Lijenta-M 500mg Tablet 10pcs

✔️ Uses of Lijenta-M 500mg Tablet

• Used to manage type II diabetes mellitus in adults

✔️ How does Lijenta-M 500mg Tablet work?

Linagliptin helps to control blood sugar levels by increasing substances in the body that make the pancreas release more insulin. It also signals the liver to stop producing sugar (glucose) when too much sugar is in the blood. Metformin reduces the absorption of sugar from the stomach, reduces the release of stored sugar from the liver, and helps your body use sugar better. 

✔️ Side Effects of Lijenta-M 500mg Tablet

• Common: Nasopharyngitis and diarrhea.
• Hypoglycemia is more common when used with sulfonylureas.

✔️ Quick Suggestions:

• Metformin + Linagliptin should be taken with food to lower the chances of having an upset stomach.
• Take it in addition to regular exercise and a healthy diet to lower the levels of blood sugar.
• The chances of weight gain and low blood sugar are lower than that of other diabetes medicines.
• Hypoglycemia (low blood sugar level) may occur when taken along with other antidiabetic medicines, alcohol, or by delaying/skipping a meal. Carry a sugar source with you for immediate relief.
• Monitor your blood sugar level regularly while you are taking this medicine.
• Inform your doctor about your diabetes treatment if you are due to have any surgery under a general anesthetic.
• Tell your doctor immediately if you experience any deep or rapid breathing, persistent nausea, vomiting, or stomach pain as Metformin + Linagliptin may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood.

✔️ Indications:

Lijenta-M 500 is a combination of two medications that help people with type 2 diabetes mellitus manage their high blood sugar levels. This lessens your risk of developing serious diabetes complications like kidney damage and blindness and lowers your risk of a heart attack or stroke. It is possible to prescribe Lijenta-M 500 alone or in combination with other diabetes drugs.

✔️ Pharmacology

Linagliptin:

• Used to enhance glycemic control in adults with type 2 diabetes mellitus.
• Inhibits DPP-4 (dipeptidyl peptidase-4), which degrades incretin hormones (GLP-1 and GIP).
• Increases active incretin hormones, stimulating insulin release from pancreatic beta cells and reducing glucagon secretion from alpha cells.

Metformin Hydrochloride:

• A biguanide oral antihyperglycemic drug for managing type 2 diabetes.
• Lowers both basal and postprandial plasma glucose.
• Reduces hepatic glucose production, decreases intestinal glucose absorption, and enhances peripheral glucose uptake and utilization.

✔️ Dosage & Administration of Lijenta-M 500mg Tablet

Immediate Release Tablets:

• Dosage is individualized based on effectiveness and tolerability.
• Max recommended dose: 2.5 mg of Linagliptin and 1000 mg of Metformin twice daily with meals.
• Starting dose for new patients: 2.5 mg Linagliptin and 500 mg Metformin twice daily.
• Existing Metformin users: 2.5 mg Linagliptin with current Metformin dose twice daily.
• Switching from individual components to combination: Match doses of each component.

Extended-Release Tablets:

• Dosage is individualized based on effectiveness and tolerability.
• Max recommended total daily dose: 5 mg Linagliptin and 2000 mg Metformin.
• Starting dose for new patients: 5 mg Linagliptin/1000 mg Metformin once daily with a meal.
• Existing Metformin users: 5 mg Linagliptin with a similar Metformin dose once daily with a meal.
• Switching from the immediate release: Match the total daily dose of each component to the extended-release form.

✔️ Interaction

• Cationic Drugs: Potential interaction with Metformin via renal tubular secretion; monitor patients closely.
• Carbonic Anhydrase Inhibitors: Risk of metabolic acidosis; use cautiously with Metformin.
• Inducers of P-glycoprotein and CYP3A4 Enzymes: May reduce Linagliptin efficacy; consider alternative treatments.
• Drugs Affecting Glycemic Control: Monitor for hyperglycemia or hypoglycemia when adding or removing certain drugs.

✔️ Contraindications

Not suitable for patients with renal impairment, acute or chronic metabolic acidosis, or hypersensitivity to Linagliptin or Metformin.

✔️ Pregnancy & Lactation

• Use only if needed during pregnancy.
• Exercise caution when administering to lactating mothers.

✔️ Precautions & Warnings

• Discontinue Metformin immediately in cases of lactic acidosis and provide supportive therapy.
• Monitor for signs of acute pancreatitis; discontinue if suspected.
• Temporarily discontinue radiologic studies with contrast or major surgeries.
• Monitor hematologic parameters annually due to potential Vitamin B12 deficiency.

✔️ Storage Conditions:

• Store in a cool, dry place below 30°C, protected from light and moisture.
• Keep out of reach of children.