About
EMPASHILD M 12.5/500 is a fixed-dose combination medication containing Empagliflozin 12.5mg and Metformin 500mg, indicated for the management of type 2 diabetes mellitus. Empagliflozin, an SGLT2 inhibitor, lowers blood glucose by inhibiting glucose reabsorption in the kidneys, leading to increased urinary glucose excretion. Metformin, a biguanide, reduces hepatic glucose production, decreases intestinal glucose absorption, and improves insulin sensitivity in peripheral tissues. This combination provides a comprehensive approach to glycemic control by addressing multiple pathophysiological defects of type 2 diabetes. It not only helps to significantly reduce HbA1c but also offers additional benefits such as weight management and cardiovascular protection, making it a robust option for patients requiring multifaceted glycemic control.
Uses
- To improve glycemic control in adults with type 2 diabetes mellitus.
- Used as an adjunct to diet and exercise.
- For patients inadequately controlled on metformin, or empagliflozin, or both.
- May reduce the risk of cardiovascular death in adults with type 2 diabetes and established cardiovascular disease.
Directions For Use
Take this medication orally, usually twice daily with meals, as prescribed by your healthcare provider. Swallow the tablet whole with water.
Benefits
- Comprehensive blood glucose control through two distinct mechanisms.
- Significant reduction in HbA1c levels.
- Potential for modest weight loss.
- May offer cardiovascular and renal protective benefits.
- Improved insulin sensitivity and reduced glucose production.
- Low risk of hypoglycemia when used alone.
Side Effects
- Nausea
- Diarrhea
- Abdominal pain
- Urinary tract infections
- Genital yeast infections
- Increased urination
- Metallic taste in mouth
- Headache
- Dizziness
- Fatigue
- Dehydration
- Lactic acidosis (rare, serious)
Safety Measures
- Alcohol - Avoid excessive alcohol intake as it can significantly increase the risk of lactic acidosis, especially with metformin, and may also increase the risk of dehydration.
- Pregnancy - Not recommended during pregnancy, especially in the second and third trimesters, due to potential adverse effects on fetal kidney development. Consult your doctor.
- Breastfeeding - Not recommended during breastfeeding as components may pass into breast milk and could affect the infant. Consult your doctor.
- Liver - Use with caution in patients with liver impairment, particularly with metformin, due to increased risk of lactic acidosis. Not recommended in severe hepatic impairment.
- Kidney - Contraindicated in severe renal impairment (eGFR <30 mL/min/1.73m²). Dose adjustments are necessary for moderate renal impairment, and empagliflozin efficacy is reduced with declining renal function.
- Lung - Severe acute or chronic lung disease leading to hypoxia can increase the risk of lactic acidosis, especially with metformin. Use with caution.
Disclaimer
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Always consult your doctor for any medical concerns, and discuss your questions about health conditions or medications with a qualified healthcare professional. Do not ignore or delay seeking professional medical advice based on information found on Med E Hub.
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