A 67-year-old man with type 2 diabetes mellitus on metformin presents with acute onset facial flushing, nausea, and palpitations 15 minutes after consuming wine at dinner. Vital signs show BP 138/82 mmHg, HR 105/min, RR 16/min, temperature 37.2°C. Recent labs reveal fasting glucose 128 mg/dL. He recently initiated an older sulfonylurea agent that stimulates pancreatic beta cell insulin secretion. No chest pain or dyspnea noted. Which drug most likely caused his symptoms?
- A)Repaglinide
- B)Acarbose
- C)Metformin
- D)ChlorpropamideGABARITO
- E)Glyburide
Explicação
Chlorpropamide is a first generation sulfonylurea that can produce a disulfiram like reaction after alcohol intake. Like other sulfonylureas, it increases insulin release, but this older toxicity profile is a classic clue to chlorpropamide. Ver explicação completa e trilha adaptativa →