Losucon 4 mg (Tablet)

Unit Price: ৳ 15.00 (3 x 10: ৳ 450.00)
Strip Price: ৳ 150.00

Medicine Details

Indications

  • Adjunct to diet and exercise for lowering blood glucose in Type II diabetes mellitus
  • Use in combination with insulin for lowering blood glucose
  • Potential for hypoglycaemia when combined with insulin
  • Adjunct to diet and exercise when metformin alone does not result in adequate glycaemic control

Pharmacology

  • Sulfonylurea antidiabetic agent
  • Stimulates insulin release from pancreatic beta cells
  • Improves sensitivity of beta cells to glucose stimulus
  • Reduces basal hepatic glucose production
  • Increases peripheral tissue sensitivity to insulin
  • Effect on non-fasting diabetic patients

Dosage

  • Governed by desired blood sugar level
  • Initial dose of 1 mg once daily
  • Dose titration based on regular blood sugar monitoring
  • Usual dose range in well controlled diabetes is 1 to 4 mg daily
  • Timing and distribution of doses decided by physician
  • Secondary dosage adjustment as control of diabetes improves
  • Changeover from other oral antidiabetics to Glimepiride

Administration

  • Tablet must be swallowed with sufficient amount of liquid

Interaction

  • Drugs that potentiate hypoglycaemic action of Glimepiride
  • Drugs that attenuate hypoglycaemic action of Glimepiride
  • Effects of coadministration with beta-blockers, clonidine, guanethidine, and reserpine
  • Effects of acute and chronic alcohol intake

Contraindications

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

Side Effects

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

Pregnancy & Lactation

  • Not to be taken during pregnancy
  • Need for changeover to insulin during pregnancy
  • Ingestion with breastfeeding may harm the child
  • Necessity of changeover or complete discontinuation of breastfeeding

Precautions & Warnings

  • Increased risk of hypoglycaemia in initial weeks of treatment
  • Necessity of careful monitoring and dosage adjustment
  • Prompt control of hypoglycaemia by immediate intake of carbohydrates

Overdose Effects

  • Hypoglycaemic symptoms without loss of consciousness
  • Treatment with oral glucose and adjustments in drug dosage or meal patterns
  • Severe hypoglycaemic reactions with coma or seizure as medical emergencies

Therapeutic Class

  • Sulfonylureas

Storage Conditions

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

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