Metfolin 2.5 mg+500 mg (Tablet)

Unit Price: ৳ 12.00 (2 x 10: ৳ 240.00)
Strip Price: ৳ 120.00

Medicine Details

Indications

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

Pharmacology

  • Inhibitor of DPP-4 enzyme
  • Increases active incretin hormones
  • Stimulates insulin release from pancreatic beta cells
  • Decreases glucagon secretion from pancreatic alpha cells
  • Biguanide type oral antihyperglycemic drug
  • Lowers basal and postprandial plasma glucose
  • Decreases hepatic glucose production
  • Improves insulin sensitivity

Dosage & Administration

  • Maximum recommended dose of 2.5 mg Linagliptin and 1000 mg Metformin Hydrochloride twice daily with meals
  • Dose escalation should be gradual
  • Recommended starting dose for patients not treated with Metformin Hydrochloride
  • Individualized dosage based on effectiveness and tolerability

Interaction

  • Potential interaction with cationic drugs
  • Risk of metabolic acidosis with carbonic anhydrase inhibitors
  • Effects of rifampin on Linagliptin exposure
  • Impact of certain drugs on glycemic control

Contraindications

  • Contradicted in patients with renal impairment
  • Contraindicated in acute or chronic metabolic acidosis
  • Hypersensitivity to Linagliptin or Metformin Hydrochloride

Side Effects

  • Most common side effects: nasopharyngitis and diarrhea
  • Hypoglycemia more common in patients treated with Metformin and sulfonylureas

Pregnancy & Lactation

  • Should be used during pregnancy only if clearly needed
  • Caution in administration to lactating mothers

Precautions & Warnings

  • Discontinue in case of lactic acidosis or suspected pancreatitis
  • Monitoring of Vitamin B12 levels
  • Instructions for alcohol consumption
  • Precautions for travel and emergencies

Overdose Effects

  • Usual supportive measures in the event of overdose
  • Dialyzable nature of Metformin Hydrochloride
  • No dose-related clinical adverse drug reactions with Linagliptin
  • Hypoglycemia and lactic acidosis reported in Metformin Hydrochloride overdose cases

Therapeutic Class

  • Combination Oral hypoglycemic preparations

Storage Conditions

  • Keep in a cool & dry place (below 30°C)
  • Protected from light & moisture
  • Keep out of the reach of children

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