Dapaglip 10 mg (Tablet)

Unit Price: ৳ 30.00 (2 x 10: ৳ 600.00)
Strip Price: ৳ 300.00

Medicine Details

Indications

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

Pharmacology

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

Dosage & Administration

  • Recommended starting dose of 5 mg once daily for adults
  • Can be increased to 10 mg once daily for additional glycemic control
  • Assessment of renal function recommended prior to initiation
  • Not recommended in patients with eGFR less than 60 mL/min/1.73 m^2
  • No established safety and efficacy in children and adolescents

Interaction

  • May add to the diuretic effect of thiazide and loop diuretics
  • May interact with insulin, insulin secretagogues, antihypertensives, pioglitazone, agents affecting renal function, GLP-1 agonists, valsartan, rifampin, mefenamic acid

Contraindications

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

Side Effects

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

Pregnancy & Lactation

  • Pregnancy category C
  • No adequate data in pregnant women
  • Should be used during pregnancy only if potential benefit justifies potential risk to the fetus
  • Not known if excreted in human milk
  • Should not be used during lactation

Precautions & Warnings

  • Assess volume status and correct hypovolemia before initiation
  • Monitor renal function during therapy
  • Consider lower dose of insulin or insulin secretagogue to reduce risk of hypoglycemia
  • Not to be used in patients with active bladder cancer
  • No established macrovascular risk reduction evidence

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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