EmpaMet 12.5 mg+500 mg (Tablet)
Unit Price: ৳ 28.00 (3 x 10: ৳ 840.00)
Strip Price: ৳ 280.00
Medicine Details
Category | Details |
---|---|
Generic | Empagliflozin metformin hydrochloride |
Company | Nipro jmi pharma ltd |
Also available as |
Indications
- Treatment of adults with type 2 diabetes mellitus
- Adjunct to diet and exercise
- For patients insufficiently controlled on Metformin alone
- For patients in combination therapy for diabetes
- For patients already on Empagliflozin and Metformin
- Once daily dosing
- Extended-release formulation available
- Not for pediatric patients under 18
Pharmacology
- Empagliflozin: SGLT2 inhibitor
- Metformin Hydrochloride: Biguanide antihyperglycemic drug
- Mechanism of action
- Effects on glucose reabsorption
- Effects on renal threshold for glucose
- Improvement in insulin sensitivity
Dosage & Administration
- Individualized dosing based on effectiveness
- Twice daily with meals
- Gradual dose escalation
- Maximum recommended daily doses
- Starting dose based on current regimen
- Renal impaired patient assessment
- Dosing adjustments
Interactions
- Diuretics interaction
- Insulin and secretagogues interaction
- Monitoring glucose control
- Drugs affecting Metformin clearance
- Carbonic anhydrase inhibitors interaction
- Alcohol interaction
Contraindications
- Hypersensitivity reactions
- Acute metabolic acidosis
- Severe renal failure
- Acute conditions affecting renal function
- Conditions causing tissue hypoxia
- Hepatic impairment
- Alcohol intoxication
Side Effects
- Urinary tract infection
- Genital mycotic infections
- Gastrointestinal symptoms
- Hypoglycemia
- Volume depletion
- Increased urination
- Diarrhea
- Nausea/vomiting
- Headache
Pregnancy & Lactation
- Risk to fetus during second and third trimesters
- Not recommended during breastfeeding
Precautions & Warnings
- Lactic Acidosis risk
- Hypotension
- Ketoacidosis assessment
- Acute kidney injury considerations
- Urosepsis and genital infections
- Hypoglycemia risk
- Vitamin B12 deficiency monitoring
- Increased LDL-C monitoring
Overdose Effects
- Empagliflozin toxicity studies
- Metformin overdose effects
- Lactic acidosis treatment
- Appropriate overdose treatment
- Haemodialysis for Metformin removal
Therapeutic Class
- Oral hypoglycemic preparations
- Combination therapy
Storage Conditions
- Temperature control
- Protection from light and moisture
- Child-proof storage
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