Adjunct to diet and exercise to improve glycemic control in patients with type 2 diabetes who are not adequately controlled on metformin or sitagliptin alone or in patients already being treated how safe is metformin nigeria the combination of sitagliptin and metformin. Janumet combines the two antihyperglycemic agents sitagliptin and metformin.
Sitagliptin, a DPP-4 inhibitor, increases and prolongs the activity of incretins, hormones that play a role in the regulation of glucose homeostasis.
Metformin, a biguanide, reduces endogenous hepatic how safe is metformin nigeria production, decreases intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization. There have been no clinical efficacy studies conducted with Janumet; however, bioequivalence of Janumet with co-administered sitagliptin and metformin tablets was demonstrated.
how safe is metformin nigeria Take twice how safe is metformin nigeria with meals. Previously on metformin alone: Previously on metformin mg twice daily: Previously on sitagliptin alone: Previously on sitagliptin and metformin: Renal disease or dysfunction.
Concomitant intravascular iodinated contrast agents suspend during and for 48 hours after use.
Confirm normal renal function before starting and monitor esp. Avoid if clinical or lab evidence of hepatic disease.
Discontinue how safe is metformin nigeria lactic acidosis, ketoacidosis, renal impairment, shock, acute MI, acute congestive heart failure, sepsis, or hypoxemia occurs. How safe need to suspend therapy during periods of stress or metformin nigeria how safe is metformin nigeria occurs or before surgery.
Elderly, debilitated, malnourished, deficient olanzapine wiki intake, adrenal or pituitary insufficiency, or alcohol intoxication: Cationic how safe is metformin nigeria eliminated by renal metformin nigeria secretion e.
Avoid excessive alcohol intake potentiates effects of metformin on lactate. Diuretics, steroids, estrogens, oral contraceptives, phenothiazines, phenytoin, thyroid products, nicotinic acid, sympathomimetics, calcium channel blockers, how safe, others that may cause hyperglycemia.
Beta blockers may mask hypoglycemia. Nasopharyngitis, GI disturbances, how safe is metformin nigeria, headache; lactic acidosis rare, half of the cases are fatal.
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The pharmaceutical quality of randomly selected brands of metformin tablets used prescribed or dispensed by Community Pharmacists and Doctors in Ogun state, southwestern Nigeria, were evaluated. Eight brands were randomly procured from community pharmacies after administering a pre-tested semi-structured questionnaire to Pharmacists and 15 Physicians across different local government areas in Ogun state, South Western part of Nigeria. The physicochemical properties of the different brands were analysed using the Pharmacopoeia standard.
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The ratios of Extract to Metformin were 1: Blood was withdrawn and tested at 0, 1, 3 and 6 hours.
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