Krajina: Austrália
Jazyk: angličtina
Zdroj: Department of Health (Therapeutic Goods Administration)
Metformin hydrochloride
Pharmacor Pty Ltd
Metformin hydrochloride
Version 05 – February 2010 CONSUMER MEDICINE INFORMATION PHARMACOR METFORMIN 500 PHARMACOR METFORMIN 850 What is in this leaflet? Please read this leaflet carefully before you start to take these tablets. Keep it until all the prescribed course of Metformin tablets has been finished, as you may want to read it again. This leaflet may not contain all the information about this medicine that you would like to know. It does not take the place of talking to your doctor, pharmacist or diabetes educator. If you have any concerns about taking this medicine, please talk to your doctor or pharmacist or diabetes educator. All medicines have risks and benefits. Your doctor has weighed the risks of you taking Metformin against the benefits expected for you. What is in your medicine? • Pharmacor Metformin 500 : Each film coated tablet contains 500 mg of the active ingredient metformin hydrochloride. • Pharmacor Metformin 850: Each film coated tablet contains 850 mg of the active ingredient metformin hydrochloride. • Other inactive ingredients: Sodium starch glycollate, maize starch, povidone, colloidal anhydrous silica, magnesium stearate, hypromellose, titanium dioxide, propylene glycol, macrogol 6000 and purified talc. What is your medicine for? Metformin hydrochloride is one of the groups of medicines called oral hypoglycaemics, which work by reducing the level of sugar in the blood in people with diabetes mellitus. Diabetes Mellitus is a condition in which the blood glucose levels are not adequately controlled. There are two types of diabetes • Type 1 which is called Insulin dependent diabetes or juvenile onset diabetes, when insulin alone is not enough to control blood glucose levels. • Type 2 which is called Non insulin Dependent Diabetes Mellitus (NIDDM) or maturity onset diabetes. People with type 2 diabetes are not able to make enough insulin or respond normally to the insulin their bodies make. When this happens, sugar (glucose) builds up in the blood. This can lead to serious medical problems including Prečítajte si celý dokument
Version 05 – February 2010 PRODUCT INFORMATION PHARMACOR METFORMIN 500 & PHARMACOR METFORMIN 850 Life threatening lactic acidosis can occur due to accumulation of metformin. Risk factors include renal impairment. Other risk factors include old age with reduced renal function and high doses of metformin above 2g/day. Name of the medicine: Metformin hydrochloride. Chemical Name: 1,1-dimethyl biguanide hydrochloride Molecular formula: C 4 H 11 N 5 ,HCl. MW: 165.6. CAS: 1115-70-4. Metformin hydrochloride Description Metformin hydrochloride is a white crystalline powder which is odourless or almost odourless and hygroscopic. It is freely soluble in water, slightly soluble in ethanol (96%) and practically insoluble in chloroform and in ether. Composition. Active: Metformin hydrochloride. Inactive: Sodium starch glycollate, maize starch, povidone, colloidal anhydrous silica, magnesium stearate, hypromellose, titanium dioxide, propylene glycol, Macrogol 6000 and purified talc. Pharmacology. Metformin is an antihyperglycaemic agent, which improves glucose tolerance in NIDDM (noninsulin dependent diabetes mellitus) subjects lowering both basal and postprandial plasma glucose. Metformin causes an increased peripheral uptake of glucose by increasing the biological efficiency of available exogenous or endogenous insulin. The mode of action of metformin may be linked to increased insulin sensitivity. It does not stimulate insulin release but does require the presence of insulin to exert its antihyperglycaemic effect. Possible mechanisms of action include inhibition of gluconeogenesis in the liver, delay in glucose absorption from the gastrointestinal tract and an increase in peripheral uptake of glucose. Metformin has an antiketogenic activity which is comparable, though somewhat inferior, to insulin itself. Metformin has a modest favourable effect on serum lipids, which are often abnormal in NIDDM patients. Clinical trials. The prospective randomised study UKPDS has established the long-term benefit of intensive blood gluco Prečítajte si celý dokument