Metfo 850 mg (Tablet)

Unit Price: ৳ 6.00 (10 x 10: ৳ 600.00)
Strip Price: ৳ 60.00

Medicine Details

Indications

  • Treatment of type 2 diabetes mellitus
  • Management of diabetes in overweight patients
  • Reducing diabetic complications in adults
  • Use in children from 10 years of age and adolescents

Pharmacology

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

Dosage & Administration

  • Metformin immediate release tablet
  • Metformin extended release tablet
  • Dosage individualized based on effectiveness and tolerance
  • Maximum recommended daily doses
  • Dosage increases in increments

Interaction

  • Co-administration with Furosemide
  • Enhancement of absorption by Nifedipine
  • Potential interaction with cationic drugs
  • Effects on Cimetidine pharmacokinetics
  • Impact on drugs leading to 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

Pregnancy & Lactation

  • Uncontrolled diabetes associated with increased risk
  • Recommendation to use insulin during pregnancy
  • Excretion into human breast milk
  • No adverse effects observed in breastfed newborns/infants

Precautions & Warnings

  • Substantially excreted by the kidney
  • Lowering of vitamin B12 level
  • Increased risk of hypoglycemia
  • Excretion and renal function
  • Therapy interruption before surgery
  • Annual estimation of Vitamin B-12 levels

Use in Special Populations

  • Adjustment of dosage based on renal function
  • No effect on growth and puberty detected
  • Caution in prescribing to children aged 10-12 years
  • Regular assessment of renal function

Overdose Effects

  • Hypoglycemia not seen with doses up to 85 gm
  • Occurrence of lactic acidosis in overdose
  • Treatment of lactic acidosis in hospital
  • Hemodialysis for lactic acidosis

Therapeutic Class

  • Biguanides

Storage Conditions

  • Temperature below 30°C
  • Protection from light & moisture
  • Keep out of the reach of children

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