Glifo-M XR 10 mg+1000 mg (Tablet (Extended Release))

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

Medicine Details

Title

  • Glifo-M XR Tablet

Categories

  • Diabetes Medicine
  • Oral Hypoglycemic Preparations

Description

  • Indicated for treatment of type 2 diabetes mellitus
  • Inhibits Sodium-Glucose Co-Transporter 2 (SGLT2)
  • Dosage should be individualized based on effectiveness and tolerability
  • Interacts with diuretics, insulin, drugs affecting glycemic control, and alcohol
  • Contraindicated in hypersensitivity, acute metabolic acidosis, severe renal failure, hepatic impairment, and more
  • Common side effects include urinary tract infection, gastrointestinal symptoms, and hypoglycemia
  • Not recommended during pregnancy and lactation
  • Precautions for lactic acidosis, hypotension, ketoacidosis, acute kidney injury, hypoglycemia, and more
  • Overdose effects include toxicity and lactic acidosis
  • Belongs to therapeutic class of combination oral hypoglycemic preparations
  • Should be stored below 30°C, protected from light and moisture

DosageAndAdministration

  • Take this combination twice daily with meals
  • Gradual dose escalation recommended to reduce gastrointestinal side effects
  • Maximum recommended daily doses of Metformin Hydrochloride is 2000 mg and Empagliflozin is 25 mg
  • Extended-release formulations available for individualized starting dose

ModeOfAction

  • Empagliflozin inhibits SGLT2, leading to increased urinary glucose excretion
  • Metformin Hydrochloride lowers both basal and postprandial plasma glucose, decreases hepatic glucose production, and improves insulin sensitivity

Interaction

  • Co-administration with diuretics may enhance potential for volume depletion
  • Increases risk for hypoglycemia when co-administered with insulin or insulin secretagogues
  • Monitoring glycemic control with urine glucose tests not recommended
  • Drugs that reduce Metformin clearance may increase its accumulation
  • Co-administration with alcohol can potentiate the effect of Metformin on lactate metabolism

Contraindications

  • Hypersensitivity to Empagliflozin and Metformin
  • Acute metabolic acidosis, severe renal failure, hepatic impairment, acute alcohol intoxication, and more

SideEffects

  • Common adverse reactions include urinary tract infection, gastrointestinal symptoms, genital infections, and thirst
  • Uncommon adverse reactions include volume depletion, urticaria, and increased serum lipids

PregnancyAndLactation

  • Not recommended during pregnancy and lactation

PrecautionsAndWarnings

  • Lactic acidosis, hypotension, ketoacidosis, acute kidney injury, hypoglycemia, vitamin B12 deficiency, and more

OverdoseEffects

  • Toxicity and lactic acidosis may occur in overdose
  • Hypoglycemia has not been seen with Metformin doses of up to 85 g

TherapeuticClass

  • Combination Oral hypoglycemic preparations

StorageConditions

  • Keep below 30°C, protected from light and moisture

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