Metin 850 mg (Tablet)

Unit Price: ৳ 4.96 (30's pack: ৳ 148.80)

Medicine Details

Indications

  • Treatment of type 2 diabetes mellitus
  • Monotherapy for adults
  • Combination therapy for children and adolescents
  • Reduction of diabetic complications in overweight patients

Pharmacology

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

Dosage & Administration

  • Individualized dosage based on effectiveness and tolerance
  • Immediate release tablet
  • Extended release tablet
  • Dosage adjustments based on patient age and renal function

Interaction

  • No information available about Metin and Furosemide chronic co-administration
  • Enhancement of Nifedipine absorption
  • Potential interaction with cationic drugs
  • Certain drugs 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

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

  • Uncontrolled diabetes during pregnancy associated with increased risk of congenital abnormalities
  • Metformin excreted into human breast milk
  • Limited data available on breastfeeding during metformin treatment

Precautions & Warnings

  • Substantial excretion by the kidney
  • Risk of lactic acidosis increases with impaired renal function
  • Decreased vitamin B12 levels
  • Increased risk of hypoglycemia in combination therapy
  • Regular monitoring of renal function advised
  • Metin therapy cessation before certain clinical investigations

Use in Special Populations

  • Elderly dosage adjustment based on renal function
  • No effect on growth and puberty detected in controlled clinical studies
  • Special caution in children aged between 10 and 12 years
  • Creatinine clearance determination before initiating treatment
  • Special caution in situations with potential impairment of renal function

Overdose Effects

  • No hypoglycemia seen with high doses
  • Lactic acidosis is a medical emergency
  • Hemodialysis as the most effective method for lactate and Metin removal

Therapeutic Class

  • Biguanides

Storage Conditions

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

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