Glucotrol Xl

Type 2 Diabetes

Treatment

2 FDA approvals

20 Active Studies for Glucotrol Xl

What is Glucotrol Xl

Glipizide

The Generic name of this drug

Treatment Summary

Glipizide is a medication used to treat type 2 diabetes. It was introduced in 1984 and is available in the U.S. and Canada. Glipizide is a second-generation sulfonylurea drug, which helps control blood sugar levels by reducing the amount of glucose in the body. It is typically used in early-stage type 2 diabetes when pancreatic failure has not occurred. Glipizide is absorbed quickly and has a short duration of action, which helps reduce the risk of long-term hypoglycemia. It is available in extended-release tablets under the brand name Glucotrol,

Glipizide

is the brand name

image of different drug pills on a surface

Glucotrol Xl Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Glipizide

Glipizide

1984

471

Approved as Treatment by the FDA

Glipizide, also called Glipizide, is approved by the FDA for 2 uses such as Type 2 Diabetes Mellitus and Type 2 Diabetes .

Type 2 Diabetes Mellitus

Helps manage Type 2 Diabetes Mellitus

Type 2 Diabetes

Helps manage Type 2 Diabetes Mellitus

Effectiveness

How Glucotrol Xl Affects Patients

Glipizide is a drug that helps to lower blood sugar. It begins working about 30 minutes after taking it and its effects can last for up to 24 hours. It is known to increase the body's response to insulin and can help with glucose uptake in the muscles and liver. However, it can also lead to low blood sugar and weight gain with long-term use. It may also cause the pancreas to produce less insulin over time, as well as have other effects outside the pancreas. These include decreasing lipolysis in the liver and fat tissue, reducing glucose production in the liver, and increasing glucose uptake and

How Glucotrol Xl works in the body

Glipizide is a medication used to treat type 2 diabetes. It works by stimulating the release of insulin from cells in the pancreas, which helps lower the amount of glucose in the blood. It does this by binding to the sulfonylurea receptor on the cell surface, and then closing the cell's potassium channels and opening calcium channels. This causes the cell to release insulin granules, which helps lower blood glucose levels. Glipizide also helps to increase the number and sensitivity of insulin receptors, allowing more glucose to be taken up by cells in the liver. In addition to this medication, lifestyle changes such as

When to interrupt dosage

The recommended dosage of Glucotrol Xl is contingent upon the diagnosed condition. The quantity of dosage is contingent upon the method of administration (e.g. Tablet - Oral or Tablet, film coated - Oral) mentioned in the table beneath.

Condition

Dosage

Administration

Type 2 Diabetes

2.5 mg, , 5.0 mg, 10.0 mg

Oral, , Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet - Oral, Tablet, Tablet, coated, Tablet, coated - Oral

Warnings

Glucotrol Xl has seven contraindications and should not be used in concert with the conditions detailed in the following table.

Glucotrol Xl Contraindications

Condition

Risk Level

Notes

Pulse Frequency

Do Not Combine

Acute Coryza

Do Not Combine

Metabolic acidosis

Do Not Combine

Comatose

Do Not Combine

Comatose

Do Not Combine

Diabetic Ketoacidosis

Do Not Combine

Comatose

Do Not Combine

There are 20 known major drug interactions with Glucotrol Xl.

Common Glucotrol Xl Drug Interactions

Drug Name

Risk Level

Description

(R)-warfarin

Minor

Glipizide may increase the anticoagulant activities of (R)-warfarin.

(S)-Warfarin

Minor

Glipizide may increase the anticoagulant activities of (S)-Warfarin.

Abrocitinib

Minor

The metabolism of Abrocitinib can be decreased when combined with Glipizide.

Aclidinium

Minor

Glipizide may decrease the excretion rate of Aclidinium which could result in a higher serum level.

Acrivastine

Minor

Glipizide may decrease the excretion rate of Acrivastine which could result in a higher serum level.

Glucotrol Xl Toxicity & Overdose Risk

In tests, rats have been found to tolerate a dose of up to 4000 mg/kg when taken orally, and up to 1200 mg/kg when taken through the abdomen. The smallest amount of glipizide to cause toxicity in a child is 379 μg/kg. If an overdose occurs, the patient may experience a coma, seizure, or other neurological issues due to severe hypoglycemia. Immediate treatment with glucagon or intravenous glucose is necessary, and medical attention should be sought for at least 24-48 hours since hypoglycemia may happen again. Mild hypoglycemic symptoms can be treated with oral glucose.

image of a doctor in a lab doing drug, clinical research

Glucotrol Xl Novel Uses: Which Conditions Have a Clinical Trial Featuring Glucotrol Xl?

162 active clinical trials are investigating the potential of Glucotrol Xl in managing Type 2 Diabetes.

Condition

Clinical Trials

Trial Phases

Type 2 Diabetes

167 Actively Recruiting

Not Applicable, Phase 1, Phase 2, Phase 3, Phase 4, Early Phase 1

Glucotrol Xl Reviews: What are patients saying about Glucotrol Xl?

5

Patient Review

11/28/2008

Glucotrol Xl for Type 2 Diabetes Mellitus

For me, it took a week or two for this treatment to really start working well, but it was worth the wait!

5

Patient Review

1/12/2009

Glucotrol Xl for Type 2 Diabetes Mellitus

I have found that these pills sometimes give me an upset stomach.

5

Patient Review

2/12/2011

Glucotrol Xl for Type 2 Diabetes Mellitus

Though this medication has the unfortunate side-effect of increasing my appetite, it is otherwise very effective. I'm now on the lookout for a similar pill that doesn't make me constantly hungry.

5

Patient Review

1/19/2012

Glucotrol Xl for Type 2 Diabetes Mellitus

Glipizide XL 10 just doesn't work for me. I think it might not be breaking down in my system the way it's supposed to. The 5XL works better than the ten XL, so I take three of those a day. Plus if I need to bring my insulin level down more, I'll take the regular 5's as well. Right now I'm trying to see another doctor to see if there's something else out there that might work better for me.

5

Patient Review

2/15/2008

Glucotrol Xl for Type 2 Diabetes Mellitus

5

Patient Review

5/14/2008

Glucotrol Xl for Type 2 Diabetes Mellitus

5

Patient Review

7/23/2008

Glucotrol Xl for Type 2 Diabetes Mellitus

5

Patient Review

11/27/2008

Glucotrol Xl for Type 2 Diabetes Mellitus

4.7

Patient Review

11/19/2008

Glucotrol Xl for Type 2 Diabetes Mellitus

4.7

Patient Review

1/2/2010

Glucotrol Xl for Type 2 Diabetes Mellitus

I've been taking this medication for seven years now and I find that it works really well.

4.3

Patient Review

5/8/2009

Glucotrol Xl for Type 2 Diabetes Mellitus

This medication, in conjunction with Metformin and Insulin, has helped me to regain my vision. It's been a true miracle for me; I can see things that I couldn't before, like the wings on a bird or the leaves on a tree.

4.3

Patient Review

12/6/2007

Glucotrol Xl for Type 2 Diabetes Mellitus

4

Patient Review

3/1/2012

Glucotrol Xl for Type 2 Diabetes Mellitus

This medication, in conjunction with a healthier diet, helped to get my glucose levels back down to normal. I also lost some weight, which was an added bonus!

3.7

Patient Review

2/10/2008

Glucotrol Xl for Type 2 Diabetes Mellitus

1

Patient Review

11/11/2009

Glucotrol Xl for Type 2 Diabetes Mellitus

Easy to take, and in my case it has been effective at lowering blood sugar levels when combined with Glucofage. I have not experienced any stomach problems when taking this medication.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about glucotrol xl

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Does Glucotrol XL cause weight gain?

"Weight gain is a common side effect of diabetes medications like insulin and glipizide."

Answered by AI

What is Glucotrol XL used for?

"Glipizide is used in conjunction with a proper diet and exercise regime to help control high blood sugar levels in people with type 2 diabetes. It can also be used alongside other diabetes medications. Managing high blood sugar levels can help reduce the risk of developing kidney damage, blindness, nerve problems, losing limbs and sexual function issues."

Answered by AI

Is Glucotrol the same as metformin?

"Polycystic ovaries and weight gain due to medications used for treating psychoses can also be treated with metformin. The brand names for metformin include Glumetza, Glucophage, and Fortamet. The brand names for glipizide include Glucotrol and Glucotrol XL."

Answered by AI

When should I take Glucotrol XL?

"You should take Glucotrol XL once a day by mouth, either with breakfast or the first big meal of the day. The recommended starting dose is 5 mg. If you're at increased risk for hypoglycemia (for example, if you're elderly or have liver problems), start with 2.5 mg."

Answered by AI

Clinical Trials for Glucotrol Xl

Image of University of Alabama at Birmingham in Birmingham, United States.

Post-Discharge Support for Type 2 Diabetes

18+
All Sexes
Birmingham, AL

This study tests whether a support program led by a nurse case manager and community health worker can help patients with type 2 diabetes manage their medications after leaving the hospital. Many patients with diabetes take multiple medications, and changes to these medications during hospital stays can cause confusion and lead to missed doses or incorrect use. This is especially common in communities with limited access to healthcare. The study uses a computer-based tool called MEDBRIDGE (MEDication BRIDGE) to identify patients who may be at higher risk for problems after discharge, such as worsening blood sugar control or return visits to the emergency department. Patients identified as high-risk will receive 3 months of support from a nurse case manager and community health worker team, who will help with medication questions, coordinate with their doctor, and provide follow-up check-ins. The main goal is to find out whether this type of support program is practical to deliver and acceptable to patients. The study will also track changes in blood sugar levels and emergency department visits. Forty-five patients will be enrolled over 6 months at the University of Alabama at Birmingham and Cooper Green Mercy Health Services in Jefferson County, Alabama.

Waitlist Available
Has No Placebo

University of Alabama at Birmingham (+1 Sites)

Seung-Yup Lee, PhD

Image of Institut de recherches cliniques de Montréal (IRCM) in Montreal, Canada.

Fish Oil for Type 2 Diabetes

40 - 70
All Sexes
Montreal, Canada

The purpose of this clinical trial is to find out whether one type of fish oil works better than another at improving metabolic health in people who are at high risk of developing type 2 diabetes. Some metabolic problems-such as difficulty controlling blood sugar, unhealthy particles that transport cholesterol in the blood, and poor fat tissue function-can increase the risk of type 2 diabetes. This study aims to determine whether different types of fish oil can: 1. Improve how well the body produces insulin and responds to it, 2. Improve the quality of the particles that carry "bad" cholesterol in the blood, and 3) Improve the health and function of participants' fat tissue. To answer these questions, researchers will compare the effects of two types of fish oil: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). These will be compared with corn oil, which is used as a placebo and does not contain EPA or DHA. When included in this study, participants will: A) Take softgel capsules containing EPA, DHA, or placebo (corn oil) every day for 12 weeks, B) Keep a daily log to record when they take their study softgels, and C) Visit the research unit six times, including one and a half days before and after the intervention, to complete specialized metabolic tests that are mostly only available in research settings.

Phase 2
Waitlist Available

Institut de recherches cliniques de Montréal (IRCM)

May Faraj, P.Dt., Ph.D.

Image of Centre de recherche du CHUS in Sherbrooke, Canada.

Cold Exposure for Type 2 Diabetes

40 - 75
All Sexes
Sherbrooke, Canada

Type 2 Diabetes Mellitus (T2DM) is a widespread health condition characterized by impaired ability of the body to maintain glucose homeostasis. This impairment often leads to secondary complications, including heart disease, high blood pressure, and poor quality of life. While exercise and healthy eating are effective strategies in managing and preventing T2DM, data shows that long-term adherence to these methods are poor - especially among elderly, individuals with obesity and/or with physical limitations. This clinical study explores cold exposure with shivering as a novel strategy to improve blood sugar control and heart health. In earlier research, spending time in mildly cold environments (around 15-17°C) for a few hours a day improved insulin sensitivity of T2DM patients. Interestingly, these benefits only occurred when the cold caused mild shivering. In a recent 10-day cold acclimation study with overt shivering for minimally 1 hour/day, we observed improved glucose tolerance in participants with overweight/obesity, as well as improved fasting lipid profiles. These results indicate that when accompanied with sufficient level of muscle activation, repeated exposure to cold can beneficially affect both glucose and lipid levels - both of which are impaired in people with T2DM. In this study, we hypothesise that a 10-day cold acclimation with shivering will improve the (peripheral) insulin sensitivity of patients with T2DM, accompanied by enhanced skeletal muscle FA uptake and oxidation as assessed via the 11C palmitate uptake.

Recruiting
Has No Placebo

Centre de recherche du CHUS

Denis P. Blondin, PhD

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Image of The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine in Columbus, United States.

Nutrition Education and Support for Pregestational Diabetes

18+
Female
Columbus, OH

Nutrition insecurity (inclusive of food insecurity + poor diet quality) is a fundamental social need that must be addressed to improve treatment and health outcomes for high-risk pregnant women with pregestational type 1 and 2 diabetes, poor glucose control, and food insecurity for whom a healthy diet is critical. The NOURISH trial will provide evidence of a scalable, integrated, and theory-based healthcare-community partnership that includes weekly nutritious produce home delivery, monthly clinic-integrated diabetes, nutrition, and culinary group education, and continuous social needs assessment and support to improve glucose control and pregnancy outcomes. Given the increasing burden and devasting consequences of nutrition insecurity among high-risk pregnant women with diabetes and unmet social needs, NOURISH-an innovative and sustainable healthcare-community partnership-will have significant public health benefit.

Waitlist Available
Has No Placebo

The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine

Daniel Walker, PhD

Image of Baylor Scott and White Medical Center- Temple in Temple, United States.

Rapid Treatment Approach for Chronic Kidney Disease

18 - 84
All Sexes
Temple, TX

The goal of this clinical trial is to learn if starting four kidney disease medicines quickly and together (a rapid treatment approach) is safe and works well in people with type 2 diabetes and chronic kidney disease. The main questions it aims to answer are: * Is it safe to start these medicines over a short period of time? * How often do kidney function changes or high potassium levels occur? * Does this approach lower protein in the urine (a sign of kidney damage)? * How many participants are able to stay on all four medicines over 6 months? Researchers will compare this approach to usual care, where medicines are started one at a time over several months. Participants will: Be assigned by chance to either this approach or usual care Start up to four approved kidney medicines over about 8 weeks (rapid treatment approach) or follow standard care Have regular clinic visits and lab tests to check kidney function and potassium levels Be followed for about 6 months

Phase 4
Waitlist Available

Baylor Scott and White Medical Center- Temple

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Image of Icahn School of Medicine at Mount Sinai in New York, United States.

Continuous Glucose Monitoring for Diabetes

18+
All Sexes
New York, NY

This is an investigator initiated prospective, randomized controlled trial which aims to compare two groups of patients with either type 2 or steroid-induced diabetes who are discharged with insulin. The intervention group will use the Libre 3 Plus continuous glucose monitoring (CGM) system at discharge, while the control group will use blinded CGM and fingerstick monitoring. Both the intervention and control groups will wear the sensor for 28 days post discharge and participate in telehealth diabetes management visits. The target enrollment for the study is 65 participants and participants are expected to be in the study for up to 35 days.

Waitlist Available
Has No Placebo

Icahn School of Medicine at Mount Sinai

Grenye O'Malley, MD

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