Meglu 500 mg (Tablet)

Unit Price: ৳ 4.00 (3 x 10: ৳ 120.00)
Strip Price: ৳ 40.00

Medicine Details

Indications

  • Treatment of type 2 diabetes mellitus in adults
  • Treatment of type 2 diabetes mellitus in children and adolescents

Pharmacology

Biguanide type oral antihyperglycemic drug used in the management of type 2 diabetes.

Dosage & Administration

  • Metformin immediate release tablet:
    • Individualized dosage based on effectiveness and tolerance
    • Dosage increases in increments
  • Metformin extended release tablet:
    • Swallow whole, do not crush or chew
    • Dosing increments for adults
    • Not studied in children
    • Dosage adjustments for renal impaired patients

Interaction

  • No chronic co-administration information available
  • Potential interactions with cationic drugs and certain drugs causing hyperglycemia

Contraindications

  • Hypersensitivity to active substance or excipients
  • Acute metabolic acidosis
  • Severe renal failure
  • Acute 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

  • Not recommended during pregnancy
  • Excreted into breast milk
  • Limited data available for breastfeeding

Precautions & Warnings

  • Substantial excretion by the kidney
  • Lower vitamin B12 level
  • Increased risk of hypoglycemia
  • Regular monitoring of renal function advised
  • Discontinue 2-3 days before surgery
  • Annual estimation of Vitamin B-12 levels
  • Concomitant therapy with a sulphonylurea
  • Interaction with anticoagulants

Use in Special Populations

  • Elderly: Dosage adjustment based on renal function, regular assessment of renal function
  • Pediatric population:
    • Diagnosis confirmation before treatment initiation
    • No effect on growth and puberty detected during controlled studies
    • Long-term follow-up recommended
  • Renal function:
    • Creatinine clearance determination before treatment initiation
    • Regular assessment based on renal function status
    • Special caution in situations altering renal function

Overdose Effects

Hypoglycemia not seen with usual doses, lactic acidosis is a medical emergency

Therapeutic Class

Biguanides

Storage Conditions

Keep below 30°C, protected from light & moisture, keep out of reach of children

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