Tablets

Sulphonylureas

Taken once or twice daily with or shortly before a meal

These work by stimulating the cells in the pancreas to make more insulin. They also help insulin to work more effectively in the body.

Side effects which may be experienced in this group

Hypoglycaemia (hypo), nausea, vomiting, diarrhoea, constipation, loss of appetite, abdominal pain, bloating, indigestion, weight gain, liver function problems, blood disorders, allergic skin reactions, low sodium, headache, jaundice, tinnitus, pins and needles, increased sensitivity to sunlight, facial flushing with alcohol, intolerance to alcohol, visual disturbances, confusion, generally feeling unwell, dizziness, drowsiness, tremor, allergic reaction.

Name Trade name Initial daily dose

Minimum/maximum
daily dose

Chlorpropamide*   100 gm / 250 mg 100 - 500 mg
Glibenclamide* Daonil 2.5 mg / 5 mg 2.5 - 15 mg
Gliclazide Diamicron
Diamicron MR
80 mg
30 mg
40 - 320 mg
30 - 120 mg
Glipizide Glibenese, Minodiab 5 mg
2.5 mg/5 mg
2.5 - 20 mg
Glimepiride Amaryl 1 mg
2 mg
3 mg
4 mg
1 - 6 mg
Tolbutamide    500 mg 500 - 2000 mg

The dosage indicated will vary from person to person - if you have any problems with your dosage or the tablets you are taking, contact your healthcare team.

  • These should be avoided in the elderly due to their long-acting nature and therefore increased risk of hypoglycaemia

Next review date September 2009