Glifo-M XR 25 mg+1000 mg (Tablet (Extended Release))

Unit Price: ৳ 45.00 (2 x 10: ৳ 900.00)
Strip Price: ৳ 450.00

Medicine Details

Indications

  • Treatment of adults with type 2 diabetes mellitus
  • Adjunct to diet and exercise
  • Combination therapy with Metformin
  • Combination therapy with Empagliflozin

Pharmacology

  • Empagliflozin inhibits SGLT2
  • Metformin is a biguanide oral antihyperglycemic drug
  • Reduces renal reabsorption of glucose
  • Lowers renal threshold for glucose

Dosage & Administration

  • Recommended daily dose of Metformin Hydrochloride is 2000 mg
  • Recommended daily dose of Empagliflozin is 25 mg
  • Take the combination twice daily with meals
  • Individualized starting dose based on current regimen

Interactions

  • Diuretics may enhance volume depletion
  • Co-administration with insulin increases hypoglycemia risk
  • Monitoring glycemic control with urine glucose tests not recommended
  • Drugs affecting glycemic control may alter glucose levels

Contraindications

  • Hypersensitivity to Empagliflozin and Metformin
  • Acute metabolic acidosis
  • Severe renal failure (GFR <30 ml/min)

Side Effects

  • Urinary tract infection
  • Gastrointestinal symptoms
  • Vaginal moniliasis
  • Headache
  • Hypoglycemia
  • Volume depletion

Pregnancy & Lactation

  • Potential risk to fetus
  • Not recommended during breastfeeding

Precautions & Warnings

  • Monitor for lactic acidosis
  • Assess and correct volume status before initiation
  • Consider hypotension in patients with renal impairment
  • Evaluate for signs of ketoacidosis
  • Monitor for urinary tract infections

Overdose Effects

  • No toxicity observed with high doses of Empagliflozin
  • Risk of lactic acidosis with Metformin overdose
  • Considered a medical emergency
  • Treat according to patient's clinical status

Therapeutic Class

  • Combination oral hypoglycemic preparations

Storage Conditions

  • Store below 30°C
  • Protect from light and moisture
  • Keep out of the reach of children

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