Metformin Stella

Metformin Stella

metformin

Manufacturer:

Stellapharm

Distributor:

Stadpharm
Concise Prescribing Info
Contents
Metformin HCl
Indications/Uses
Type 2 DM in overwt adults when dietary management & exercise alone do not result in adequate glycemic control. Adjuvant to poorly controlled type 1 diabetic patients. Monotherapy or in combination w/ other oral antidiabetic agents or insulin in adults, childn from 10 yr & adolescents. Reduce diabetic complications shown in overwt type 2 diabetic adults treated w/ metformin as 1st-line therapy after diet failure.
Dosage/Direction for Use
Adult Monotherapy & combination w/ other oral antidiabetic agents Initially 1 tab bd or tds, adjust dose after 10-15 days based on blood glucose measurements. Max dose: 3 g daily as 3 divided doses. Combination w/ insulin Initially 1 tab bd-tds, adjust insulin dose based on blood glucose measurements. Childn from 10 yr & adolescent Monotherapy & combination w/ insulin Initially 500 or 850 mg once daily, adjust dose after 10-15 days based on blood glucose measurements. Max dose: 2 g daily as 2 or 3 divided doses. Total max daily dose: Renal impairment GFR 30-44 mL/min 1,000 mg as 2-3 divided doses, 45-59 mL/min 2,000 mg as 2-3 divided doses, 60-89 mL/min 3,000 as 2-3 divided doses.
Administration
Should be taken with food.
Contraindications
Hypersensitivity. Acute metabolic acidosis eg, lactic acidosis, diabetic ketoacidosis; diabetic pre-coma; acute conditions w/ potential to alter renal function eg, dehydration, severe infection; acute or chronic disease causing tissue hypoxia eg, cardiac or resp failure, recent MI, shock. Intravascular administration of iodinated contrast agents. Acute alcohol intoxication, alcoholism. Severe renal dysfunction (GFR <30 mL/min). Hepatic insufficiency. Lactation.
Special Precautions
Discontinue use temporarily if dehydration occurs. Lactic acidosis; inadequately controlled diabetes, ketosis, prolonged fasting, conditions associated w/ hypoxia. Assess GFR prior to & regularly thereafter. Regularly perform usual lab tests for diabetes monitoring. Excessive alcohol intake. Discontinue 48 hr before elective surgery w/ general anaesth. Concomitant use w/ drugs acutely impairing renal function eg, antihypertensive, diuretics, NSAIDs; drugs causing lactic acidosis; insulin or sulphonylureas. May affect ability to drive & use machines. Hepatic insufficiency. Pregnancy & lactation.
Adverse Reactions
Anorexia, nausea, vomiting, diarrhoea; taste disturbance, wt loss; impaired vit B12 absorption.
Drug Interactions
Hypoglycemia w/ sulfonylurea antidiabetic agent eg, glyburide &/or insulin. Exacerbated DM w/ thiazide diuretics. Increase absorption & urinary excretion w/ nifedipine. Reduced urinary excretion w/ cimetidine. Increased risk of hypoglycemia & lactic acidosis w/ alcohol.
MIMS Class
Antidiabetic Agents
ATC Classification
A10BA02 - metformin ; Belongs to the class of biguanides. Used in the treatment of diabetes.
Presentation/Packing
Form
Metformin Stella FC tab 850 mg
Packing/Price
60's
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