KOMBIGLYZE XR 2.5/1000 Tablets / Extended Release

Saxagliptin, Metformin HCl
"2.5mg, 1000mg"
Bristol Myers Squibb Company
Pack size 60's HDPE Bottle
Dispensing mode POM
Source USA
AgentModern Pharmaceutical Co.
Retail Price 202.50 AED

Indications

KOMBIGLYZE XR 2.5/1000 Tablets / Extended Release is used for: For use as an adjunct to diet and exercise in adult patients (18 years and older) with NIDDM. May also be used for the management of metabolic and reproductive abnormalities associated with polycystic ovary syndrome (PCOS). Jentadueto is for the treatment of patients when both linagliptin and metformin is appropriate.

Adult Dose

Child Dose

Renal Dose

Administration

Contra Indications

Precautions

Pregnancy-Lactation

Interactions

Adverse Effects

Side effects of Saxagliptin, Metformin HCl :

Mechanism of Action

Metformin's mechanisms of action differ from other classes of oral antihyperglycemic agents. Metformin decreases blood glucose levels by decreasing hepatic glucose production, decreasing intestinal absorption of glucose, and improving insulin sensitivity by increasing peripheral glucose uptake and utilization. These effects are mediated by the initial activation by metformin of AMP-activated protein kinase (AMPK), a liver enzyme that plays an important role in insulin signaling, whole body energy balance, and the metabolism of glucose and fats. Activation of AMPK is required for metformin's inhibitory effect on the production of glucose by liver cells. Increased peripheral utilization of glucose may be due to improved insulin binding to insulin receptors. Metformin administration also increases AMPK activity in skeletal muscle. AMPK is known to cause GLUT4 deployment to the plasma membrane, resulting in insulin-independent glucose uptake. The rare side effect, lactic acidosis, is thought to be caused by decreased liver uptake of serum lactate, one of the substrates of gluconeogenesis. In those with healthy renal function, the slight excess is simply cleared. However, those with severe renal impairment may accumulate clinically significant serum lactic acid levels. Other conditions that may precipitate lactic acidosis include severe hepatic disease and acute/decompensated heart failure.

Note

KOMBIGLYZE XR 2.5/1000 "2.5mg, 1000mg" Tablets / Extended Release manufactured by Bristol Myers Squibb Company. Its generic name is Saxagliptin, Metformin HCl. KOMBIGLYZE XR 2.5/1000 is availble in United Arab Emirates. Farmaco UAE drug index information on KOMBIGLYZE XR 2.5/1000 Tablets / Extended Release is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

Some other brands of Saxagliptin, Metformin HCl :