سعر بيوجلوميت 15/850مجم 30 قرص 2022

Pioglitazone 15 mg + metformin hydrochloride 850 mg film-coated tablets, pack of 30 (JEDCO/El Razy, Egypt).

• Adjunct to diet and exercise to improve glycaemic control in adults with type 2 diabetes mellitus (not for type 1 diabetes or diabetic ketoacidosis)Population: AdultsDailyMed (U.S. National Library of Medicine)

• Most common (>5%): upper respiratory tract infection, oedema, diarrhoea, headache and weight gain.International label, equivalent formulation · DailyMed (U.S. National Library of Medicine)

• NYHA class III or IV heart failure at initiation; eGFR below 30 mL/min; serious hypersensitivity to pioglitazone, metformin or excipients; acute or chronic metabolic acidosis including diabetic ketoacidosis.International label, equivalent formulation · DailyMed (U.S. National Library of Medicine)

• Boxed warning: thiazolidinediones can cause or worsen congestive heart failure; metformin can cause lactic acidosis.International label, equivalent formulation · DailyMed (U.S. National Library of Medicine)
• Other warnings: oedema, hypoglycaemia with insulin or secretagogues, hepatic effects, bladder tumours, fractures, macular oedema, vitamin B12 deficiency.International label, equivalent formulation · DailyMed (U.S. National Library of Medicine)

• Limited data are insufficient to determine drug-associated risk; poorly controlled diabetes in pregnancy carries maternal and fetal risks.International label, equivalent formulation · DailyMed (U.S. National Library of Medicine)
• No data on pioglitazone in human milk; metformin is present in human milk in limited studies.International label, equivalent formulation · DailyMed (U.S. National Library of Medicine)

• Pioglitazone: Thiazolidinedione that depends on the presence of insulin; decreases insulin resistance in the periphery and liver via PPAR-gamma agonism (US Duetact label).
• Metformin: Decreases hepatic glucose production, decreases intestinal glucose absorption and improves insulin sensitivity by increasing peripheral glucose uptake and utilization; insulin secretion remains unchanged (US label).