Description:
Indications
A medication called Informet 500 is used to treat type 2 diabetes mellitus. It aids in blood sugar regulation and averts serious diabetic complications as a result. Additionally, it is used to treat polycystic ovary syndrome (PCOS) that affects women and is related to menstruation. It’s best to take Informet 500 with food to prevent nausea and discomfort in the stomach.
Pharmacology
The biguanide class of oral antihyperglycemic drug metformin is used to treat type 2 diabetes. It lowers plasma glucose levels at rest and after meals. It works in a different way from sulfonylureas and doesn’t result in hypoglycemia. By increasing peripheral glucose uptake and utilization, metformin decreases hepatic glucose synthesis, lowers intestinal glucose absorption, and improves insulin sensitivity.
Dosage & Administration
Metformin immediate-release tablet: The dosage of metformin hydrochloride must be tailored to the patient’s unique needs in order to maximize effectiveness and minimize side effects.
- Adults: The recommended initial dose of metformin is 850 mg once daily or 500 mg twice daily, administered with meals. Increases in dosage should be made in divided doses of 500 mg every week or 850 mg every two weeks, up to a maximum of 2000 mg per day. A maximum daily dose of 2550 mg of glucosamine may be administered to patients who need more glycemic control. Taking doses over 2000 mg three times daily with meals may improve tolerance.
- Children: The recommended Metformin starting dose is 500 mg twice daily, taken with meals. Increases in dosage should be made in weekly increments of 500 mg, up to a daily cap of 2000 mg, administered in divided doses.
Metformin extended-release tablet: Never crush, cut, or chew a Metformin XR tablet; always swallow it whole.
- Adult: 500 mg of Metformin XR once daily with dinner is the typical starting dose. The dosage should be increased by 500 mg weekly increments, up to a maximum of 2000 mg taken with a meal once daily in the evening, or 1000 mg twice daily. Up to the maximum recommended daily dose, a patient taking a Metformin immediate-release tablet may be switched to a Metformin extended-release tablet.
- Children: Children have not been studied with metformin extended-release tablets.
- Patient with renal impairment: Patients with an eGFR of less than 30 mL/min/1.73 m2 should not take metformin. Analyze the benefits and risks of counting if the eGFR is less than 45 mL/min/1.73 m2.
Interaction
Lactic acidosis risk may be increased by co-administration of topiramate and zonisamide with carbonic anhydrase. Drugs that reduce Metformin clearance may cause more Metformin buildup (Ranolazine, Dolutegravir, Cimetidine). Alcohol may make metformin’s impact on lactate metabolism worse.
Contraindications
- Hypersensitivity to any of the excipients or the active ingredient of any type of acute metabolic acidosis (such as lactic acidosis, or diabetic ketoacidosis).
- renal failure that is severe (GFR 30 mL/min).
- Examples of acute conditions that may harm renal function include dehydration, severe infection, and shock.
- Tissue hypoxia can be caused by acute or chronic illnesses, including heart failure, respiratory problems, recent myocardial infarctions, shock, hepatic insufficiency, acute alcohol intoxication, and alcoholism.
Side Effects
- Nausea
- Vomiting
- Taste change
- Diarrhea
- Abdominal pain
- Tissue disorders
- Loss of appetite
Pregnancy & Lactation
Pregnancy: Uncontrolled diabetes (whether gestational or permanent) increases the risk of congenital malformations and perinatal death. When a patient intends to become pregnant or is pregnant, it is advised that diabetes not be treated with metformin, but that insulin is used to keep blood glucose levels as close to normal as possible in order to decrease the risk of fetal abnormalities.
Breastfeeding: Metformin can be found in human breast milk. There were no negative effects detected in breastfed newborns/infants. However, due to the scarcity of evidence, nursing is not advised on metformin medication. The choice to cease nursing should be taken after considering the benefits of breastfeeding as well as the potential danger of harmful consequences on the child.
Precautions & Warnings
- Informet 500 may result in the rare but serious condition known as lactic acidosis, which is an excess of lactic acid in the blood. If you experience any deep or rapid breathing, persistent nausea, vomiting, or stomach pain, call your doctor right away.
- Long-term use of Informet 500 raises the risk of vitamin B12 deficiency, which can result in anemia and cause fatigue, pale skin, breathlessness, and headaches. If you experience any of these, let your doctor know because you might need supplements.
- The kidneys play a significant role in the elimination of metformin hydrochloride, and the degree of renal function impairment increases the risk of metformin buildup and lactic acidosis. A drop in vitamin B12 levels has been associated with the drug metformin. when combined with an insulin secretagogue or insulin
Storage Conditions
Maintain a temperature of less than 30?C and keep it away from light and moisture. Keep out of children’s reach.
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