Glucomin 500 mg (Tablet)

Unit Price: ৳ 4.00 (5 x 10: ৳ 200.00)
Strip Price: ৳ 40.00

Medicine Details

Indications

  • Treatment of type 2 diabetes mellitus
  • Management of type 2 diabetes in overweight patients
  • Use in adults for monotherapy
  • Use in adults for combination therapy
  • Use in children from 10 years of age
  • Reduction of diabetic complications in overweight patients

Pharmacology

  • Biguanide type oral antihyperglycemic drug
  • Lowers basal and postprandial plasma glucose
  • Decreases hepatic glucose production
  • Improves insulin sensitivity

Dosage & Administration

  • Usual starting dose for adults (immediate release tablet)
  • Usual starting dose for children (immediate release tablet)
  • Usual starting dose for adults (extended release tablet)
  • Usual starting dose for children (extended release tablet)
  • Maximum recommended daily doses for adults
  • Maximum recommended daily doses for children
  • Dosage adjustments for renal impaired patients

Interaction

  • Co-administration with Furosemide
  • Enhancement of absorption by Nifedipine
  • Potential interactions with cationic drugs
  • No effect on Cimetidine pharmacokinetics
  • Drugs that produce hyperglycemia and may lead to loss of glycemic control

Contraindications

  • Hypersensitivity to the active substance or excipients
  • Acute metabolic acidosis
  • Severe renal failure
  • Acute conditions altering renal function
  • Acute or chronic diseases causing tissue hypoxia

Side Effects

  • Hemolytic anemia
  • Lactic acidosis
  • Peripheral neuropathy in patients with vitamin B12 deficiency
  • Taste disturbance
  • Gastrointestinal disorders
  • Liver function test abnormalities or hepatitis
  • Skin reactions

Pregnancy & Lactation

  • Increased risk of congenital abnormalities and perinatal mortality
  • Excretion into human breast milk
  • No adverse effects observed in breastfed newborns/infants

Precautions & Warnings

  • Excretion by the kidney
  • Lowering of vitamin B12 level
  • Increased risk of hypoglycemia with insulin or insulin secretagogue
  • Recommendation for regular monitoring of renal function
  • Stopping of therapy before certain clinical investigations
  • Reduction of Vitamin B-12 levels
  • Consideration for blood glucose monitoring during combined therapy
  • Possible interaction with anticoagulants

Use in Special Populations

  • Adjustment of metformin dosage in elderly subjects
  • No effect on growth and puberty in controlled clinical studies
  • Particular caution in prescribing to children aged between 10 and 12 years
  • Recommendation for regular assessment of renal function
  • Caution in situations where renal function may become impaired

Overdose Effects

  • No hypoglycemia seen at high doses
  • Occurrence of lactic acidosis
  • Hemodialysis as the most effective method for removal

Therapeutic Class

  • Biguanides

Storage Conditions

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

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