Metomin 850 mg (Tablet)

Unit Price: ৳ 5.00 (5 x 10: ৳ 250.00)
Strip Price: ৳ 50.00

Medicine Details

Indications

  • Treatment of type 2 diabetes mellitus
  • Management of type 2 diabetes in overweight patients
  • Adults: monotherapy or combination therapy
  • Children: monotherapy or combination therapy

Pharmacology

  • Biguanide type oral antihyperglycemic drug
  • Lowers basal and postprandial plasma glucose
  • Different mechanism of action from sulfonylureas
  • Does not produce hypoglycemia
  • Decreases hepatic glucose production
  • Decreases intestinal absorption of glucose
  • Improves insulin sensitivity

Dosage & Administration

  • Immediate release tablet: individualized dosage
  • Adults: starting dose, dosage increases, maximum dose
  • Children: starting dose, maximum dose
  • Extended release tablet: swallow whole, dosage instructions for adults
  • Renal impaired patient: usage restrictions

Interaction

  • Interactions with Furosemide and Nifedipine
  • Potential interaction with cationic drugs
  • No effect on Cimetidine pharmacokinetics
  • Hyperglycemia-inducing drugs
  • Drugs affecting renal tubular transport

Contraindications

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

Side Effects

  • Blood and lymphatic system disorders
  • Metabolism and nutrition disorders
  • Nervous system disorders
  • Gastrointestinal disorders
  • Hepatobiliary disorders
  • Skin and subcutaneous tissue disorders

Pregnancy & Lactation

  • Risks associated with uncontrolled diabetes during pregnancy
  • Recommendation to use insulin during pregnancy
  • Excretion into human breast milk
  • Breastfeeding not recommended during treatment

Precautions & Warnings

  • Excretion by the kidney
  • Risk of lactic acidosis
  • Lowering of vitamin B12 level
  • Increased risk of hypoglycemia
  • Monitoring of renal function
  • Surgery and clinical investigations precautions

Use in Special Populations

  • Elderly: dosage adjustment based on renal function
  • Pediatric population: diagnosis confirmation required
  • Renal function assessment and monitoring
  • Caution in renal function-impaired situations

Overdose Effects

  • Hypoglycemia risk
  • Lactic acidosis risk
  • Emergency treatment in hospital
  • Hemodialysis for lactate and metformin 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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