Minirfor 500 mg (Tablet)

Unit Price: ৳ 4.00

Medicine Details

Indications

  • Treatment of type 2 diabetes mellitus
  • Management of type 2 diabetes in overweight patients

Pharmacology

  • Biguanide type oral antihyperglycemic drug
  • Lowers basal and postprandial plasma glucose
  • Decreases hepatic glucose production
  • Improves insulin sensitivity

Dosage & Administration

  • Dosage individualized based on effectiveness and tolerance
  • Maximum recommended daily doses
  • Usual starting dose for adults and children
  • Usual starting dose for Metformin XR
  • Dosage adjustments for renal impaired patients

Interaction

  • Interaction with Furosemide and Nifedipine
  • Interaction with cationic drugs and Cimetidine
  • Drugs that may lead to loss of glycemic control

Contraindications

  • Hypersensitivity to active substance or excipients
  • Acute metabolic acidosis
  • Severe renal failure
  • Acute conditions altering renal function
  • Conditions causing tissue hypoxia

Side Effects

  • Hemolytic anemia
  • Lactic acidosis
  • Decrease of vitamin B12 absorption
  • Peripheral neuropathy
  • Taste disturbance
  • Gastrointestinal disorders
  • Liver function test abnormalities
  • Skin reactions

Pregnancy & Lactation

  • Risks of uncontrolled diabetes during pregnancy
  • Recommendation against using metformin during pregnancy
  • Excretion into human breast milk

Precautions & Warnings

  • Excretion by the kidney
  • Decreased vitamin B12 level
  • Increased risk of hypoglycemia
  • Regular monitoring of renal function
  • Caution in conditions causing dehydration or serious infections

Use in Special Populations

  • Dosage adjustment for elderly subjects
  • Confirmation of type 2 diabetes mellitus before treatment
  • Effect on growth and puberty in children
  • Renal function assessment
  • Caution in patients with GFR<30 ml/min

Overdose Effects

  • Lactic acidosis as a medical emergency
  • Hemodialysis for removal of lactate and Metformin

Therapeutic Class

  • Biguanides

Storage Conditions

  • Keep below 30°C temperature
  • Protected from light & moisture
  • Keep out of the reach of children

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