Comet XR 500 mg (Tablet (Extended Release))

Unit Price: ৳ 6.02 (5 x 10: ৳ 301.00)
Strip Price: ৳ 60.20

Medicine Details

Title

  • Comet XR

Categories

  • Medicine
  • Diabetes Management

Description

  • Comet XR is a biguanide type oral antihyperglycemic drug used in the management of type 2 diabetes.

Dosage Forms

  • Immediate Release Tablet
  • Extended Release Tablet

Indications

  • Treatment of type 2 diabetes mellitus in adults, children from 10 years of age and adolescents

Usability

  • May be used as monotherapy or in combination with other oral antidiabetic agents or with insulin

Pharmacology

  • Lowers both basal and postprandial plasma glucose
  • Decreases hepatic glucose production
  • Decreases intestinal absorption of glucose
  • Improves insulin sensitivity

Dosage Administration

  • Individualized dosage based on effectiveness and tolerance
  • Usual starting dose of 500 mg twice a day or 850 mg once a day for adults
  • Usual starting dose of 500 mg twice a day for children
  • Renal impaired patient precautions

Interaction

  • Possible interactions with Furosemide, Nifedipine, Cationic drugs, Cimetidine, and certain other drugs causing hyperglycemia

Contraindications

  • Hypersensitivity to the active substance or to any of the excipients
  • Acute metabolic acidosis, Severe renal failure, Acute conditions with potential to alter renal function

Side Effects

  • Blood and lymphatic system disorders
  • Metabolism and nutrition disorders
  • Nervous system disorders
  • Gastrointestinal disorders
  • Hepatobiliary disorders
  • Skin and subcutaneous tissue disorders

Pregnancy Lactation

  • Uncontrolled diabetes during pregnancy is associated with an increased risk of congenital abnormalities and perinatal mortality
  • Metformin excreted into human breast milk

Precautions Warnings

  • Substantially excreted by the kidney
  • Lower vitamin B12 level
  • Increased risk of hypoglycemia when used in combination with insulin
  • Regular monitoring of renal function advised
  • Usage not advised in conditions causing dehydration or serious infections
  • Potential interaction with anticoagulants

Special Populations

  • Elderly
  • Pediatric population
  • Renal function

Overdose Effects

  • Hypoglycemia has not been seen with doses up to 85 gm
  • Lactic acidosis is a medical emergency and must be treated in hospital

Therapeutic Class

  • Biguanides

Storage Conditions

  • Keep below 30°C temperature
  • Protected from light and moisture
  • Keep out of the reach of children

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