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AusPAR: Metformin HCI / Linagliptin
AusPAR: Metformin HCI / Linagliptin

... including the innovator company Alphapharm Pty Ltd. The Australian innovator brand name is ‘Glucophage’ for the 500 and 850 mg tablets and ‘Diabex’ for the 1000 mg strength. This AusPAR describes the application by Boehringer Ingelheim Pty Ltd to register a fixed-dose combination tablet containing t ...
Dapagliflozin (as propanediol monohydrate) / Metformin hydrochloride
Dapagliflozin (as propanediol monohydrate) / Metformin hydrochloride

... Metformin hydrochloride Metformin is an antihyperglycaemic agent which improves glucose tolerance in patients with type 2 diabetes, lowering both basal and postprandial plasma glucose. Metformin decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin se ...
SAFE n Smart* Use of Sulfonylureas
SAFE n Smart* Use of Sulfonylureas

... A1. SUs are an effective, safe, well tolerated, affordable & convenient therapeutic option in the management of T2DM. A2. SUs are effective second line agents after metformin, in the management of T2DM. SU monotherapy as first line may be considered in Type 2 Diabetes with metformin intolerance/ con ...
Metformin Hydrochloride Extended
Metformin Hydrochloride Extended

... using the swellable matrix coated with a permeable membrane technology. The tablet is similar in appearance to other film-coated oral administered tablets but it consists of a swellable active core formulation that is coated by a permeable membrane. The core formulation is composed primarily of drug ...
Glycemic Management of Type 2 Diabetes: An Emerging Strategy
Glycemic Management of Type 2 Diabetes: An Emerging Strategy

... Compared with treatments for hypertension and dyslipidemia, antihyperglycemic agents have been studied in few trials with medical end points. Proof of benefit for microvascular complications in type 2 diabetes is strong for sulfonylureas, metformin, and insulin [1–3]. Corresponding evidence for AGIs ...
View supplementary material
View supplementary material

... Background: The evidence on the effects of metformin and insulin in type 2 diabetes (T2D) on quality of life, mortality, and cardiovascular outcomes is unclear. Methods: The Copenhagen Insulin and Metformin Therapy (CIMT) trial is an investigator-initiated, randomised, placebo-controlled trial with ...
Metformin directly acts on mitochondria to alter cellular bioenergetics Open Access
Metformin directly acts on mitochondria to alter cellular bioenergetics Open Access

... that cancer cells harboring complex I mutations are more sensitive to the action of metformin compared with cancer cells without these mutations [16]. While there is controversy regarding the molecular mechanisms underlying the action of metformin, there is a general agreement that the drug causes e ...
Medicines for the Treatment of Obesity
Medicines for the Treatment of Obesity

... management of obesity in primary care: a clinical practice guideline from the American College of Physicians. Ann Intern Med 2005;142:525. 2. Arterburn, D, Crane, P, and Veenstra, D. The efficacy and Safety of Sibutramine for Weight Loss. Arch Intern Med 2004;164:994-1002. 3. Zhaoping, et al. Meta-a ...
DRUG THERAPY OF OBESITY: METFORMIN (UKPDS)
DRUG THERAPY OF OBESITY: METFORMIN (UKPDS)

... – 39 amino acid peptide – >50% overlap with human GLP-1 Resistant to DPP-IV degradation Similar binding affinity at GLP-1 receptors ...
- Practicing Clinicians Exchange
- Practicing Clinicians Exchange

... Achieving Glycemic Goals in T2DM • ADA: based on treating to failure before intensifying therapy in newly diagnosed patients1,2 – Exception: patients presenting with A1C >9.0% • AACE: initial combination therapy for A1C ≥7.5%3 • Both ADA and AACE recommend: – Metformin as initial therapy alone or in ...
Basics Pharmacology Review
Basics Pharmacology Review

... amount of time in preparation for LMCC • List the four steps of rational prescribing • Understand the pharmacological classes, generic examples and mechanisms of action of important tools in the practice of medicine. • Understand how the kinetics and dynamics of these agents can affect their use • H ...
- Boehringer Ingelheim (Canada)
- Boehringer Ingelheim (Canada)

... The reported incidence of lactic acidosis in patients receiving metformin hydrochloride is very low (approximately 0.03 cases/1000 patient-years, with approximately 0.015 fatal cases/1000 patient-years). Reported cases have occurred primarily in diabetic patients with significant renal insufficienc ...
insulin deficiency
insulin deficiency

... an ideal agent. The drug will facilitate weight loss and have beneficial effects on the hypertriglyceridemia. The United Kingdom Prospective Diabetes Study indicated that insulin and sulfonylureas equally lower plasma glucose but do not help weight loss or prevent weight gain. The thiazinolinediones ...
Metformin in type 1 diabetes mellitus?
Metformin in type 1 diabetes mellitus?

... the metformin and placebo groups in the risk of severe hypoglycemia or diabetic ketoacidosis.14 Burchardt et al15 studied the relationship between the metformin usage and lipid profile and assessed the influence of metformin therapy on carotid IMT in type 1 diabetes patients with excess body fat.15 ...
Current Therapeutic Options in Type 2 Diabetes Mellitus: A Practical
Current Therapeutic Options in Type 2 Diabetes Mellitus: A Practical

... bring. This task is made more challenging with the pharmaceutical industry spending large sums of money annually in direct marketing toward physicians and patients.4 For better or worse, prescribing patterns are affected by this marketing, or obviously such amounts of money would not be so spent.5 I ...
Using the type 2 diabetes glycemic treatment
Using the type 2 diabetes glycemic treatment

...  ecent evidence suggests an A1C goal of less than 8% may be appropriate for certain patients, including those with the following conditions: history of CABG or PTCA; diagnosis of IVD, heart failure, MI and ESRD. • C  linicians may set an A1C goal of 6.5% for certain patients including those with a ...
review of oral treatment options - International Journal of Pharmacy
review of oral treatment options - International Journal of Pharmacy

... insufficiency.  Another  advantage  is  their  use  as  alternative  in  hypoglycemic  patients  with  low‐dose  sulfonylureas.  Due  to  the  glucose  sensitive  release  of  insulin  they  cause  less  hypoglycemia  in  comparison  with  sulfonylureas.  One  of  the  side  effects  is  an  increas ...
Type 2 Diabetes Treatment Algorithm
Type 2 Diabetes Treatment Algorithm

... obese (tailoring the assessment of body-weight-associated risk according to ethnic group) and whose blood glucose is inadequately controlled by lifestyle interventions (nutrition and exercise) alone. Consider metformin as an option for first-line glucoselowering therapy for a person who is not overw ...
Pharmacology - 11-15
Pharmacology - 11-15

... c. It is a complete replacement for insulin therapy d.It is short acting insulin ...
Incretin based therapy in type 2 diabetes
Incretin based therapy in type 2 diabetes

...  Lixisenatide significantly improved glycaemic control in patients with Type 2 diabetes on metformin.  In GETGOAL-L-Asia, a phase 3, 24 week trial, treatment with lixisenatide led to superior reductions in A1c relative to placebo (-0.77% vs. 0.11%, p<0.001) in an Asian population inadequately cont ...
Antihyperglycemic Agents in the Treatment of Patients with Type 2
Antihyperglycemic Agents in the Treatment of Patients with Type 2

... Stimulate the pancreas to secret insulin ...
ppt - Fermata Pharma
ppt - Fermata Pharma

... Lymphangioleiomyomatosis: Cause and Treatment • inappropriate activation of mammalian target of rapamycin (mTOR) signaling, which regulates cellular growth and lymphangiogenesis. • Oral rapamycin (sirolimus), by inhibiting mTOR, stabilizes lung function and is associated with a reduction in symptom ...
Effect of Glyburide–Metformin Combination Tablet in Patients with
Effect of Glyburide–Metformin Combination Tablet in Patients with

... significant decreases in HbA1c compared with glyburide and metformin, respectively (both p < 0.0125). Furthermore, treatment with glyburide/metformin 2.5 mg/500 mg resulted in significantly greater reduction in HbA1c compared to glyburide or metformin (−1.77%, p < 0.001 and −1.34%, p = 0.002), and t ...
3 to a page
3 to a page

... Fe w adverse e ve nts or possible benefits ...
pioglitazone
pioglitazone

... characteristics, with the goal of reducing blood glucose levels while minimizing side effects, especially hypoglycemia, AND cost. ...
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Metformin



Metformin, marketed under the tradename Glucophage among others, is an antidiabetic medication which is taken by mouth. It is the first-line drug of choice for the treatment of type 2 diabetes, in particular, in overweight and obese people and those with normal kidney function. Its use in gestational diabetes has been limited by safety concerns. It is also used in the treatment of polycystic ovary syndrome, and has been investigated for other diseases where insulin resistance may be an important factor. Metformin works by suppressing glucose production by the liver.Limited evidence suggests metformin may prevent the cardiovascular and possibly the cancer complications of diabetes. It helps reduce LDL cholesterol and triglyceride levels and is not associated with weight gain; in some people, it promotes weight loss. Metformin is one of only two oral antidiabetics in the World Health Organization Model List of Essential Medicines (the other being glibenclamide).Metformin causes few adverse effects when prescribed appropriately (the most common is gastrointestinal upset) and has been associated with a low risk of having a low blood sugar. Lactic acidosis (a buildup of lactate in the blood) can be a serious concern in overdose and when it is prescribed to people with contraindications, but otherwise, no significant risk exists. It is in the biguanide class.First synthesized and found to reduce blood sugar in the 1920s, metformin was forgotten for the next two decades as research shifted to insulin and other antidiabetic drugs. Interest in metformin was rekindled in the late 1940s after several reports that it could reduce blood sugar levels in people, and in 1957, French physician Jean Sterne published the first clinical trial of metformin as a treatment for diabetes. It was introduced to the United Kingdom in 1958, Canada in 1972, and the United States in 1995. Metformin is now believed to be the most widely prescribed antidiabetic drug in the world; in the United States alone, more than 48 million prescriptions were filled in 2010 for its generic formulations.
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