Gluco-A 100 mg (Tablet)

Unit Price: ৳ 20.07 (1 x 10: ৳ 200.70)
Strip Price: ৳ 200.70

Medicine Details

Category Details
Generic Acarbose
Company Acme laboratories ltd
Also available as

Indications

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

Pharmacology

  • Inhibits pancreatic alpha-amylase
  • Inhibits intestinal alpha-glucosidase enzymes
  • Delays glucose absorption
  • Lowers postprandial hyperglycemia
  • Enhances glycemic control
  • Diminishes insulinotropic and weight-increasing effects of sulfonylureas
  • No inhibitory activity against lactase

Dosage & Administration

  • Recommended starting dosage of 25 mg
  • Given orally three times daily
  • Gradual dose titration to minimize gastrointestinal side effects
  • Dosage adjustment at 4–8 week intervals
  • Maintenance dosage ranges from 50 mg to 100 mg three times daily

Interaction

  • Some drugs may produce hyperglycemia
  • May lead to loss of blood glucose control
  • Close observation needed when co-administered with certain drugs
  • Withdrawal of certain drugs may lead to hypoglycemia
  • Potential for hypoglycemia when co-administered with sulfonylureas or insulin

Contraindications

  • Hypersensitivity to the drug
  • Diabetic ketoacidosis
  • Cirrhosis
  • Inflammatory bowel disease
  • Colonic ulceration
  • Partial intestinal obstruction
  • Chronic intestinal diseases with digestion or absorption disorders
  • Conditions that may deteriorate due to increased gas formation in the intestine

Side Effects

  • Diarrhea
  • Gas
  • Upset stomach
  • Constipation
  • Stomach pain

Pregnancy & Lactation

  • Pregnancy Category B
  • No established safety in pregnant women
  • Not recommended for nursing women

Precautions & Warnings

  • Should not cause hypoglycemia when administered alone
  • May increase potential for hypoglycemia when co-administered with sulfonylureas or insulin
  • Use oral glucose instead of sucrose for hypoglycemia correction
  • Severe hypoglycemia may require intravenous glucose infusion or glucagon injection

Use in Special Populations

  • Safety and effectiveness not established in pediatric patients
  • No significant differences observed in geriatric use

Overdose Effects

  • Transient increases in flatulence, diarrhea, abdominal discomfort
  • No hypoglycemia result from overdose
  • Avoid carbohydrates for 4–6 hours in case of overdose

Therapeutic Class

  • Alpha-Glucosidase inhibitor

Storage Conditions

  • Store below 25°C
  • Protect from moisture

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