About
INOGLA M 1000 is a combination oral antidiabetic medication, typically comprising a dipeptidyl peptidase-4 (DPP-4) inhibitor (a "gliptin" like Linagliptin or Sitagliptin) and Metformin hydrochloride 1000mg. This combination therapy targets multiple pathways involved in glucose regulation. Metformin, a biguanide, primarily reduces hepatic glucose production and improves insulin sensitivity in peripheral tissues. The DPP-4 inhibitor works by preventing the breakdown of incretin hormones (GLP-1 and GIP), thereby increasing their levels. Elevated incretin levels stimulate glucose-dependent insulin secretion from pancreatic beta cells and suppress glucagon secretion from alpha cells, leading to improved glycemic control without a high risk of hypoglycemia. This dual action provides comprehensive blood sugar management for patients with type 2 diabetes who are not adequately controlled on monotherapy.
Uses
- Management of type 2 diabetes mellitus.
- To improve glycemic control in adults.
- When diet and exercise alone are insufficient.
- As an alternative to separate gliptin and metformin tablets.
Directions For Use
Take one tablet orally once or twice daily with meals, as prescribed by your doctor.
Benefits
- Provides comprehensive blood sugar control.
- Lowers both fasting and postprandial glucose levels.
- Reduces the risk of hypoglycemia compared to sulfonylureas.
- Contributes to modest weight loss or weight neutrality.
- Improves insulin sensitivity and pancreatic function.
- Convenient once or twice daily dosing.
Side Effects
- Nausea
- Diarrhea
- Abdominal pain
- Vomiting
- Headache
- Upper respiratory tract infection
- Nasopharyngitis
- Hypoglycemia (especially with other agents)
- Lactic acidosis (rare, but serious with metformin)
- Joint pain
- Pancreatitis (rare with gliptins)
- Skin reactions
Safety Measures
- Alcohol - Avoid excessive alcohol consumption due to increased risk of lactic acidosis with metformin.
- Pregnancy - Not recommended during pregnancy; consult a doctor for alternative management.
- Breastfeeding - Not recommended during breastfeeding; consult a doctor for advice.
- Liver - Use with caution in patients with liver impairment; metformin is contraindicated in severe cases.
- Kidney - Contraindicated in severe renal impairment due to metformin accumulation and risk of lactic acidosis.
- Lung - Generally safe, but caution with conditions causing hypoxia, which can increase lactic acidosis risk.
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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