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Diazoxide

Antidote · Antihypoglycemic agent

Also known as Eudemine, Proglycem

AntidoteAntihypoglycemic agent
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
1 major
SEVERE in our sources
PREGNANCY
Use only if essential; alopecia and hypertrichosis reported in neonates with prolonged use; may inhibit uterine activity during labour.
FDA category + note
Top interactionssee all 11
  • TizanidineSevereDatabaseDDInter

Mechanism

Diazoxide is classified as a glycogenolytic hormone. It is used to manage chronic intractable hypoglycaemia by increasing blood glucose levels.

Indications

Chronic intractable hypoglycaemiaInoperable insulinomasNeonatal hyperinsulinismHypertensive crisisprevent hypoglycaemia in insulinomasRapid reduction of BP in hypertensive emergencies

Dosing

Adult
Initially 5 mg/kg daily in 2–3 divided doses, adjusted according to response; maintenance 3–8 mg/kg daily in 2–3 divided doses by mouth.
Renal adjustment
Dose reduction may be required.

Pharmacokinetics

Half-life
48 h
Protein binding
Largely bound to plasma proteins

Side effects

Common
Abdominal painAlbuminuriaAppetite decreased (long term use)ConstipationDiarrhoeaDizzinessDyspnoeaFeverFluid retentionHeadacheHirsutismHyperglycaemiaHyperuricaemia (long term use)HypotensionMusculoskeletal painNauseaSkin reactionsSodium retentionTaste alteredTinnitusVision disordersVoice alteration (long term use)VomitingRetention of Na+ and fluidHyperuricemiaHypertrichosisvasodilatationfall in blood pressureantidiuresis
Serious
  • Arrhythmia
  • Azotaemia
  • Cardiomegaly
  • Cataract
  • Diabetic hyperosmolar coma
  • Eosinophilia
  • Extrapyramidal symptoms
  • Galactorrhoea
  • Haemorrhage
  • Heart failure
  • Hypogammaglobulinaemia
  • Ileus
  • Ketoacidosis
  • Leucopenia
  • Libido decreased
  • Nephritic syndrome
  • Oculogyric crisis
  • Pancreatitis
  • Parkinsonism
  • Pulmonary hypertension
  • Thrombocytopenia
  • Leukopenia

Pregnancy & lactation

Pregnancy

Use only if essential; alopecia and hypertrichosis reported in neonates with prolonged use; may inhibit uterine activity during labour.

Lactation

Manufacturer advises avoid—no information available.

Drug interactions

Tizanidine
Severe
Database

Clinical effect not specified

Source: DDInter

Sulfonylureas
Moderate
Textbook

Reduced glucose-lowering effect of sulfonylureas.

Source: G&G 14e · p1034

Xipamide
Moderate
Textbook

Enhanced diazoxide effects.

Not explicitly stated, but implies caution during coadministration.

Source: G&G 14e · p567

Bendroflumethiazide
Moderate
Database

Enhanced diazoxide effects.

Not explicitly stated, but implies caution during coadministration.

Source: DDInter

Chlorthalidone
Moderate
Database

Enhanced diazoxide effects.

Not explicitly stated, but implies caution during coadministration.

Source: DDInter

Hydralazine
Moderate
Database

Profound additive hypotension

Avoid concurrent use

Source: Kimi deep-research + Cla

Hydrochlorothiazide
Moderate
Database

Enhanced diazoxide effects.

Not explicitly stated, but implies caution during coadministration.

Source: DDInter

Hydroflumethiazide
Moderate
Database

Enhanced diazoxide effects.

Not explicitly stated, but implies caution during coadministration.

Source: DDInter

Indapamide
Moderate
Database

Enhanced diazoxide effects.

Not explicitly stated, but implies caution during coadministration.

Source: DDInter

Metolazone
Moderate
Database

Enhanced diazoxide effects.

Not explicitly stated, but implies caution during coadministration.

Source: DDInter

Trichlormethiazide
Moderate
Database

Enhanced diazoxide effects.

Not explicitly stated, but implies caution during coadministration.

Source: DDInter

1 additional low-confidence interaction hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Antidote drugs

Ask House about Diazoxide

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: KD Tripathi 7e, Goodman & Gilman 14e, Katzung, BNF·Verified: 2026-05-10 · House clinical team