XIGDUO XR 10/1000MG TABLET 7'S
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XIGDUO XR 10/1000MG TABLET 7'S

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XIGDUO XR 10/1000MG TABLET 7'S

By ASTRAZENECA PHARMA INDIA LIMITED

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About XIGDUO XR 10/1000MG TABLET 7'S

  • XIGDUO XR 10/1000mg Tablet is a medication designed to help adults manage their type 2 diabetes. It combines two active ingredients: dapagliflozin and metformin hydrochloride. Dapagliflozin belongs to a class of drugs called SGLT2 inhibitors, which work by helping the kidneys remove glucose from the bloodstream through urine. Metformin, on the other hand, is a biguanide that reduces glucose production in the liver and improves insulin sensitivity.
  • This combination helps to lower blood sugar levels in people with type 2 diabetes, especially when diet and exercise alone are not enough. XIGDUO XR is an extended-release formulation, which means it releases the medication slowly into your system throughout the day, allowing for once-daily dosing. This can help improve compliance and make it easier to manage your blood sugar levels consistently.
  • The 10/1000mg strength indicates that each tablet contains 10mg of dapagliflozin and 1000mg of metformin hydrochloride. It's important to take XIGDUO XR as prescribed by your doctor, usually once daily with a meal to help reduce stomach upset. Regular monitoring of blood sugar levels is crucial while taking this medication to ensure it's working effectively and to adjust the dosage if necessary. Common side effects may include nausea, diarrhea, and urinary tract infections. Always consult with your healthcare provider for any concerns or before making changes to your medication regimen.
  • XIGDUO XR offers a convenient way to manage type 2 diabetes by addressing multiple pathways of glucose control. By increasing glucose excretion and improving insulin sensitivity, it helps to achieve and maintain better blood sugar levels, reducing the risk of long-term complications associated with diabetes. Remember, XIGDUO XR is most effective when combined with a healthy diet and regular exercise routine.
  • This medication is generally prescribed along with lifestyle modifications such as diet and exercise to achieve optimal blood sugar control. Adhering to a healthy diet that is low in processed foods, sugary drinks, and saturated fats, while also incorporating regular physical activity, can significantly enhance the effectiveness of XIGDUO XR. Consistent monitoring of blood glucose levels, as advised by your healthcare provider, is crucial for assessing the medication's efficacy and making necessary adjustments to the treatment plan. Always inform your doctor about any other medications or supplements you are taking, as drug interactions can occur. In case of any persistent or severe side effects, seek immediate medical attention.

Uses of XIGDUO XR 10/1000MG TABLET 7'S

  • Treatment of type 2 diabetes mellitus
  • Controlling blood sugar levels
  • Used in combination with diet and exercise
  • To treat type 2 diabetes in adults
  • Not recommended for use in patients with kidney disease

How XIGDUO XR 10/1000MG TABLET 7'S Works

  • XIGDUO XR 10/1000MG TABLET 7'S is a combination medication containing dapagliflozin and metformin hydrochloride, both of which work through different mechanisms to help lower blood sugar levels in individuals with type 2 diabetes. Dapagliflozin belongs to a class of drugs called sodium-glucose co-transporter 2 (SGLT2) inhibitors. SGLT2 inhibitors work in the kidneys by blocking the reabsorption of glucose back into the bloodstream. This allows excess glucose to be excreted in the urine, thereby lowering blood sugar levels. By reducing glucose reabsorption, dapagliflozin promotes glycosuria (glucose in the urine) and helps to reduce overall blood glucose levels, particularly after meals.
  • Metformin, on the other hand, is a biguanide that primarily works by decreasing glucose production in the liver and improving the body's sensitivity to insulin. It reduces hepatic glucose production by inhibiting gluconeogenesis (the process by which the liver makes glucose from non-carbohydrate sources) and glycogenolysis (the breakdown of glycogen into glucose). Additionally, metformin increases insulin sensitivity in peripheral tissues, such as muscle, allowing cells to utilize glucose more effectively. This dual action helps to lower both fasting and postprandial (after-meal) blood sugar levels.
  • When combined in XIGDUO XR, dapagliflozin and metformin provide complementary mechanisms of action. Dapagliflozin reduces glucose reabsorption in the kidneys, while metformin reduces glucose production in the liver and improves insulin sensitivity. This synergistic effect leads to better blood sugar control compared to using either medication alone. The extended-release (XR) formulation of XIGDUO XR allows for a slower release of the medication into the body, providing a more consistent and prolonged effect on blood sugar levels throughout the day. This can help to improve glycemic control and reduce the frequency of dosing.
  • Furthermore, XIGDUO XR offers additional benefits beyond blood sugar control. Dapagliflozin has been shown to have positive effects on weight loss and blood pressure, which are common comorbidities in individuals with type 2 diabetes. By promoting glucose excretion, dapagliflozin can lead to a reduction in body weight. Additionally, it may have a mild diuretic effect, which can help to lower blood pressure. Metformin has also been associated with modest weight loss and cardiovascular benefits. The combination of these two medications in XIGDUO XR can therefore provide a comprehensive approach to managing type 2 diabetes and reducing the risk of associated complications.

Side Effects of XIGDUO XR 10/1000MG TABLET 7'SArrow

The following side effects may occur while taking XIGDUO XR 10/1000MG TABLET 7'S. This is not an exhaustive list, and it's important to consult with your doctor if you experience any unusual or severe symptoms. **Common Side Effects:** * Nausea * Vomiting * Diarrhea * Abdominal pain * Loss of appetite * Metallic taste * Headache * Weakness * Upper respiratory tract infection * Urinary tract infection * Hypoglycemia (low blood sugar), especially when used with other diabetes medications **Uncommon Side Effects:** * Lactic acidosis (a serious metabolic condition) * Vitamin B12 deficiency * Skin rash * Itching * Urticaria (hives) * Increased risk of bone fractures * Joint pain * Pancreatitis (inflammation of the pancreas) * Kidney problems * Genital fungal infections (in both men and women) * Fournier's gangrene (a rare but serious infection of the genitals and perineum) * Dehydration * Dizziness **Rare Side Effects:** * Severe allergic reactions (anaphylaxis) * Liver problems **Important Considerations:** * This is not a complete list of side effects. Other side effects may occur. * Tell your doctor right away if you have any side effects. * Some side effects, such as lactic acidosis, can be very serious and require immediate medical attention. * The risk of some side effects, such as hypoglycemia, may be increased when XIGDUO XR is taken with other diabetes medications. * The frequency and severity of side effects can vary from person to person.

Safety Advice for XIGDUO XR 10/1000MG TABLET 7'SArrow

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Allergies

Allergies

Do not use XIGDUO XR 10/1000MG TABLET 7'S if you are allergic to it.

Dosage of XIGDUO XR 10/1000MG TABLET 7'SArrow

  • The recommended dosage of 'XIGDUO XR 10/1000MG TABLET 7'S' is individualized based on the patient's current treatment regimen, glycemic control, and tolerability, while not exceeding the maximum recommended daily dose of 10 mg dapagliflozin and 2000 mg metformin hydrochloride extended-release. The usual starting dose for patients not currently treated with dapagliflozin or metformin is one tablet of XIGDUO XR 5/500 mg once daily, taken orally. This is done with the intent to assess patient tolerance and response. Take 'XIGDUO XR 10/1000MG TABLET 7'S' only as per the prescription by your physician only
  • For patients already on metformin, the starting dose of XIGDUO XR should provide dapagliflozin 5 mg plus the patient’s current dose of metformin. For example, a patient taking metformin 1000 mg twice daily would start XIGDUO XR 5/1000 mg twice daily. The dosage can be adjusted gradually to reduce gastrointestinal side effects associated with metformin. Dose escalation should be considered after assessing the patient's glycemic control and tolerability. The dose may be increased to a maximum of XIGDUO XR 10/1000 mg once daily, as tolerated, to achieve adequate glycemic control.
  • It is crucial to take 'XIGDUO XR 10/1000MG TABLET 7'S' once daily with a meal, preferably in the morning to reduce the likelihood of gastrointestinal side effects related to metformin. The tablets should be swallowed whole and never crushed, cut, or chewed, as this can affect the extended-release properties of the medication and potentially lead to rapid release of metformin, increasing the risk of side effects. Regular monitoring of kidney function is important, especially in elderly patients, and the medication should be discontinued if kidney function declines significantly. Dosage adjustments may be required for patients with moderate renal impairment. Always follow your healthcare provider's instructions precisely regarding dosage and administration of XIGDUO XR.

What if I miss my dose of XIGDUO XR 10/1000MG TABLET 7'S?Arrow

  • If you miss a dose of XIGDUO XR 10/1000MG TABLET 7'S, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

How to store XIGDUO XR 10/1000MG TABLET 7'S?Arrow

  • Keep XIGDUO XR 10/1000MG TAB 1X7 away from the reach of children and pets.
  • Store XIGDUO XR 10/1000MG TAB 1X7 at room temperature.

Benefits of XIGDUO XR 10/1000MG TABLET 7'SArrow

  • XIGDUO XR 10/1000MG TABLET 7'S offers a dual-action approach to managing type 2 diabetes, combining the power of dapagliflozin and metformin hydrochloride in a single, convenient extended-release tablet. This combination provides comprehensive glycemic control by addressing multiple pathways involved in elevated blood sugar levels.
  • Dapagliflozin, an SGLT2 inhibitor, works by preventing the kidneys from reabsorbing glucose back into the bloodstream. This excess glucose is then eliminated through urine, effectively lowering blood sugar levels and promoting weight loss in some individuals. By reducing the burden on the pancreas, dapagliflozin also helps to improve insulin sensitivity over time.
  • Metformin hydrochloride, a biguanide, primarily reduces glucose production in the liver and improves the body's sensitivity to insulin. It helps to decrease the amount of glucose released into the bloodstream and allows cells to utilize insulin more effectively, further contributing to lower blood sugar levels. Metformin also has a modest effect on reducing cholesterol levels.
  • The extended-release formulation of XIGDUO XR ensures a gradual and consistent release of both medications throughout the day, providing sustained glycemic control with just one tablet taken daily. This helps to minimize fluctuations in blood sugar levels, leading to better overall diabetes management.
  • By effectively controlling blood sugar levels, XIGDUO XR can help reduce the risk of long-term complications associated with diabetes, such as cardiovascular disease, kidney disease, nerve damage (neuropathy), and eye damage (retinopathy). Maintaining stable blood sugar levels is crucial for preventing these debilitating complications.
  • Furthermore, XIGDUO XR may contribute to weight management. Dapagliflozin's mechanism of action promotes glucose excretion, leading to a calorie deficit that can aid in weight loss. Metformin can also help with weight management by improving insulin sensitivity and reducing glucose production.
  • XIGDUO XR offers a convenient once-daily dosing schedule, which can improve adherence to treatment and simplify diabetes management. Its dual mechanism of action provides comprehensive glycemic control, addressing both insulin resistance and glucose overproduction. The combination of dapagliflozin and metformin provides synergistic benefits, leading to better blood sugar control than either medication alone.
  • XIGDUO XR has been shown to reduce HbA1c levels, a measure of average blood sugar control over the past 2-3 months. Lowering HbA1c levels is essential for preventing diabetes complications and improving long-term health outcomes. Patients taking XIGDUO XR may experience improvements in energy levels and overall well-being as a result of better blood sugar control.
  • XIGDUO XR may also offer cardiovascular benefits. Studies have shown that dapagliflozin can reduce the risk of heart failure and cardiovascular death in patients with type 2 diabetes and established cardiovascular disease. This added benefit makes XIGDUO XR a valuable option for patients at high risk for cardiovascular events.
  • It is important to note that XIGDUO XR should be used in conjunction with a healthy diet and regular exercise. Lifestyle modifications are essential for managing type 2 diabetes and maximizing the benefits of medication. Regular monitoring of blood sugar levels and kidney function is also recommended while taking XIGDUO XR.

How to use XIGDUO XR 10/1000MG TABLET 7'SArrow

  • XIGDUO XR 10/1000MG TABLET 7'S should be taken exactly as prescribed by your doctor. This medication is usually taken once daily, with a meal, preferably in the morning to minimize potential gastrointestinal side effects. Swallow the tablet whole with a full glass of water. Do not crush, chew, or break the tablet, as this can affect the release of the medication and potentially lead to adverse effects or reduced effectiveness. Consistency in timing is crucial; try to take it at the same time each day to maintain a stable level of medication in your body and maximize its benefits.
  • Before starting XIGDUO XR, inform your doctor about all your medical conditions, especially kidney problems, liver problems, heart problems, pancreatitis, gallbladder problems, or a history of alcohol abuse. Also, disclose all other medications you are taking, including prescription drugs, over-the-counter medications, and herbal supplements, as drug interactions can occur. If you are scheduled for any surgery or medical procedure, including dental work, let your healthcare provider know that you are taking XIGDUO XR.
  • It's important to adhere to your doctor's instructions regarding diet and exercise while taking XIGDUO XR. This medication works best when combined with a healthy lifestyle. Regularly monitor your blood sugar levels as directed by your doctor and report any unusual symptoms or side effects promptly. Common side effects may include nausea, vomiting, diarrhea, and abdominal pain. If you experience persistent or severe side effects, contact your doctor. Do not stop taking XIGDUO XR without consulting your doctor, even if you feel better, as this could lead to a worsening of your condition.
  • If you miss a dose of XIGDUO XR, take it as soon as you remember, unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up. Store XIGDUO XR at room temperature, away from moisture and heat. Keep out of reach of children. In case of accidental overdose, seek immediate medical attention.

Quick Tips for XIGDUO XR 10/1000MG TABLET 7'SArrow

  • **Take XIGDUO XR 10/1000MG TABLET 7'S as prescribed by your doctor:** Always follow your doctor's instructions regarding dosage and timing. Do not exceed the recommended dose or discontinue the medication without consulting your healthcare provider. Consistent adherence to the prescribed regimen is crucial for optimal blood sugar control and to minimize potential side effects. Skipping doses or altering the dosage without medical advice can negatively impact your blood sugar levels and overall health.
  • **Take XIGDUO XR 10/1000MG TABLET 7'S with food:** To minimize potential stomach upset and improve absorption of the medication, take XIGDUO XR with a meal. This helps to regulate the release of the medication and ensures a more consistent effect on your blood sugar levels. Taking it on an empty stomach can sometimes lead to nausea or other gastrointestinal discomfort. Choose a meal that's balanced and contains carbohydrates, protein and healthy fats for best results.
  • **Monitor your blood sugar regularly while taking XIGDUO XR 10/1000MG TABLET 7'S:** Regularly check your blood glucose levels as directed by your doctor. This helps you and your doctor to assess how well the medication is working and make any necessary adjustments to your treatment plan. Keep a log of your blood sugar readings and share it with your healthcare provider during your appointments. This information is valuable for managing your diabetes effectively.
  • **Stay hydrated while on XIGDUO XR 10/1000MG TABLET 7'S:** Drink plenty of water throughout the day to help your kidneys function properly and to prevent dehydration, especially during physical activity or hot weather. Adequate hydration is important for overall health and can also help to minimize certain side effects associated with XIGDUO XR. Aim for at least eight glasses of water per day, unless your doctor advises otherwise.
  • **Be aware of potential side effects:** Be aware of potential side effects such as nausea, diarrhea, or low blood sugar (hypoglycemia). If you experience any persistent or severe side effects, contact your doctor immediately. Hypoglycemia can occur if you skip meals, exercise strenuously, or take other medications that lower blood sugar. Learn the symptoms of hypoglycemia and how to treat it promptly (e.g., by consuming glucose tablets or juice). Discuss any concerns you have about side effects with your doctor.
  • **Inform your doctor about all other medications:** Before starting XIGDUO XR, inform your doctor about all other medications you are taking, including over-the-counter drugs, herbal supplements, and vitamins. Some medications can interact with XIGDUO XR and affect its effectiveness or increase the risk of side effects. Your doctor needs a complete picture of your medication history to ensure your safety and optimize your treatment plan.
  • **Maintain a healthy lifestyle:** Combine XIGDUO XR with a healthy lifestyle, including a balanced diet and regular exercise. This synergistic approach will help you achieve better blood sugar control and reduce your risk of diabetes-related complications. Work with a registered dietitian or certified diabetes educator to develop a personalized meal plan and exercise routine that suits your needs and preferences. Aim for at least 150 minutes of moderate-intensity exercise per week.

Food Interactions with XIGDUO XR 10/1000MG TABLET 7'SArrow

  • XIGDUO XR 10/1000MG TABLET 7'S should be taken with food to help decrease the chance of an upset stomach.
  • Avoid excessive alcohol consumption while taking this medication, as it may increase the risk of lactic acidosis.
  • While taking this medication, maintain a consistent carbohydrate intake. Consult your doctor or dietician for specific dietary advice tailored to your condition.

FAQs

What is XIGDUO XR 10/1000MG TABLET 7'S?Arrow

XIGDUO XR 10/1000MG TABLET 7'S is a combination of two medicines: Dapagliflozin and Metformin. It is used to control high blood sugar levels in adults with type 2 diabetes mellitus.

What is XIGDUO XR 10/1000MG TABLET 7'S used for?Arrow

XIGDUO XR 10/1000MG TABLET 7'S is used to control blood sugar levels in adults with type 2 diabetes mellitus, along with a proper diet and exercise program.

How does XIGDUO XR 10/1000MG TABLET 7'S work?Arrow

XIGDUO XR 10/1000MG TABLET 7'S works in two ways. Dapagliflozin helps your kidneys remove extra glucose (blood sugar) from your bloodstream via urine. Metformin works by decreasing the amount of glucose produced by your liver and by making your body more sensitive to insulin.

What are the common side effects of XIGDUO XR 10/1000MG TABLET 7'S?Arrow

Common side effects of XIGDUO XR 10/1000MG TABLET 7'S include nausea, vomiting, diarrhea, abdominal pain, and headache.

Can XIGDUO XR 10/1000MG TABLET 7'S cause kidney problems?Arrow

XIGDUO XR 10/1000MG TABLET 7'S can cause kidney problems in some people, especially those who already have kidney disease. Talk to your doctor if you are concerned about kidney problems.

Can XIGDUO XR 10/1000MG TABLET 7'S be taken on an empty stomach?Arrow

It is recommended to take XIGDUO XR 10/1000MG TABLET 7'S with food to reduce the chance of stomach upset.

What happens if I miss a dose of XIGDUO XR 10/1000MG TABLET 7'S?Arrow

If you miss a dose of XIGDUO XR 10/1000MG TABLET 7'S, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose.

How to store XIGDUO XR 10/1000MG TABLET 7'S?Arrow

Store XIGDUO XR 10/1000MG TABLET 7'S at room temperature, away from heat and moisture.

Can XIGDUO XR 10/1000MG TABLET 7'S interact with other medications?Arrow

XIGDUO XR 10/1000MG TABLET 7'S can interact with certain other medications. Tell your doctor about all the medications you are taking, including prescription drugs, over-the-counter drugs, and herbal supplements.

Is XIGDUO XR 10/1000MG TABLET 7'S safe for pregnant women?Arrow

The safety of XIGDUO XR 10/1000MG TABLET 7'S during pregnancy has not been established. Talk to your doctor if you are pregnant or planning to become pregnant.

Is XIGDUO XR 10/1000MG TABLET 7'S safe for breastfeeding women?Arrow

It is not known whether XIGDUO XR 10/1000MG TABLET 7'S passes into breast milk. Talk to your doctor if you are breastfeeding.

What are the symptoms of an overdose of XIGDUO XR 10/1000MG TABLET 7'S?Arrow

Symptoms of an overdose of XIGDUO XR 10/1000MG TABLET 7'S may include nausea, vomiting, diarrhea, abdominal pain, dizziness, confusion, and loss of consciousness.

Does XIGDUO XR 10/1000MG TABLET 7'S cause weight gain?Arrow

XIGDUO XR 10/1000MG TABLET 7'S does not typically cause weight gain. Some people may even experience weight loss.

Can XIGDUO XR 10/1000MG TABLET 7'S cause low blood sugar (hypoglycemia)?Arrow

XIGDUO XR 10/1000MG TABLET 7'S can cause low blood sugar (hypoglycemia), especially if taken with other diabetes medications such as insulin or sulfonylureas.

What are the alternatives to Xigduo XR?Arrow

Alternatives to Xigduo XR include other medications containing dapagliflozin and metformin, or other diabetes medications that work similarly. Ask your doctor what the best option is for you.

References

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XIGDUO XR (metformin hydrochloride and dapagliflozin) extended-release tablets - FDA prescribing information. This document provides detailed information on the drug's composition, clinical pharmacology, efficacy, safety, and usage.

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Metformin - DrugBank Online. A comprehensive resource detailing the chemical structure, mechanism of action, pharmacokinetics, and interactions of metformin.

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Dapagliflozin - DrugBank Online. A comprehensive resource detailing the chemical structure, mechanism of action, pharmacokinetics, and interactions of dapagliflozin.

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Xigduo - European Medicines Agency (EMA). This provides a summary of the scientific assessment by the EMA's Committee for Medicinal Products for Human Use (CHMP) on Xigduo.

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PubMed. Search engine for biomedical literature. Use keywords like 'metformin,' 'dapagliflozin,' 'XIGDUO XR,' 'type 2 diabetes,' and 'clinical trial' to find relevant research articles.

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ScienceDirect. A leading platform of peer-reviewed literature with publications covering research, clinical data, and more related to XIGDUO XR and its components.

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