Glucagon

— THERAPEUTIC CATEGORIES —
  • Diabetes
  • Miscellaneous diagnostic tests

Glucagon Generic Name & Formulations

General Description

Glucagon (recombinant) 1mg/mL; lyophilized pwd for IM, IV, or SC inj after reconstitution.

Pharmacological Class

Antihypoglycemic.

How Supplied

Emergency kit (1mg)—1 (w. diluent)

Manufacturer

Glucagon Indications

Indications

Severe hypoglycemia in diabetics.

Glucagon Dosage and Administration

Adults and Children

Give by IM, IV, or SC inj. Administer IM or SC inj into upper arm, thigh or buttocks. <20kg: 0.5mg or 0.02–0.03mg/kg. ≥20kg: 1mg. May repeat in 15mins as needed. After responding and able to swallow, give oral carbohydrates.

Glucagon Contraindications

Contraindications

Pheochromocytoma. Insulinoma. Glucagonoma when used as a diagnostic test.

Glucagon Boxed Warnings

Not Applicable

Glucagon Warnings/Precautions

Warnings/Precautions

Instruct caregivers in proper use. Previously undiagnosed pheochromocytoma; risk of substantial increase in BP. If hypoglycemia develops after treatment, give oral or IV glucose. Conditions with insufficient hepatic glycogen (eg, starvation, adrenal insufficiency, chronic hypoglycemia); treat with glucose. Necrolytic migratory erythema (w. continuous infusion). As a diagnostic aid in diabetes or patients with cardiac disease; monitor blood glucose levels, BP, HR. Pregnancy. Nursing mothers.

Glucagon Pharmacokinetics

See Literature

Glucagon Interactions

Interactions

Transient increase in pulse and blood pressure may occur with beta-blockers. Loss of efficacy or may produce hypoglycemia with indomethacin. May potentiate the anticoagulant effect of warfarin. Potentiates anticholinergics; avoid concomitant use (during use as a diagnostic aid). Antagonized by insulin; monitor blood glucose (during use as a diagnostic aid).

Glucagon Adverse Reactions

Adverse Reactions

Inj site reactions, nausea, vomiting, headache, dizziness, asthenia, pallor, diarrhea, somnolence, decreased BP.

Glucagon Clinical Trials

See Literature

Glucagon Note

Not Applicable

Glucagon Patient Counseling

See Literature

Glucagon Generic Name & Formulations

General Description

Glucagon (recombinant) 1mg/mL; lyophilized pwd for IM, IV, or SC inj after reconstitution.

Pharmacological Class

Diagnostic aid.

How Supplied

Emergency kit (1mg)—1 (w. diluent)

Manufacturer

Glucagon Indications

Indications

For use during radiologic examinations to temporarily inhibit movement of the GI tract.

Glucagon Dosage and Administration

Adult

To relax the stomach, duodenum, small bowel: usually 0.25–0.5mg IV or 1mg IM; up to 2mg IV or IM may be used, if needed. Stomach: 0.5mg IV or 2mg IM. Colon: 2mg IM, given approx. 10mins prior to procedure. After procedure, give oral carbohydrates to patients who have been fasting, if compatible.

Children

Not established.

Glucagon Contraindications

Contraindications

Pheochromocytoma. Insulinoma. Glucagonoma when used as a diagnostic test.

Glucagon Boxed Warnings

Not Applicable

Glucagon Warnings/Precautions

Warnings/Precautions

Instruct caregivers in proper use. Previously undiagnosed pheochromocytoma; risk of substantial increase in BP. If hypoglycemia develops after treatment, give oral or IV glucose. Conditions with insufficient hepatic glycogen (eg, starvation, adrenal insufficiency, chronic hypoglycemia); treat with glucose. Necrolytic migratory erythema (w. continuous infusion). As a diagnostic aid in diabetes or patients with cardiac disease; monitor blood glucose levels, BP, HR. Pregnancy. Nursing mothers.

Glucagon Pharmacokinetics

See Literature

Glucagon Interactions

Interactions

Transient increase in pulse and blood pressure may occur with beta-blockers. Loss of efficacy or may produce hypoglycemia with indomethacin. May potentiate the anticoagulant effect of warfarin. Potentiates anticholinergics; avoid concomitant use (during use as a diagnostic aid). Antagonized by insulin; monitor blood glucose (during use as a diagnostic aid).

Glucagon Adverse Reactions

Adverse Reactions

Inj site reactions, nausea, vomiting, headache, dizziness, asthenia, pallor, diarrhea, somnolence, decreased BP.

Glucagon Clinical Trials

See Literature

Glucagon Note

Not Applicable

Glucagon Patient Counseling

See Literature