Saturday 29 October 2016

Acarbosa - Dosage, Indications and Contraindications

Acarbosa - Dosage, Indications and Contraindications

Name:Acarbosa

Group: antidiabetic, alpha-glucosidase inhibitors
Trademarks: Precose
Available in tablet form: 25 mg, 5 mg, 100mg

Dosage and Indication
For Type 2 Diabetes:
  • Initial dose: 25 mg taken orally every 8 hours when eating (the first bite of food eaten and drunk drugs)
  • The dose can be increased to 50 or 100 mg orally every 8 hours with a distance of 4-8 weeks based on the value of sugar 1 hour after eating or glycosylated hemoglobin levels (HbA1c), or the oral glucose tolerance test value per physician
The maximum dose:
  • Patients with body weight <60 kg: 50 mg every 8 hours
  • Patients with body weight> 60 kg: 100 mg every 8 hours
Usage:
For diabetes mellitus type 2, a single therapy or in combination with sulfonylurea treatment
Side Effects
With a frequency of> 10%
  • Abdominal pain (19%)
  • Diarrhea (31%)
  • Increased serum transaminases
  • Fart (74%)
The report, obtained after the drug was marketed:
  • Gastrointestinal: fulminant hepatitis with fatal outcome, ileus / subileus (disorders of the small intestine peristalsis), jaundice and / or hepatitis, and hepatic disorders related
  • Skin hypersensitivity reactions: rash, erythema, exanthema and urticaria
  • Edema
  • thrombocytopenia
  • Pneumatosis cystoides intestinalis
contraindications
  • Recorded history of hypersensitivity (allergy) to acarbosa
  • Diabetic ketoacidosis, cirrhosis, inflammatory bowel disease, colonic ulceration, partial intestinal blockage or partial blockage risk, impaired absorption in the gastrointestinal tract
WARNING
  • There are no clinical studies on evidence of macrovascular risk reduction in the acarbosa or other antidiabetic drugs
  • Concomitant use with sulfonylureas or insulin berisikko hypoglycemic events;handle hypoglycemia with an oral glucose (dextrose) and sucrose do
Pregnancy and Breastfeeding
Security for Pregnancy: Category B.
Type category of drugs for pregnancy:
  • Category A: It is generally accepted, has been through research on pregnant women, and shows no evidence of damage to the fetus
  • Category B: It may be acceptable to pregnant women, have gone through animal studies but there is no direct evidence in human studies.
  • Category C: Used with caution.Animal studies indicate the risk and there is no direct human studies on
  • Category D: Used if no other drugs that can be used, and in a life-threatening condition.
  • Category X: Do not use in pregnancy.
  • Category NA: No information
Not recommended in nursing mothers because no data on whether the drug enters breast milk or not.
Acarbosa - Dosage, Indications and Contraindications
4/ 5
Oleh

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