Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
METFORMIN HYDROCHLORIDE
Ascend Laboratories Sdn Bhd
METFORMIN HYDROCHLORIDE
3 x 10 Tablets; 6 x 10 Tablets
Alkem Laboratories Limited
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ METKEM XR 1000MG (METFORMIN HYDROCHLORIDE EXTENDED RELEASE TABLETS 1000 MG) Metformin Hydrochloride (1000mg) 1 WHAT IS IN THIS LEAFLET 1. What METKEM XR is used for 2. How METKEM XR works 3. Before you use METKEM XR 4. How to take METKEM XR 5. While you are using METKEM XR 6. Side effects 7. Storage and disposal of METKEM XR 8. Product description 9. Manufacturer and product registration holder 10. Date of revision 11. Serial Number WHAT METKEM XR IS USED FOR METKEM XR prolonged release tablets contain the active ingredient metformin hydrochloride and belong to a group of medicines called biguanides, used in the treatment of diabetes. METKEM XR is used to delay the onset and treat Type 2 (non- insulin dependent) diabetes mellitus when diet and exercise changes alone have not been enough to control blood glucose (sugar). HOW METKEM XR WORK Insulin is a hormone produced by the pancreas that makes your body take in glucose (sugar) from the blood. Your body uses glucose to produce energy or stores it for future use. If you have diabetes, your pancreas does not make enough insulin or your body is not able to use properly the insulin it produces. This leads to a high level of glucose in your blood. METKEM XR makes the body more sensitive to insulin and helps return to normal the way your body uses glucose. METKEM XR is associated with either a stable body weight or modest weight loss. METKEM XR Prolonged Release Tablets are specially made to release the drug slowly in your body and therefore are different to many other types of tablet containing metformin. BEFORE YOU USE METKEM XR - _When you must not use it _ Do not take METKEM XR if: □ You have severely-reduced kidney function. □ If you have lactic acidosis [too much lactic acid in the blood (see “Risk of lactic acidosis”)] or ketoacidosis. Ketoacidosis is a condition in which substances called 'ketone bodies' accumulate in the blood and which can lead to diabetic pre-coma. Symptoms of acidosis may include st Baca dokumen lengkap
1 1. NAME OF THE MEDICINAL PRODUCT METKEM XR 1000mg (Metformin Hydrochloride Extended Release Tablets 1000 mg) 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each extended release tablet of METKEM XR 1000mg contains 1000 mg metformin hydrochloride corresponding to 779.88mg metformin base. 3. PHARMACEUTICAL FORM Extended release tablet. White to off-white, oval shaped, uncoated tablet, debossed with ‘PR’ on one side and “1000 on the other side. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS • Reduction in the risk or delay of the onset of type 2 diabetes mellitus in adult, overweight patients with IGT* and/or IFG*, and/or increased HbA1C who are: - at high risk for developing overt type 2 diabetes mellitus and - still progressing towards type 2 diabetes mellitus despite implementation of intensive lifestyle change for 3 to 6 months Treatment with METKEM XR must be based on a risk score incorporating appropriate measures of glycaemic control and including evidence of high cardiovascular risk. Lifestyle modifications should be continued when metformin is initiated, unless the patient is unable to do so because of medical reasons. *IGT: Impaired Glucose Tolerance; IFG: Impaired Fasting Glucose • Treatment of type 2 diabetes mellitus in adults, when dietary management and exercise alone does not result in adequate glycaemic control. METKEM XR may be used as monotherapy or in combination with other oral anti-diabetic agents or with insulin. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION POSOLOGY _Adults with normal renal function (GFR ≥ 90 mL/min) _ _ _ REDUCTION IN THE RISK OR DELAY OF THE ONSET OF TYPE 2 DIABETES • Metformin should only be considered where intensive lifestyle modifications for 3 to 6 months have not resulted in adequate glycaemic control. • The therapy should be initiated with one tablet Metformin Hydrochloride Extended Release Tablets 500 mg once daily with the evening meal. • After 10 to 15 days dose adjustment on the basis of blood glucose measurements is recommended (OGTT and/or FP Baca dokumen lengkap