Dapawin 5 mg (Tablet)

Unit Price: ৳ 16.00 (3 x 10: ৳ 480.00)
Strip Price: ৳ 160.00

Medicine Details

Indications

  • Adjunct to diet and exercise
  • Improves glycemic control
  • For adults with type 2 diabetes mellitus

Pharmacology

  • Inhibitor of Sodium-glucose co-transporter 2 (SGLT2)
  • Reduces reabsorption of filtered glucose
  • Lowers renal threshold for glucose (RTG)
  • Increases urinary glucose excretion

Dosage & Administration

  • Recommended starting dose: 5 mg once daily
  • Dose increase to 10 mg once daily for additional glycemic control
  • Assessment of renal function recommended before initiation
  • Dosing adjustment for patients with renal impairment
  • Not established for children and adolescents

Interaction

  • May interact with diuretics
  • Increase the risk of dehydration and hypotension
  • Potential for hypoglycemia with insulin and insulin secretagogues
  • Possible interaction with antihypertensives
  • Consideration for dosing adjustments with combination therapy

Contraindications

  • Known hypersensitivity to Dapagliflozin or excipients
  • Severe renal impairment
  • End-stage renal diseases
  • Patients on dialysis

Side Effects

  • Hypotension
  • Ketoacidosis
  • Acute kidney injury and impairment in renal function
  • Urosepsis and pyelonephritis
  • Hypoglycemia with concomitant use with insulin and insulin secretagogues
  • Genital mycotic infections
  • Increases in low-density lipoprotein cholesterol (LDL-C)
  • Nasopharyngitis
  • Urinary tract infection
  • Bladder cancer

Pregnancy & Lactation

  • Pregnancy category C
  • Limited data on use in pregnant women
  • Use during pregnancy only if potential benefit justifies potential risk to fetus
  • Not recommended for use during lactation

Precautions & Warnings

  • Assessment of volume status and correction of hypovolemia before initiation
  • Monitoring for signs and symptoms of hypotension
  • Renal function monitoring during therapy
  • Consideration for dosing adjustments for hypoglycemia risk
  • Caution in patients with a prior history of bladder cancer
  • No conclusive evidence of macrovascular risk reduction

Therapeutic Class

  • Sodium-glucose Cotransporter-2 (SGLT2) Inhibitors

Storage Conditions

  • Store in a cool place (below 30°C)
  • Dry place protected from light
  • Keep away from the reach of children

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