Pimin 500 mg (Tablet)

Unit Price: ৳ 2.50 (100's pack: ৳ 250.00)

Medicine Details

Indications

  • Treatment of type 2 diabetes mellitus in overweight patients
  • Monotherapy for adults with diabetes
  • Combination therapy for adult and pediatric patients

Pharmacology

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

Dosage & Administration

  • Dosage must be individualized based on effectiveness and tolerance
  • Usual starting dose of 500 mg twice a day for adults
  • Maximum daily doses of 2000 mg for adults
  • Swallow extended release tablet whole

Interaction

  • Enhances absorption of Pimin by Nifedipine
  • Potential interaction with cationic drugs
  • Certain drugs may lead to loss of glycemic control

Contraindications

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

Side Effects

  • Not known: Hemolytic anemia
  • Very rare: Lactic acidosis, decrease of vitamin B12 absorption, peripheral neuropathy
  • Common: Taste disturbance, gastrointestinal disorders
  • Very rare: Liver function test abnormalities, skin reactions

Pregnancy & Lactation

  • Uncontrolled diabetes during pregnancy associated with increased risk of congenital abnormalities
  • Metformin excreted into breast milk
  • Breastfeeding not recommended during metformin treatment

Precautions & Warnings

  • Substantially excreted by the kidney
  • Lowers vitamin B12 level
  • Increases risk of hypoglycemia when used with insulin
  • Requires regular monitoring of renal function

Use in Special Populations

  • Elderly: Dosage adjustment based on renal function
  • Pediatric population: Diagnosis confirmation before treatment
  • Renal function assessment before and during treatment

Overdose Effects

  • Lactic acidosis is a medical emergency
  • Hemodialysis for removal of lactate and Pimin

Therapeutic Class

  • Biguanides

Storage Conditions

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

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