Isentin M 2.5 mg+500 mg (Tablet)

Unit Price: ৳ 12.00 (3 x 10: ৳ 360.00)
Strip Price: ৳ 120.00

Medicine Details

Indications

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

Pharmacology

  • DPP-4 inhibitor
  • GLP-1 and GIP hormone incretin enhancer
  • Reduces glucagon secretion
  • Lowers basal and postprandial plasma glucose
  • Decreases hepatic glucose production
  • Improves insulin sensitivity

Dosage & Administration

  • Immediate release tablet
  • Extended release tablet
  • Individualized dosage based on effectiveness and tolerability
  • Gradual dose escalation to reduce gastrointestinal side effects
  • Recommended starting dose for new and existing patients

Cationic Drugs

  • Potential interaction with Metformin
  • Recommendation for careful patient monitoring and dose adjustment

Carbonic Anhydrase Inhibitors

  • May induce metabolic acidosis
  • Use with caution in patients taking Isentin M

Inducers of P-glycoprotein and CYP3A4 Enzymes

  • Impacts Linagliptin exposure
  • Recommended use of alternative treatments

Drugs Affecting Glycemic Control

  • May lead to loss of glycemic control
  • Caution and close observation required in combination with Isentin M

Contraindications

  • Renal impairment
  • Acute or chronic metabolic acidosis
  • Hypersensitivity to Linagliptin or Metformin Hydrochloride

Side Effects

  • Most common: nasopharyngitis and diarrhea
  • Increased risk of hypoglycemia with Isentin M and sulfonylureas

Pregnancy & Lactation

  • Caution advised in pregnancy and lactation due to limited studies

Precautions & Warnings

  • Prone to lactic acidosis and acute pancreatitis
  • Need for temporary discontinuation during certain medical procedures
  • Monitoring of Vitamin B12 levels
  • Recommendations for alcohol consumption, other medicines, counseling, travel, and emergency preparedness
  • Potential for hypoglycemia

Overdose Effects

  • Supportive measures in event of overdose
  • Dialyzable properties of Metformin Hydrochloride
  • No dose-related clinical adverse drug reactions for Linagliptin up to 600mg
  • Reported hypoglycemia and lactic acidosis in Metformin Hydrochloride overdose

Therapeutic Class

  • Combination Oral hypoglycemic preparations

Storage Conditions

  • Cool & dry place (below 30°C)
  • Protected from light & moisture
  • Keep out of reach of children

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