Losucon 2 mg (Tablet)

Unit Price: ৳ 9.00 (5 x 10: ৳ 450.00)
Strip Price: ৳ 90.00

Medicine Details

Therapeutic Class

  • Sulfonylureas

Indications

  • Adjunct to diet and exercise for noninsulin dependent diabetes mellitus (Type II)
  • May be used with metformin if diet, exercise, and monotherapy are inadequate
  • Use in combination with insulin for uncontrolled hyperglycaemia
  • Potential for hypoglycaemia with combined use of Losucon and insulin

Pharmacology

  • Decreases blood glucose concentration
  • Stimulates insulin release from pancreatic beta cells
  • Improves beta cells' sensitivity to glucose stimulus
  • Reduces basal hepatic glucose production
  • Increases peripheral tissue sensitivity to insulin
  • Enhances glucose uptake

Dosage

  • Initial dose of 1 mg once daily
  • Increase in dose based on regular blood sugar monitoring
  • Usual dose range for well controlled diabetes is 1 to 4 mg daily
  • Single daily dose taken immediately before a substantial breakfast or first main meal
  • Dose adjustment based on improved diabetes control and changes in weight or lifestyle

Administration

  • Tablet must be swallowed with sufficient liquid

Interaction

  • Potentiating drugs include ACE inhibitors, anabolic steroids, coumarin derivatives, fluconazole, quinolones, etc.
  • Attenuating drugs include barbiturates, corticosteroids, diuretics, glucagon, phenothiazines, etc.
  • Potential masking of hypoglycaemic symptoms by beta-receptor blockers and other drugs

Contraindications

  • Not suitable for insulin dependent diabetes mellitus or diabetic ketoacidosis
  • Hypersensitivity to Glimepiride, sulfonylureas, or sulfonamides
  • Severe hepatic dysfunction, severe impairment of renal function, and dialysis patients

Side Effects

  • Hypoglycaemia
  • Temporary visual impairment
  • Nausea
  • Vomiting
  • Diarrhoea
  • Abdominal pain
  • Urticaria
  • Fall in blood pressure

Pregnancy & Lactation

  • Must not be taken during pregnancy
  • Patients planning pregnancy should switch to insulin
  • Not to be taken by breastfeeding women

Precautions & Warnings

  • Increased risk of hypoglycaemia in initial weeks of treatment
  • Necessitates careful monitoring
  • Prompt control of hypoglycaemia by immediate intake of carbohydrates (glucose or sugar)

Overdose Effects

  • Hypoglycaemic symptoms without loss of consciousness treated with oral glucose and dosage adjustments
  • Severe reactions constitute medical emergencies requiring immediate hospitalization
  • Rapid intravenous injection of concentrated glucose solution in case of hypoglycaemic coma

Storage Conditions

  • Do not store above 30°C
  • Keep away from light
  • Out of the reach of children

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