Galet M 50 mg+500 mg (Tablet)

Unit Price: ৳ 21.50 (30's pack: ৳ 645.00)

Medicine Details

Indications

  • adjunct to diet and exercises
  • improves glycaemic control
  • type 2 diabetes mellitus
  • inadequately controlled diabetes
  • combination with Metformin Hydrochloride
  • combination with Vildagliptin
  • rapid inhibition of DPP-4 activity
  • increased insulin secretion
  • decreased glucagon secretion
  • decreased hepatic glucose production

Pharmacology

  • inhibiting DPP-4
  • increased fasting and postprandial endogenous levels of incretin hormones
  • increased insulin/glucagon ratio
  • decreased hepatic glucose production
  • improved insulin sensitivity
  • decreased intestinal absorption of glucose

Dosage & Administration

  • initiation based on current Metformin dose
  • twice daily dosing
  • administration with or just after food
  • switching from separate tablets

Interaction

  • no clinically relevant pharmacokinetic interactions
  • low potential for drug interactions
  • no interaction with CYP 450 enzymes
  • interaction with other oral antidiabetics
  • interaction with specific medications

Contraindications

  • known hypersensitivity to Vildagliptin or Metformin Hydrochloride
  • renal disease or dysfunction
  • acute myocardial infarction
  • septicaemia
  • congestive heart failure
  • acute or chronic metabolic acidosis
  • radiologic studies with iodinated contrast materials

Side Effects

  • headache
  • tremor
  • dizziness
  • nausea
  • hypoglycaemia

Pregnancy & Lactation

  • no adequate and well-controlled studies in pregnant women
  • potential benefit justifying potential risk to the fetus
  • no studies in breastfeeding women

Precautions & Warnings

  • risk of lactic acidosis
  • monitoring serum creatinine
  • special caution in elderly patients
  • monitoring Liver Function Tests (LFTs)
  • immediate discontinuation in case of liver dysfunction
  • discontinuation before elective surgery

Use in Special Populations

  • not recommended for pediatric patients
  • monitoring renal function in elderly patients
  • contraindicated in patients with renal impairment
  • not recommended in patients with hepatic impairment

Therapeutic Class

  • Oral hypoglycemic preparations

Storage Conditions

  • keep in a dry place
  • away from light and heat
  • keep out of the reach of children

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