• রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন।
Indications:
Linarol-M 850 mg is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus when treatment with both Linagliptin and Metformin is appropriate.
Pharmacology:
Linagliptin: A DPP-4 inhibitor that increases and prolongs the activity of incretin hormones, leading to enhanced insulin release and reduced glucagon secretion in a glucose-dependent manner.
Metformin Hydrochloride: A biguanide that decreases hepatic glucose production, decreases intestinal glucose absorption, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization.
Dosage:
Initial Dose: In patients not currently treated with Metformin, initiate with 2.5 mg Linagliptin and 500 mg Metformin twice daily with meals.
Maintenance Dose: The dosage should be individualized based on effectiveness and tolerability, not exceeding 2.5 mg Linagliptin and 1000 mg Metformin twice daily with meals.
Administration:
Take the tablet orally with meals to reduce gastrointestinal side effects associated with Metformin.
Interaction:
Cationic Drugs: May reduce Metformin elimination.
P-glycoprotein/CYP3A4 Inducers: Rifampin may decrease Linagliptin exposure, reducing its efficacy.
Other Drugs Affecting Glycemic Control: Certain drugs may produce hyperglycemia, leading to loss of glycemic control.
Contraindications:
Hypersensitivity to Linagliptin or Metformin Hydrochloride.
Renal impairment (eGFR <30 mL/min/1.73 m²).
Acute or chronic metabolic acidosis, including diabetic ketoacidosis.
Hepatic insufficiency.
Side Effects:
Common: Nasopharyngitis, diarrhea.
Less Common: Hypoglycemia (especially when used with sulfonylureas), nausea, vomiting, abdominal discomfort.
Pregnancy & Lactation:
Pregnancy: Category B. Should be used during pregnancy only if clearly needed.
Lactation: Caution should be exercised when administered to a nursing woman.
Therapeutic Class:
Combination Oral Hypoglycemic Preparations
Storage Conditions:
Store in a cool, dry place below 25°C and away from direct sunlight. Keep all medicines out of reach of children.