देश: संयुक्त राज्य
भाषा: अंग्रेज़ी
स्रोत: NLM (National Library of Medicine)
METFORMIN HYDROCHLORIDE (UNII: 786Z46389E) (METFORMIN - UNII:9100L32L2N)
Megalith Pharmaceuticals Inc
METFORMIN HYDROCHLORIDE
METFORMIN HYDROCHLORIDE 500 mg
ORAL
PRESCRIPTION DRUG
Metformin hydrochloride tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults and children with type 2 diabetes mellitus. Metformin hydrochloride tablets are contraindicated in patients with: - Severe renal impairment (eGFR below 30 mL/min/1.73 m 2 ) (see WARNINGS and PRECAUTIONS ). - Known hypersensitivity to metformin hydrochloride. - Acute or chronic metabolic acidosis, including diabetic ketoacidosis, with or without coma. Diabetic ketoacidosis should be treated with insulin.
Metformin hydrochloride tablets USP, 500 mg are round white tablets, debossed with “500” on one side. They are available as follows: Bottles of 100 NDC 71717-104-10 Bottles of 500 NDC 71717-104-50 Bottles of 1000 NDC 71717-104-11 Metformin hydrochloride tablets USP, 850 mg are round white tablets, debossed with “850” on one side. They are available as follows: Bottles of 100 NDC 71717-105-10 Bottles of 500 NDC 71717-105-50 Bottles of 1000 NDC 71717-105-11 Metformin hydrochloride tablets USP, 1,000 mg are oval white tablets, debossed with “10|00” on one side. They are available as follows: Bottles of 100 NDC 71717-106-10 Bottles of 500 NDC 71717-106-50 Bottles of 1000 NDC 71717-106-11 Store at 20° to 25°C (68° to 77°F); excursions permitted from 15° to 30°C (59° to 86°F). [See USP Controlled Room Temperature.] Dispense in tight, light-resistant containers. Manufactured by: CSPC Ouyi Pharmaceutical Co., Ltd. Shijiazhuang, Hebei, China 052160 Manufactured for: Megalith Pharmaceuticals Inc. Princeton, NJ 08540 Rev. 10/2017
Abbreviated New Drug Application
METFORMIN HYDROCHLORIDE- METFORMIN HYDROCHLORIDE TABLET, COATED MEGALITH PHARMACEUTICALS INC ---------- METFORMIN HYDROCHLORIDE TABLETS, USP RX ONLY CLINICAL PHARMACOLOGY MECHANISM OF ACTION Metformin is an antihyperglycemic agent which improves glucose tolerance in patients with type 2 diabetes, lowering both basal and postprandial plasma glucose. Its pharmacologic mechanisms of action are different from other classes of oral antihyperglycemic agents. Metformin decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization. Unlike sulfonylureas, metformin does not produce hypoglycemia in either patients with type 2 diabetes or normal subjects (except in special circumstances, see PRECAUTIONS) and does not cause hyperinsulinemia. With metformin therapy, insulin secretion remains unchanged while fasting insulin levels and day-long plasma insulin response may actually decrease. PHARMACOKINETICS _Absorption and Bioavailability_ The absolute bioavailability of a metformin hydrochloride 500 mg tablet given under fasting conditions is approximately 50% to 60%. Studies using single oral doses of metformin hydrochloride tablets 500 mg to 1,500 mg, and 850 mg to 2,550 mg, indicate that there is a lack of dose proportionality with increasing doses, which is due to decreased absorption rather than an alteration in elimination. Food decreases the extent of and slightly delays the absorption of metformin, as shown by approximately a 40% lower mean peak plasma concentration (C ), a 25% lower area under the plasma concentration versus time curve (AUC), and a 35-minute prolongation of time to peak plasma concentration (T ) following administration of a single 850 mg tablet of metformin with food, compared to the same tablet strength administered fasting. The clinical relevance of these decreases is unknown. _Distribution_ The apparent volume of distribution (V/F) of metformin following single oral doses of metformin hydroc पूरा दस्तावेज़ पढ़ें