Emaglin-L 10 mg+5 mg (Tablet)
Unit Price: ৳ 30.00 (3 x 7: ৳ 630.00)
Strip Price: ৳ 210.00
Medicine Details
Category | Details |
---|---|
Generic | Empagliflozin linagliptin |
Company | Dbl pharmaceuticals ltd |
Also available as |
Title
- Emaglin-L Tablet 5's
Categories
- Diabetes Medication
- Pharmacology
- SGLT2 Inhibitor
Description
- Emaglin-L is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
Dosage & Administration
- Recommended dose: 10 mg Empagliflozin and 5 mg Linagliptin once daily, taken in the morning, with or without food.
- Increased dose: Dose may be increased to 25 mg Empagliflozin and 5 mg Linagliptin once daily.
- Renal impaired patients: Assess renal function before initiating this tablet.
- Do not initiate this tablet if eGFR is below 45 mL/min/1.73 m2.
- Discontinue taking this tablet if eGFR falls below 45 ml/min/1.73 m2.
Interaction
- Diuretics: Coadministration of Empagliflozin with diuretics resulted in increased urine volume and frequency of voids, which might enhance the potential for volume depletion.
- Insulin or Insulin Secretagogues: Coadministration of Empagliflozin with Insulin or Insulin secretagogues increases the risk for hypoglycemia.
- Inducers of P-glycoprotein or CYP3A4 Enzymes: Rifampin decreased Linagliptin exposure, suggesting that the efficacy of Linagliptin may be reduced when administered in combination with a strong P-gp or CYP3A4 inducer.
- Positive Urine Glucose Test: SGLT2 inhibitors increase urinary glucose excretion and will lead to positive urine glucose tests.
- Interference with 1,5-anhydroglucitol (1,5-AG) Assay: Measurements of 1,5-AG are unreliable in assessing glycemic control in patients taking SGLT2 inhibitors.
Contraindications
- Severe renal impairment, end-stage renal disease, or dialysis
- History of hypersensitivity reaction to Linagliptin, such as anaphylaxis, angioedema, exfoliative skin conditions, urticaria, or bronchial hyperreactivity
- History of serious hypersensitivity reaction to Empagliflozin
Side Effects
- Pancreatitis
- Ketoacidosis
- Volume Depletion
- Urosepsis and Pyelonephritis
- Hypoglycemia with Concomitant Use with Insulin and Insulin Secretagogues
- Necrotizing Fasciitis of the Perineum (Fournier’s Gangrene)
- Genital Mycotic Infections
- Hypersensitivity Reactions
- Severe and Disabling Arthralgia
- Bullous Pemphigoid
- Heart Failure
Pregnancy & Lactation
- Not recommended during the second and third trimesters of pregnancy.
- The limited available data of this tablet in pregnant women are not sufficient to determine a drug-associated risk for major birth defects and miscarriage.
- There are risks to the mother and fetus associated with poorly controlled diabetes in pregnancy.
Precautions & Warnings
- Pancreatitis: Acute pancreatitis, including fatal pancreatitis, has been reported in patients treated with Linagliptin.
- Ketoacidosis: Reports of ketoacidosis, a serious life-threatening condition requiring urgent hospitalization have been identified in clinical trials and postmarketing surveillance in patients with type 1 and type 2 diabetes mellitus receiving sodium glucose co-transporter-2 (SGLT2) inhibitors, including Empagliflozin.
- Volume Depletion: Empagliflozin can cause intravascular volume depletion which may sometimes manifest as symptomatic hypotension or acute transient changes in creatinine.
Overdose Effects
- In the event of an overdose with this tablet, contact Poison Control Center.
- Employ the usual supportive measures (e.g., remove unabsorbed material from the gastrointestinal tract, employ clinical monitoring, and institute supportive treatment) as dictated by the patient’s clinical status.
- Removal of Empagliflozin by hemodialysis has not been studied, and removal of Linagliptin by hemodialysis or peritoneal dialysis is unlikely.
Therapeutic Class
- Sodium-glucose Cotransporter-2 (SGLT2) Inhibitors
Storage Conditions
- Store below 30° C temperature.
- Keep away from light and wet place.
- Keep out of reach of children.