Metglip DS 5 mg+500 mg (Tablet)

Unit Price: ৳ 5.00 (3 x 10: ৳ 150.00)
Strip Price: ৳ 50.00

Medicine Details

Title

  • Glipizide & Metformin

Categories

  • Medicine
  • Diabetes Treatment
  • Oral Hypoglycemic Preparations

Description

  • Combination therapy for type 2 diabetes
  • Improves glycemic control
  • Used when hyperglycemia cannot be managed with diet and exercise alone
  • Recommended for patients who do not respond to initial treatment with a Sulfonylurea or Metformin
  • Pharmacological mechanisms include glucose tolerance improvement, lowered plasma glucose, decreased hepatic glucose production, improved insulin sensitivity, and stimulation of insulin release from the pancreas
  • Dosage should be given once or twice daily with meals, initiated at a low dose, and gradually escalated
  • Interacts with cimetidine, alcohol, anti-coagulants, nifedipine, nonsteroidal anti-inflammatory agents, azoles, salicylates, sulfonamides, chloramphenicol, probenecid, coumarins, monoamine oxidase inhibitors, and beta adrenergic blocking agents
  • Contraindicated in cases of hypersensitivity to the drug, renal impairment, diabetic coma, ketoacidosis, chronic renal diseases, congestive heart failure, trauma, dehydration, alcohol dependence, pregnancy, and breast-feeding
  • Common side effects include hypoglycemia, diarrhea, nausea/vomiting, abdominal pain, headache, and musculoskeletal pain
  • Contraindicated during pregnancy and lactation
  • Metformin is substantially excreted by the kidney and the risk of Metformin accumulation and lactic acidosis is increased with impaired renal function
  • Should be carefully titrated in patients with advanced age and reduced renal function
  • Should be temporarily suspended for any surgical procedure and not restarted until oral intake has resumed and renal function has been evaluated as normal
  • Should be monitored during concomitant therapy with sulfonylurea, especially in hospital until the correct ratio of the two drugs has been established
  • Glipizide metabolism and excretion may be slowed in patients with impaired renal and/or hepatic function
  • Store below 25°C in a cool and dry place

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