Metformin + Remogliflozin Etabonate

Dosage Forms Available

• Metformin + Remogliflozin Etabonate is available for use via the oral route in the form of tablets.

Age and Dose Restrictions

• This combination medicine is intended for use in adults only.

Contraindications

• Metformin + Remogliflozin Etabonate is contraindicated in patients with type 1 diabetes mellitus, diabetic ketoacidosis, severe kidney impairment, end-stage renal disease, patients on dialysis, known hypersensitivity to either Metformin or Remogliflozin Etabonate, and acute or chronic metabolic acidosis including lactic acidosis.

Other Medications to Avoid

• This combination may interact with carbonic anhydrase inhibitors (such as topiramate, zonisamide, acetazolamide), cationic medicines that are eliminated by renal tubular secretion (like amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, or vancomycin), and diuretics.
• It is crucial to inform your doctor about all the medicines you are currently taking to check for potential interactions.

Overdose and Missed Dose

• An overdose of this medication may lead to lactic acidosis and should be managed with supportive measures as directed by your doctor.
• If you miss a dose of this medication, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and follow the usual dosing schedule.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any symptoms, please consult your doctor.

• Drinking plenty of fluids can help manage increased urination due to Remogliflozin Etabonate.
• Having small, frequent meals can help manage nausea, diarrhoea, and abdominal discomfort due to Metformin.

Use in Driving and Operating Machinery

• This combination may cause dizziness. Hence, caution should be exercised when driving or operating heavy machinery.

Use in Pregnancy and Lactation

• It is advisable to consult your doctor before using Metformin + Remogliflozin Etabonate during pregnancy and breastfeeding.

Caution in Other Conditions

• Caution should be used in patients with severe renal impairment, end-stage renal disease, patients on dialysis, acute or chronic metabolic acidosis including lactic acidosis.

Special Dietary and Lifestyle Recommendations

• A healthy diet low in sugar and saturated fats may help improve the effectiveness of this medication in managing type 2 diabetes.
• Regular physical activity can also contribute to better blood sugar control.
• It is beneficial to keep regular monitoring of your blood sugar levels.
• Refrain from excessive alcohol intake as it increases your risk of lactic acidosis while on this medication.