G Carb 25 Tablet
Acarbose
25mg
Vijayadeep Laboratories Pvt. Ltd.
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Available as:
Indications
G Carb 25 Tablet is used for:
Type 2 DM
Adult Dose
Dosage Adult: PO Initial: 25 mg/day q8hr. May adjust gradually. Maintenance: 50-100 mg 3 times/day.
Max: <60 kg: 50 mg 3 times/day.
>60 kg: 100 mg 3 times/day.
Hepatic Impairment Severe: Contraindicated.
Child Dose
Renal Dose
Renal Impairment
CrCl Dosage
<25 Contraindicated.
Administration
Should be taken with food. Take w/ 1st bite of each main meal.
Contra Indications
Patients <18 yr; diabetic ketoacidosis or cirrhosis; malabsorption; inflammatory bowel disease; with or pre-disposed to intestinal obstruction; intestinal diseases that affect digestion or absorption; conditions that worsen as a result of increased gas formation e.g. hernias; colonic ulcers; hepatic impairment; CrClr< 25 ml/min/1.73m2. Pregnancy, lactation.
Precautions
Monitor LFT every 3 mth for 1st yr and periodically thereafter especially for doses >50 mg tid. Reduce dose or withdraw therapy if transaminases elevations persist. If hypoglycaemia occurs, give glucose orally as a 1st aid measure. Adhere strictly to the prescribed diabetic diet to avoid intensification of GI symptoms.
Lactation: not known if crosses into breast milk, avoid using in nursing women.
Pregnancy-Lactation
Interactions
May enhance effects of other antidiabetics including insulin. Diminished effects w/ GI adsorbents (e.g. charcoal) and digestive enzyme preparations containing carbohydrate splitting enzymes (e.g. amylase, pancreatin). Neomycin and colestyramine may enhance effects of acarbose. May inhibit absorption of digoxin.
Adverse Effects
Side effects of Acarbose :
>10%
abdominal pain (19%),diarrhea (31%),elevated serum transaminases, flatulence (74%)
Potentially Fatal: Hepatotoxicity.
Mechanism of Action
Acarbose competitively and reversibly inhibits pancreatic ?-amylase and intestinal brush border ?-glucosidases, resulting in retardation of glucose absorption from hydrolysed complex carbohydrates and reduction of blood-glucose concentrations.
Note
G Carb 25 25mg Tablet manufactured by Vijayadeep Laboratories Pvt. Ltd.. Its generic name is Acarbose. G Carb 25 is availble in Nepal.
Farmaco Nepal drug index information on G Carb 25 Tablet is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.