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As a group, they are at least 100 times more potent with fewer side-effects than first generation sulponylureas. First generation sulphonylureas include tolazamide, tolbutamide and acetohexamide which are no longer available in SA, but chlorpropamide (Hypomide) 8211; also regarded as out-of-date medication because it may easily cause hypoglycaemia 8211; is still available in our country. If you are still using Hypomide, ask your doctor about the newer medications. How does it work. Sulfonylureas help the pancreas to produce and secrete more insulin, which then lowers blood glucose. They also help the body use the insulin it makes to better lower blood glucose.

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