Carlina-M 2.5 mg+500 mg (Tablet)

Unit Price: ৳ 13.00 (4 x 6: ৳ 312.00)
Strip Price: ৳ 78.00

Medicine Details

Indications

  • Adjunct to diet and exercise
  • Improves glycemic control
  • Type 2 diabetes mellitus

Pharmacology

  • Inhibits DPP-4 enzyme
  • Increases active incretin hormone concentrations
  • Stimulates insulin release from pancreatic beta cells
  • Decreases glucagon secretion from pancreatic alpha cells
  • Lowers basal and postprandial plasma glucose
  • Improves insulin sensitivity

Dosage & Administration

  • Immediate release tablet
  • Extended release tablet
  • Individualized dosage
  • Maximum recommended dose
  • Gradual dose escalation
  • Recommended starting dose
  • Switching from individual components
  • Once daily dosage

Interaction

  • Cationic drug interaction
  • Carbonic anhydrase inhibitors interaction
  • Inducers of P-glycoprotein and CYP3A4 enzymes interaction
  • Drugs affecting glycemic control interaction

Contraindications

  • Renal impairment
  • Metabolic acidosis
  • Hypersensitivity to components

Side Effects

  • Nasopharyngitis
  • Diarrhea
  • Hypoglycemia
  • Sulfonylureas interaction

Pregnancy & Lactation

  • Limited studies in pregnant women
  • Caution during lactation

Precautions & Warnings

  • Discontinue in lactic acidosis
  • Discontinue in pancreatitis
  • Discontinue during radiologic studies and surgical procedures
  • Vitamin B12 level monitoring
  • Symptoms of lactic acidosis
  • Temporary cessation for major surgery or diagnostic tests
  • Alcohol consumption precautions
  • Monitoring for side effects
  • Travel considerations
  • Emergency preparedness
  • Hypoglycemia precautions

Overdose Effects

  • Supportive measures
  • Hemodialysis for Metformin
  • No dose-related clinical adverse reactions at high doses
  • Hypoglycemia in Metformin overdose
  • Lactic acidosis in Metformin overdose

Therapeutic Class

  • Oral hypoglycemic preparations

Storage Conditions

  • Cool and dry storage
  • Below 30°C
  • Protected from light and moisture
  • Keep out of reach of children

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