Glunor 850 mg (Tablet)

Unit Price: ৳ 6.00 (10 x 5: ৳ 300.00)

Strip Price: ৳ 30.00

Medicine Details

Category	Details
Generic	Metformin hydrochloride
Company	Eskayef pharmaceuticals ltd
Also available as	Glunor 500 mg tablet Glunor xr 500 mg tablet Glunor od 500 mg oros tablet

Treatment of type 2 diabetes mellitus in adults
Treatment of type 2 diabetes mellitus in children from 10 years of age and adolescents
Reduction of diabetic complications in overweight type 2 diabetic adult patients

Dosage individualized based on effectiveness and tolerance
Usual starting dose for adults: 500 mg twice a day or 850 mg once a day
Dosage increases made in increments of 500 mg weekly or 850 mg every 2 weeks
Maximum daily dose for adults: 2000 mg per day, given in divided doses
Usual starting dose for children: 500 mg twice a day
Usual starting dose for Metformin XR in adults: 500 mg once daily with the evening meal
Dose should be increased in increments of 500 mg weekly
Maximum dose for Metformin XR in adults: 2000 mg once daily with the evening meal or 1000 mg twice daily
Metformin extended release tablet should be swallowed whole
Special precautions for renal impaired patients

Hemolytic anemia
Lactic acidosis
Decrease of vitamin B12 absorption
Peripheral neuropathy in patients with vitamin B12 deficiency
Taste disturbance
Encephalopathy
Gastrointestinal disorders such as nausea, vomiting, diarrhea, and abdominal pain
Liver function test abnormalities or hepatitis
Skin reactions such as erythema, pruritus, urticaria

Uncontrolled diabetes associated with increased risk of congenital abnormalities and perinatal mortality
Diabetes during pregnancy should be treated with insulin
Metformin excreted into human breast milk
Breastfeeding not recommended during metformin treatment

Risk of accumulation and lactic acidosis in patients with impaired renal function
Lowering of vitamin B12 levels
Increased risk of hypoglycemia when used with insulin or insulin secretagogue
Regular monitoring of renal function advised
Therapy should be stopped 2-3 days before surgery
Glunor not advised in dehydration or serious infections
Annual estimation of Vitamin B-12 levels recommended
Monitoring of blood glucose during concomitant therapy with a sulphonylurea

Adjustment of metformin dosage based on renal function in elderly subjects
No detectable effect of metformin on growth and puberty during controlled clinical studies
Caution recommended when prescribing to children aged between 10 and 12 years
Regular assessment of renal function necessary