Forherdin Dosage & Drug Information

Concise Prescribing Info Full Prescribing Info Contents Description Action Indications/Uses Dosage/Direction for Use Overdosage Contraindications Special Precautions Use In Pregnancy & Lactation Adverse Reactions Drug Interactions Storage MIMS Class ATC Classification Regulatory Classification Presentation/Packing

Concise Prescribing Info

Contents

Metformin HCl

Indications/Uses

Type 2 DM in adults, particularly overwt patients, as monotherapy or in combination w/ other oral antidiabetic agents, or w/ insulin. Impaired glucose tolerance for patients in whom lifestyle interventions (diet & exercise) have failed. Type 2 DM in childn & adolescents ≥10 yr.

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Dosage/Direction for Use

Adult Monotherapy & combination w/ other antidiabetic agent Usual starting dose: 500 mg bid-tid. May be slowly increased after 10-15 days by increment of 1 tab depending on blood glucose measurements. Max: 3 g daily, taken as 3 divided doses. Combination w/ insulin Usual starting dose: 500 mg bid-tid, while insulin dose is adjusted on the basis of blood glucose measurements. Childn ≥10 yr & adolescent Monotherapy & combination w/ insulin Usual starting dose: 500 mg bid. May be slowly increased after 10-15 days by increment of 1 tab depending on blood glucose measurements. Max: 2 g daily, taken as 2-3 divided doses.

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Overdosage

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Administration

Should be taken with food: Take w/ meals or after meals.

Contraindications

Hypersensitivity. Diabetic coma or ketoacidosis, renal insufficiency, acute or chronic disease which may cause tissue hypoxia (eg, cardiac failure, MI, resp insufficiency, shock), impaired liver function, acute alcohol intoxication.

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Special Precautions

Risk of lactic acidosis. Patients w/ infectious diseases eg, flu, resp tract infection, or UTI. Determine CrCl before initiating treatment & regularly thereafter (at least annually in patients w/ normal renal function, at least 2-4 times a yr in patients w/ CrCl at LLN & in elderly). Discontinue treatment 48 hr before elective major surgery; restart therapy after 48 hr following surgery or resumption of oral nutrition & only if normal renal function has been established. Avoid consumption of alcohol beverages. Caution when used in combination w/ insulin or other oral antidiabetics. Breastfeeding is not recommended during treatment.

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Use In Pregnancy & Lactation

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Adverse Reactions

GI disorders eg, nausea, vomiting, diarrhea, abdominal pain, loss of appetite; metallic taste, wt loss; skin reaction eg, erythema, pruritus, urticaria; lactic acidosis; impaired absorption of various substances including vit B₁₂.

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Drug Interactions

Increased risk of hypoglycemia w/ other drugs that lower blood glucose conc. Reduced effect of therapy w/ drugs that increase blood glucose. Increased risk of lactic acidosis & hypoglycemia w/ alcohol. Caution if given w/ drugs that may impair renal function.

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Storage

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Description

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Action

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MIMS Class

Antidiabetic Agents

ATC Classification

A10BA02 - metformin ; Belongs to the class of biguanides. Used in the treatment of diabetes.

Regulatory Classification

Presentation/Packing

Form

Forherdin FC tab 500 mg

Packing/Price

100's (P650/box, P6.5/film-coated tab)

Forherdin

metformin

Manufacturer:

Hizon

Distributor:

MedChoice Women's Health