acebutolol (Sectral®)

Acetohexamide (Dymelor®)

Alcohol

Aloe ً+glyburide, glipizide, nateglinide, repaglinide, glimepiride, insulin.

Amphotericin B (Ambisome®, Amphocin®, Fungizone Intravenous® Amphotec®, Abelcet®)

Amphotericin B lipid formulations (Abelcet®, AmBisome®)

Asian Ginseng (Ginseng; Panax ginseng) Aspirin 

Aspirin + dipyridamole (Aggrenox®)

Atenolol (Tenormin®, Tenoretic® containing

atenolol & chlorthalidone)

Betaxolol (Betoptic®, Betoptic S® eyedrops,

Kerlone® oral) Bisoprolol (Zebeta®)

Bisoprolol + hydrochlorothiazide (Ziac®) Bromocriptine (Cycloset®) Chloramphenicol (Chloromycetin®) Chlorpropamide (Diabinese®)

Choline salicylate (Acuprin 81®, Amigesic®, Anacin Caplets®, Anacin Maximum Strength®, Anacin Tablets®, Anaflex 750® Arthritis Pain, Ascriptin® Arthritis Pain)

Choline salicylate + magnesium salicylate C (MT®, Tricosal®, Trilisate®)

Chromium (Various tradenames: check label.) Clarithromycin B (Biaxin® Filmtab®, Biaxin®

Granules, Biaxin® XL, Filmtab,

Biaxin® XL Pac, Prevpac®) Diazoxide (Proglycem®)

Dicumarol (Coumadin®, Miradon®) Diltiazem (Cardizem®, Tiazac®) Disopyramide (Norpace®, Norpace® CR) Dorzolamide + timolol (Cosopt®) Exenatide (Byetta®)

Fluoxetine (Prozac®, Sarafem®) Fosphenytoin (Cerebyx®, Dilantin®, Dilantin-

125®, Dilantin Infatabs®, Dilantin Kapseals®, Mesantoin®, Peganone®, Phenytek®)

Glimepiride (Amaryl®)

Glimepiride and Rosiglitazone (Avandaryl®)

Glipizide (Glucotrol®, Glucotrol XL®) Glipizide and Metformin (Metaglip®) Glyburide (Diabeta®, Glynase®, Micronase®,

Glycron®)

Glyburide + metformin (Glucovance®) Horse chestnut (Aesculus hippocastanum) Hydrochlorothiazide + metoprolol (Lopressor

HCT®)

Insulin (Lantus®, Levemir®, NPH®, Humulin®,

Novolin®, Apidra®, Novolog®,

Humalog®)

Interferon beta-1b (Betaseron®)

Levofloxacin (Levaquin®, Levaquin® in Dextrose Injection Premix, Quixin®)

Liraglutide (Victoza®)

Magnesium salicylate (Bayer Select®

Backache Pain Formula, Doans® Pills,

Mobidin®, Nuprin® Backache Caplet) Metformin (Fortamet®, Glucophage®,

Glucophage XR®, Glumetza®,

Riomet®)

Metoprolol (Lopressor®, Lopressor® HCT,

Toprol XL®)

Morphine (Kadian®, MS Contin®, MSIR®,

Roxanol®) Nadolol (Corgard®)

Nateglinide (Starlix®)

Nifedipine (Adalat CC®, Procardia®, Afeditab

® CR)

Octreotide (Sandostatin®, Sandostatin LAR®

Depot) Paloperidone (Invega®)

Penicillamine (Cuprimine®, Depen®) Pentamidine (Nebupent®, Pentam 300®) Phenelzine (Nardil®)

Phenytoin (Dilantin®, Dilantin-125®, Dilantin

Infatabs®, Dilantin Kapseals®,

Phenytek®) Pindolol (Visken®)

Pioglitazone (Actos®) 

Pioglitazone and Glimepiride (Duetact®) - the glimepiride 

Pioglitazone and Metformin (Actoplus Met®, ActoPlus Met XR®)

Pramlintide (Symlin®)

Probenecid (Benemid®, Probalan®)

Quinine (Quinamm®, Quindan®, Quiphile®, Q-

vel®, Strema®)

Quinupristin + dalfopristin (Synercid®) Repaglinide (Prandin®)

Repaglinide and Metformin (PrandiMet®) Ritodrine (Yutopar®)

Rituximab (Rituxan®)

Rosiglitazone (Avandia®)

Rosiglitazone and Metformin (Avandamet®) Rotigotine (Neupro®)

Salicylates (Numerous tradenames of aspirin

formulations: check label.) Salsalate (Argesic®-SA, Disalcid®, Mono-

Gesic®, Salflex®, Salsitab®)

Saxagliptin (Onglyza®)

Selegiline (Eldepryl®)

Sitagliptin (Januvia®)

Sitagliptin and Metformin HCL (Janumet®) Sodium ferric gluconate complex (Ferrlecit®) Somatropin (Genotropin®, Genotropin

Miniquick®, Humatrope®, Norditropin cartridges®, Norditropin NordiFlex®, Nutropin, Nutropin AQ®, Saizen®, Serostim®, Zorbtive®)

Sotalol (Betapace®, Betapace AF®, Sorine®) Streptozocin (Zanosar®)

Sulfadiazine (Microsulfon®)

Tacrolimus P (Prograf®, Protopic®) Tetracaine (Altacaine®, Tetcaine®,

Pontocaine®)

Theophylline (Theo-24®, Theo-Dur®,

TheoCap®)

Timolol (Timoptic®, Timoptic-XE®) Tolazamide (Tolinase®)

Tolbutamide (Orinase®)

Tranylcypromine (Parnate®)

Varenicline (Chantix®)

Verapamil (Calan®, Calan SR®, Isoptin SR®,

Verelan®)

الادوية التي قد تسبب ارتفاع أو انخفاض في سكر الدم 

Amphotericin B (Ambisome®, Amphocin®, anFungizone Intravenous®

Amphotec®, Abelcet®) Amphotericin B lipid formulations (Abelcet®,

AmBisome®)

Betaxolol Betoptic® eyedrops, (KERLONE®

Bisoprolol + hydrochlorothiazide (Ziac®) Choline salicylate 

aspirin ،Choline salicylate + magnesium salicylate

(CMT®, Tricosal®, Trilisate®) Darunavir (Prezista®)

Diazoxide (Proglycem®)

Fluoxetine (Prozac®, Sarafem®) Hydrochlorothiazide + metoprolol (Lopressor

HCT®)

Lanreotide acetate (Somatuline®)

Lithium (Eskalith®, Eskalith CR®, Lithobid®) Magnesium salicylate (Bayer Select®

Backache Pain Formula, Doans® Pills,

Mobidin®, Nuprin® Backache Caplet) Mecasermin (Increlex®)

Mecasermin Rinfabate (Iplex®)

Metoprolol (Lopressor®, Lopressor® HCT,

Toprol XL®) Nadolol (Corgard®)

Octreotide (Sandostatin®, Sandostatin LAR® Depot)

Pazopanib (Votrient ®)

Pentamidine (Nebupent®, Pentam 300®) Phenytoin (Dilantin®, Dilantin-125®, Dilantin

Infatabs®, Dilantin Kapseals®, Phenytek®)

الادوية التي تخفي أعراض هبوط السكر في الدم 

Atenolol (Tenormin®, Tenoretic® containing Atenolol & Chlorthalidone)

Carteolol (Cartrol® oral, Occupress® eyedrops)

Carvedilol (Coreg®, Coreg® Tiltabs®) Clonidine (Duraclon®, Catapres®, Catapres-

TTS-1®, Catapres-TTS-2®, Catapres-

TTS-3®)

Metoprolol (Lopressor®, Lopressor® HCT,

Toprol XL®)

Nadolol (Corgard®)

Nebivolol (Bystolic®)

Pindolol (Visken®)

Propranolol, Propranolol Hydrochloride,

(Inderal®, Inderal LA®, Inderide®,

Innopran® XL, Intensol®) Timolol (Timoptic®, Timoptic-XE®)

إن هذا الدواء 

مستحضر يؤثر على صحتك واستهلاكه خلافا للتعليمات يعرضك للخطر. 

إتبع بدقة وصفة الطبيب وطريقة الإستعمال المنصوص عليها وتعليمات الصيدلاني الذى صرفها لك.

إن الطبيب والصيدلاني هما الخبيران بالدواء وبنفعه وضرره.

لاتقطع مدة العلاج المحددة لك من تلقاء نفسك.

لا تكرر صرف الدواء بدون وصفة طبية.

إحفظ الدواء بعيدا عن متناول الاطفال.