Gliclazide Tablets (Ⅱ)

Sulfonylurea hypoglycemic oral diabetes medication. Gliclazide lowers blood glucose levels by stimulating pancreatic islet cells to secrete insulin. In type 2 diabetes, gliclazide can restore the first phase of insulin secretion in response to glucose and increase first phase insulin secretion. A significant increase in post-meal induced or glucose-stimulated insulin secretion response can be seen. Other properties: Blood biochemical properties. Gliclazide reduces the microthrombosis process through two mechanisms that may be involved in the formation of diabetic complications. (1) Partially inhibits platelet adhesion and aggregation, and reduces platelet activity markers (p-thromboglobulin, thromboxane B2). (2) Produces fibrinolytic activity on the vascular endothelium (increases tPA activity).

Its chemical name is: l_(3-azabicyclo【3.3.0】octyl)-3-p-toluenesulfonylurea.

This product is used for type 2 diabetes, especially for those with vascular complications.

Follow the doctor's advice: The usual starting dose is 80 mg 1-2 times a day, then adjust the dose to 80-240 mg per day based on the results of blood and urine sugar tests. Reduce the dose for elderly patients.

1. Nausea, vomiting, upper abdominal pain, constipation, and diarrhea may occur during medication. Taking the drug during meals can reduce the above adverse reactions. Other adverse reactions include thrombocytopenia, granulocytopenia, anemia, etc., and skin allergies may occur occasionally. 2. Gastrointestinal disorders, including nausea, indigestion, diarrhea, and constipation, have been reported; if gliclazide is taken during meals or the dose is divided into several doses, the above two symptoms can be avoided or alleviated. 3. The following are the less reported adverse reactions: ① Mucosal and skin reactions: rash, pruritus, urticaria, maculopapular rash. ② Blood diseases: anemia, leukopenia, thrombocytopenia. ③ Increased liver enzyme levels (ASAT, ALAT, alkaline phosphatase), hepatitis (rare). If cholestatic jaundice occurs, stop taking the drug. Generally speaking, these symptoms will disappear after treatment is stopped.

The use of this drug is contraindicated in the following cases: 1. Patients who are allergic to gliclazide or any of the excipients used, or to other sulfonylureas or sulfonamides. 2. Patients with insulin-dependent diabetes, especially juvenile diabetes, diabetic patients with ketoacidosis or pre-diabetic coma. 3. Patients with severe liver or kidney dysfunction. 4. Patients treated with miconazole (see [Drug Interactions]). 5. Lactation. 6. Porphyria: Pigments (porphyrins) accumulate in the body. In short, it is not recommended to use this drug with phenylbutazone, danazol (see [Drug Interactions]) or alcohol.

1 The following drugs may increase the risk of hypoglycemia. (1) Concomitant use is prohibited: Miconazole (oral route, oral gel): Increases the hypoglycemic effect and may cause hypoglycemic symptoms, even coma. (2) Concomitant use is not recommended: ① Phenylbutazone (systemic route): Increases the hypoglycemic effect of sulfonylurea drugs [replaces their binding to plasma proteins and (or) reduces their clearance]. It is best to use an anti-inflammatory drug with few interactions. Otherwise, the patient should be warned and the importance of self-monitoring should be emphasized; when used with anti-inflammatory drugs, it is necessary to adjust the drug dosage during treatment and during the treatment interruption stage. ② Alcohol: Increases hypoglycemic reactions, especially chlorpropamide, glibenclamide, glipizide, and toluidine (by inhibiting compensatory reactions), and also increases the risk of hypoglycemic coma. Avoid consuming alcohol or taking medications containing alcohol. (3) Caution is required in combined use: ① SZL receptor blockers: All SZL receptor blockers can mask certain symptoms of hypoglycemia, such as palpitations and tachycardia. Most non-cardioselective szlig; receptor blockers increase the suddenness and severity of hypoglycemia. Patients should be warned and the importance of self-monitoring of blood glucose should be emphasized, especially at the beginning of treatment. ② Fluconazole: Increases the half-life of sulfonylurea drugs and the risk of hypoglycemia symptoms. Patients should be warned and the importance of self-monitoring of blood glucose should be emphasized, and the dose of sulfonylurea drugs should be adjusted when necessary during fluconazole treatment. ④ Angiotensin-converting enzyme inhibitors (generally referring to captopril and enalapril): The use of angiotensin-converting enzyme inhibitors will aggravate the hypoglycemic effect of sulfonylurea hypoglycemic drugs. Symptomatic hypoglycemia is very rare. One theory is that improved glucose tolerance helps reduce the need for insulin. The importance of self-monitoring of blood glucose should be emphasized. 2 The following drugs may cause increased blood sugar levels: (1) It is recommended not to use them in combination: ① Danazol: Diabetogenic effect. If this drug cannot be avoided, patients should be warned and the importance of self-monitoring of urine sugar and blood sugar should be emphasized. When using and stopping ILdanazol treatment, the dose of diabetes treatment drugs needs to be adjusted. (2) Combined use requires caution: ① Chlorpromazine (psychotropic agent): Treatment with high-dose chlorpromazine (daily chlorpromazine dose of 100 mg) will increase blood sugar levels (reduce insulin release). Inform patients and emphasize the need for self-monitoring of IIL glucose levels. If necessary, the dose of antidiabetic drugs should be adjusted during and after treatment with neuroleptic drugs. ② Glucocorticoids and teicoplanin (systemic and local routes: intra-articular, skin and rectal preparations): (with the exception of hydrocortisone as an alternative treatment in ADDISON's disease) Blood sugar levels will increase, sometimes accompanied by ketosis (decreased carbohydrate tolerance caused by glucocorticoids). Patients need to be warned and the importance of self-monitoring blood sugar needs to be emphasized, especially at the beginning of treatment. It is necessary to adjust the dose of drugs for treating diabetes during the use of glucocorticoids and after discontinuation of the drug. ③ Szlig;2 sympathomimetic drugs: hydroxyephedrine, salbutamol, and tributamol increase blood sugar levels due to their p2 agonist effects. The importance of self-monitoring blood sugar needs to be emphasized. Switch to insulin if necessary.

Keep in a light-proof and sealed place

80mg

Yangzhou Ilyang Pharm. Co., Ltd.

• Founded in:

  2002-02-10

• Address:

  No. 8 Changxing Road, Gaoyou City

• Tax NO.:

  913210846087092887

• Registered Funds:

  $6.25 million

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