Metformin HCl & pioglitazone【C】

Hormones and Agents Affecting Hormonal Mechanism: Antidiabetic Agents: Oral Hypoglycemic Agents
OACTO9 “Actosmet tablet
ODIAB4 Diabecon FC tablet

Each tablet contains metformin HCl 850 mg, pioglitazone 15 mg.

適應症:適用於配合飲食和運動,以改善下列第二型糖尿病患者的血糖控制、已在接受pioglitazone和metformin合併治療者,或僅使用metformin但控制不佳者。

Usual dose:

Adult: 1 tab qd-bid; max. 3 tab/day.

Precautions:

Same as metformin and pioglitazone, be carefull the use on congestive heart failure, active bladder cancer, prior history of bladder cancer ; hypoglycemia, increased risk in patients receiving combination therapy with insulin or other antidiabetics; dose reduction of combination therapy may be needed.

Macular edema has been reported.

Premenopausal anovulatory women; may cause ovulation and increase risk for pregnancy.

Prolonged use (more than 12 months) and/or high cumulative doses; increased risk of bladder cancer.

Adverse effect:

Common: edema, headache, dizziness, diarrhea, UTI, pharyngitis, increased body weight.

Serious: congestive heart failure, ALT/SGPT level raised (0.3% ), liver failure , diabetic macular edema , malignant tumor of urinary bladder , pneumonia

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