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pramlintide

Amylin analogue · Antidiabetic agent (other glucose-lowering agent)

Amylin analogueAntidiabetic agent (other glucose-lowering agent)
CDSCO approved
EXCRETION
not curated
INTERACTIONS
1 major
SEVERE in our sources
PREGNANCY
C
FDA category + note
Top interactionssee all 2
  • GatifloxacinSevereDatabaseDDInter

Mechanism

Pramlintide is a synthetic form of amylin, a peptide co-secreted with insulin from pancreatic β cells. It acts through amylin receptors in the hindbrain to reduce glucagon secretion, delay gastric emptying, and foster a feeling of satiety.

Indications

Adjunct treatment in type 1 diabetesAdjunct treatment in type 2 diabetes (in patients who take insulin with meals)adjuvant to meal-time insulin injection to suppress glycaemic peak in type 1 diabetes mellitusadjuvant to meal-time insulin injection to suppress glycaemic peak in type 2 diabetes mellitus

Pharmacokinetics

Duration
2–3 hours
Half-life
50 min
Bioavailability
30%–40%
Protein binding
Not extensively bound by plasma proteins
Metabolism
Primarily renal
Excretion

Side effects

Common
NauseaHypoglycemia (when added to insulin)reduction in body weight

Pregnancy & lactation

Pregnancy

C

Drug interactions

Gatifloxacin
Severe
Database

Clinical effect not specified

Source: DDInter

Insulin
Moderate
Textbook

Increased incidence and severity of hypoglycemia.

Prandial insulin doses should be reduced 30% to 50% at the time of pramlintide initiation and then retitrated.

Source: G&G 14e · p1041

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

Related guidelines

Ask House about pramlintide

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

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