Abstract

Ravi Kant* Prakash Tendulkar and Mahendra Kumar Meena

ABSTRACT

Numerous pharmacological agents have been commonly used in diabetes mellitus patients, with the potential to alter serum glucose levels. Some of these commonly used drugs associated with hypoglycaemia, other than anti diabetic drugs, like ACE inhibitors, ?-blockers, Quinolones; Salicylates etc.[1,2] This is a case report of drug-induced hypoglycaemia due to quinolones. Ciprofloxacin (Quinolones) is a very common antibiotic prescribed by clinicians in day-to-day practice; however, awareness about the uncommon side effects like hypoglycaemia is poor.[2] This is case of a 42-year-old female who is a known case of DM for last 12 years on basal bolus insulin regimen with normal renal function and hypothyroidism. She had no prior episodes of hypoglycaemia while taking the same Insulin doses. She underwent a cataract surgery after which she was started on tab ciprofloxacin 500mg BD along with other symptomatic eye drops. On the 3rd day after discharge, she developed symptomatic severe hypoglycaemia (58mg/dl). Next day she herself reduced the dose of insulin which again leads to a similar episode of severe hypoglycaemia. After her OPD visit next day, a careful review of medications was done at diabetic clinic and Ciprofloxacin was stopped.