One prolonged release tablet contains mg metformin hydrochloride corresponding to mg metformin base. White capsule-shaped, biconvex tablet, debossed on one side with '' and twice day the other side with 'Merck'.
twice White to off-white capsule-shaped, biconvex tablet, debossed on one side with '' day on the other side with 'MERCK'. Treatment with Glucophage SR must be based on a risk score incorporating appropriate measures of glycaemic control and including evidence of high cardiovascular risk see section just click for source. Lifestyle modifications day be continued when metformin is initiated, unless the patient glucophage 100 unable to do so because of medical click. Glucophage SR may be used as monotherapy or in combination with other oral antidiabetic agents, or with insulin.
A slow increase of dose may improve gastro-intestinal tolerability.
The maximum glucophage 100 day dose is 4 tablets mg once daily with the twice day meal. Monotherapy in Type 2 diabetes mellitus and combination with other oral antidiabetic agents: The maximum recommended dose is 4 tablets daily. If glycaemic control is not achieved on Glucophage SR mg once daily, Glucophage SR twice twice daily should be considered, with both doses being given with food.
If glycaemic control is still not achieved, patients glucophage 100 be switched to standard metformin tablets to a maximum dose of mg daily. In patients treated with metformin at a dose day mg daily, switching to Glucophage SR twice day not recommended.
Metformin and insulin may be used in combination therapy to achieve better blood glucose control. The usual starting dose of Glucophage SR is one mg tablet once daily, while insulin dosage is adjusted on the basis of blood glucose glucophage 100 mg twice day. For patients already treated with metformin and insulin in combination therapy, the dose of Glucophage SR mg or Glucophage SR mg should be equivalent to the daily dose of metformin tablets up to a maximum of mg or mg respectively, given with the evening meal, while insulin dosage is adjusted on the basis glucophage 100 blood glucose measurements.
Due to the potential for decreased renal function in elderly twice glucophage 100 mg twice day the metformin dosage should be adjusted based on renal function. Regular assessment of renal function is necessary see section 4. Benefit in the reduction of risk or click here of the onset of type 2 diabetes mellitus has twice day been established in patients 75 years and twice day see section 5.
source A GFR should be assessed before initiation of treatment with metformin containing products and at least annually thereafter. In twice day glucophage 100 mg twice day an increased risk of further progression of renal impairment and in the elderly, day function should be assessed more frequently, e. Dose reduction may be considered in relation to declining renal function.
Factors glucophage 100 may increase the risk of lactic acidosis see section 4. Lactic acidosis, a very rare, but serious, click complication, most often occurs at acute worsening of renal function or cardiorespiratory twice or sepsis.
Metformin accumulation occurs at glucophage 100 worsening of renal function and increases the risk of glucophage 100 mg twice day acidosis. In case of dehydration severe diarrhoea or vomiting, fever or reduced fluid intakemetformin should be temporarily discontinued and contact with a health care professional is recommended. Medicinal products that can acutely impair renal function such as antihypertensives, diuretics and NSAIDs should be initiated with caution in metformin-treated patients.
Other risk factors for lactic acidosis are excessive alcohol intake, hepatic insufficiency, inadequately controlled diabetes, ketosis, glucophage 100 mg twice day fasting and glucophage 100 mg twice day conditions associated with hypoxia, as well as concomitant twice day of medicinal products that may cause lactic acidosis see sections 4.
Lactic acidosis is characterised by acidotic dyspnoea, abdominal pain, muscle cramps, asthenia and please click for source followed by coma.
In case of suspected symptoms, the patient should twice day taking metformin and seek immediate medical attention.
GFR should be assessed before treatment initiation and regularly thereafter, see section glucophage 100. Patients twice day heart failure are more at risk of hypoxia and renal insufficiency. In patients with stable chronic heart twice day, metformin may be used with how safe is accutane 30mg regular monitoring of cardiac and renal function.
For patients with acute and unstable heart twice day, metformin is contraindicated see section 4. Due to the limited therapeutic glucophage 100 data in the reduction of risk or delay of type 2 diabetes twice day patients 75 years and older, metformin initiation is not recommended in these patients.
Intravascular administration of iodinated contrast agents may lead to contrast induced nephropathy, resulting in metformin accumulation and an increased risk of lactic acidosis. Metformin should be discontinued glucophage 100 to or at the time of the imaging procedure and glucophage 100 mg twice day restarted until at least 48 hours after, provided that renal function has been re-evaluated and found to be stable, see sections 4.
Drug information provided by: This medicine usually comes with a patient information insert.
Medically reviewed on January 15, Thereafter, glycosylated hemoglobin should be measured at intervals of approximately 3 months. Monitoring of blood glucose and glycosylated hemoglobin will also permit detection of primary failure, i.
Metformin oral tablet comes in two forms: The immediate-release tablet is available as the brand-name drug Glucophage.
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