Ország: Egyesült Államok
Nyelv: angol
Forrás: NLM (National Library of Medicine)
METFORMIN HYDROCHLORIDE (UNII: 786Z46389E) (METFORMIN - UNII:9100L32L2N)
Macleods Pharmaceuticals Limited
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 pediatric patients 10 years of age and older with type 2 diabetes mellitus. Metformin hydrochloride extended-release tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Metformin hydrochloride tablets and metformin hydrochloride extended-release tablets are contraindicated in patients with: • Severe renal impairment (eGFR below 30 mL/min/1.73 m2 ) [see Warnings and Precautions (5.1) ]. • Hypersensitivity to metformin. • Acute or chronic metabolic acidosis, including diabetic ketoacidosis, with or without coma. Risk Summary Limited data with metformin hydrochloride tablets / metformin hydrochloride extended-release tablets in pregnant women are not sufficient to determine a drug-associated risk for major birth defects or miscarriage. Published studies with metformin use during pregnancy have not repo
Metformin hydrochloride tablets USP and metformin hydrochloride extended-release tablets USP Available Strengths, Units, and Appearance Metformin Hydrochloride Tablets,USP 500mg tablet: White to off white, circular, biconvex, film coated, beveled edge tablets, debossed with "C74" on one side and plain on other side. Bottles of 90's NDC 33342-141-10 Bottles of 100's NDC 33342-141-11 Bottles of 1000's NDC 33342-141-44 850mg tablet: White to off white, circular, biconvex, film coated, beveled edge tablets, debossed with "C75" on one side and plain on other side. Bottles of 90's NDC 33342-142-10 Bottles of 100's NDC 33342-142-11 Bottles of 1000's NDC 33342-142-44 1000mg tablet: White to off white, oval shaped, biconvex, film coated tablet, debossed with "C" and "76"separated by breakline on both sides (functional scoring). Bottles of 90's NDC 33342-143-10 Bottles of 100's NDC 33342-143-11 Bottles of 1000's NDC 33342-143-44 Metformin Hydrochloride Extended-Release Tablets,USP 500mg tablet: White to off white, capsule shaped, biconvex, film coated tablets debossed with 'ML 30' on one side and plain on the other side. Bottles of 100's NDC 33342-239-11 750mg tablet: Pink capsule shaped, biconvex, film coated tablets debossed with 'ML 31' on one side and plain on the other side. Bottles of 100's NDC 33342-240-11 Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F) [See USP Controlled Room Temperature]. Dispense in light-resistant containers.
Abbreviated New Drug Application
METFORMIN HYDROCHLORIDE - METFORMIN HYDROCHLORIDE TABLET, FILM COATED METFORMIN HYDROCHLORIDE - METFORMIN HYDROCHLORIDE TABLET, EXTENDED RELEASE MACLEODS PHARMACEUTICALS LIMITED ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE METFORMIN HYDROCHLORIDE TABLETS AND METFORMIN HYDROCHLORIDE EXTENDED- RELEASE TABLETS SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR METFORMIN HYDROCHLORIDE TABLETS AND METFORMIN HYDROCHLORIDE EXTENDED- RELEASE TABLETS . METFORMIN HYDROCHLORIDE TABLETS, FOR ORAL USE METFORMIN HYDROCHLORIDE EXTENDED-RELEASE TABLETS, FOR ORAL USE INITIAL U.S. APPROVAL: 1995 _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ • POSTMARKETING CASES OF METFORMIN-ASSOCIATED LACTIC ACIDOSIS HAVE RESULTED IN DEATH, HYPOTHERMIA, HYPOTENSION, AND RESISTANT BRADYARRHYTHMIAS. SYMPTOMS INCLUDED MALAISE, MYALGIAS, RESPIRATORY DISTRESS, SOMNOLENCE, AND ABDOMINAL PAIN. LABORATORY ABNORMALITIES INCLUDED ELEVATED BLOOD LACTATE LEVELS, ANION GAP ACIDOSIS, INCREASED LACTATE/PYRUVATE RATIO; AND METFORMIN PLASMA LEVELS GENERALLY >5 MCG/ML. (5.1) • RISK FACTORS INCLUDE RENAL IMPAIRMENT, CONCOMITANT USE OF CERTAIN DRUGS, AGE >65 YEARS OLD, RADIOLOGICAL STUDIES WITH CONTRAST, SURGERY AND OTHER PROCEDURES, HYPOXIC STATES, EXCESSIVE ALCOHOL INTAKE, AND HEPATIC IMPAIRMENT. STEPS TO REDUCE THE RISK OF AND MANAGE METFORMIN-ASSOCIATED LACTIC ACIDOSIS IN THESE HIGH RISK GROUPS ARE PROVIDED IN THE FULL PRESCRIBING INFORMATION. (5.1) • IF LACTIC ACIDOSIS IS SUSPECTED, DISCONTINUE METFORMIN HYDROCHLORIDE TABLETS/ METFORMIN HYDROCHLORIDE EXTENDED-RELEASE TABLETS AND INSTITUTE GENERAL SUPPORTIVE MEASURES IN A HOSPITAL SETTING. PROMPT HEMODIALYSIS IS RECOMMENDED. (5.1) INDICATIONS AND USAGE Metformin hydrochloride tablets are a biguanide indicated as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients 10 years of age and older with type 2 diabetes mellitus. (1) Metformin hydrochloride extended-release tablets Olvassa el a teljes dokumentumot