Linatin M 2.5 mg+500 mg (Tablet)

Unit Price: ৳ 7.00 (3 x 10: ৳ 210.00)
Strip Price: ৳ 70.00

Medicine Details

Therapeutic Class

  • Combination Oral hypoglycemic preparations

Indications

  • Adjunct to diet and exercise for improving glycemic control in adults with type 2 diabetes mellitus

Pharmacology

  • Inhibitor of DPP-4 enzyme (Linagliptin)
  • Biguanide type oral antihyperglycemic drug (Metformin Hydrochloride)

Dosage & Administration

  • Individualized dosage based on effectiveness and tolerability
  • Maximum recommended dose of 2.5 mg Linagliptin and 1000 mg Metformin Hydrochloride twice daily with meals
  • Gradual dose escalation to reduce gastrointestinal side effects
  • Different starting doses for patients currently treated and not treated with Metformin Hydrochloride
  • Extended-release tablet available with individualized dosage not exceeding the maximum recommended total daily dose

Interaction

  • Potential interaction with cationic drugs
  • Possible induction of metabolic acidosis with carbonic anhydrase inhibitors
  • Decreased Linagliptin exposure with inducers of P-glycoprotein and CYP3A4 enzymes
  • Effect on glycemic control by certain drugs

Contraindications

  • Contraindicated in patients with renal impairment, acute or chronic metabolic acidosis, and hypersensitivity to Linagliptin or Metformin Hydrochloride

Side Effects

  • Common side effects include nasopharyngitis and diarrhea
  • Increased risk of hypoglycemia in patients treated with Linatin M and sulfonylureas

Pregnancy & Lactation

  • Caution advised for use during pregnancy and lactation due to lack of adequate studies

Precautions & Warnings

  • Discontinue in case of lactic acidosis or suspected pancreatitis
  • Temporary discontinuation for radiologic studies, surgical procedures, or intravascular administration of iodinated contrast materials
  • Monitoring of Vitamin B12 levels and hematologic parameters
  • Warning signs and precautions for lactic acidosis, hypoglycemia, and pancreatitis
  • Guidance on alcohol consumption, other medicines, counseling, travel, and emergency preparedness

Overdose Effects

  • Supportive measures in case of overdose with Linatin M
  • Unlikely removal of Linagliptin by dialysis
  • Reported effects of overdose with Metformin Hydrochloride

Storage Conditions

  • Keep in a cool, dry place below 30°C, protected from light and moisture
  • Keep out of the reach of children

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