Insimet 500 mg (Tablet)

Unit Price: ৳ 4.00 (10 x 10: ৳ 400.00)
Strip Price: ৳ 40.00

Medicine Details

Indications

  • Type 2 diabetes mellitus treatment
  • Overweight patients treatment
  • Monotherapy use in adults
  • Combination therapy use in adults
  • Combination therapy use in children and adolescents

Pharmacology

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

Dosage & Administration

  • Individualized dosage based on effectiveness and tolerance
  • Maximum recommended daily doses
  • Starting dose for adults and children
  • Dosage increases and adjustments
  • Instructions for immediate release tablet
  • Instructions for extended release tablet
  • Dosage considerations for renal impaired patients

Interaction

  • Interaction with Furosemide
  • Enhancement of absorption by Nifedipine
  • Potential interaction with cationic drugs
  • Effects on Cimetidine pharmacokinetics
  • Drugs that may produce hyperglycemia

Contraindications

  • Hypersensitivity to active substance or excipients
  • Acute metabolic acidosis
  • Severe renal failure
  • Conditions altering renal function
  • Conditions causing tissue hypoxia

Side Effects

  • Hemolytic anemia
  • Lactic acidosis
  • Decrease of vitamin B12 absorption
  • Peripheral neuropathy
  • Taste disturbance
  • Gastrointestinal disorders
  • Liver function test abnormalities
  • Skin reactions

Pregnancy & Lactation

  • Risks during pregnancy
  • Recommendation for insulin use during pregnancy
  • Excretion into human breast milk
  • Limited data on breastfeeding

Precautions & Warnings

  • Excretion by the kidney
  • Lowering of vitamin B12 level
  • Increased risk of hypoglycemia
  • Monitoring of renal function
  • Cautions before surgery and clinical investigations
  • Annual estimation of Vitamin B-12 levels
  • Interaction with sulphonylurea
  • Renal clearance during cimetidine therapy
  • Interaction with anticoagulants

Use in Special Populations

  • Dosage adjustment for elderly subjects
  • Effects on growth and puberty
  • Caution for children aged between 10 and 12 years
  • Renal function assessment
  • Caution in situations of impaired renal function

Overdose Effects

  • Hypoglycemia
  • Lactic acidosis
  • Treatment in hospital
  • Hemodialysis

Therapeutic Class

  • Biguanides

Storage Conditions

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

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