医薬品リファレンス
Empagliflozin-linagliptin-metformin
Empagliflozin-linagliptin-metformin is a medicine in the class gastrointestinal tract. It is used for diabetes mellitus.
- 薬効分類: Gastrointestinal Tract
- 効能・効果: diabetes mellitus
最終更新日
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このページの臨床コンテンツは英語でのみ提供されています。
要点
- 薬効分類
- Gastrointestinal Tract
- 一般的な剤形
- 錠剤
- 一般的な規格
- 1000 mg
- 商品名
- 7
- 国・市場
- 2
何に使われるか
作用のしくみ
Empagliflozin: SGLT2 inhibitor; SGLT2 is expressed in the proximal renal tubules and is responsible for the majority of the reabsorption of filtered glucose from the tubular lumen; SGLT2 inhibitors reduce glucose reabsorption and lower the renal threshold for glucose, thereby increasing urinary glucose excretion
成人の通常用量（添付文書の要約）
Type 2 Diabetes Mellitus: Indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus (T2DM)
妊娠と授乳
- 妊娠
- Unsafe Based on animal data showing adverse renal effects from empagliflozin, use is not recommended during the second and third trimesters of pregnancy
- 授乳
- Unsafe Since human kidney maturation occurs in utero and during the first 2 years of life when lactational exposure may occur, there may be risk to the developing human kidney, advise patients that use is not recommended while breastfeeding
報告されている副作用
- Nasopharingitis
- Constipation
- Gastroenteritis
- Urinary tract infections
- Hypoglycaemia
- Diarrhea
警告（枠囲み警告）
- Postmarketing cases of metformin-associated lactic acidosis have resulted in death, hypothermia, hypotension, and resistant bradyarrhythmias Onset of metformin-associated lactic acidosis is often subtle, accompanied only by nonspecific symptoms (eg, malaise, myalgias, respiratory distress, somnolence, abdominal pain) Metformin-associated lactic acidosis was characterized by elevated blood lactate levels (>5 mmol/L), anion gap acidosis (without evidence of ketonuria or ketonemia), an increased lactate/pyruvate ratio, and metformin plasma levels generally >5 mcg/mL Risk factors include…
禁忌
- Hypersensitivity to empagliflozin, linagliptin, metformin, or any of the excipients in the product
- Metabolic acidosis, including diabetic ketoacidosis
- Severe renal impairment (eGFR <30 mL/min/1.73 m2), ESRD, or dialysis
注意が必要な方
- Serious hypersensitivity reactions, (eg, angioedema) in patients treated with empagliflozin reported postmarketing; discontinue therapy and treat promptly if it occurs per standard of care
- There have been reports of acute pancreatitis, including fatal pancreatitis; if pancreatitis suspected, promptly discontinue
- Heart failure observed with 2 other DPP-4 inhibitors; consider risks and benefits in patients with known risk factors for heart failure; monitor for signs and symptoms
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Empagliflozin-linagliptin-metforminの完全なモノグラフ（用量、妊娠・授乳、副作用、警告、すべての相互作用）を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Paediatric dosing
- How to give it
- Pharmacokinetics
- Patient counselling points
- Food interactions
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同じ分類のほかの薬剤
よくある質問
What is Empagliflozin-linagliptin-metformin used for?
Empagliflozin-linagliptin-metformin is a medicine in the class gastrointestinal tract. It is used for Diabetes mellitus.
What side effects have been reported with Empagliflozin-linagliptin-metformin?
Nasopharingitis, Constipation, Gastroenteritis, Urinary tract infections, Hypoglycaemia, Diarrhea. Serious warning: Postmarketing cases of metformin-associated lactic acidosis have resulted in death, hypothermia, hypotension, and resistant bradyarrhythmias Onset of metformin-associated lactic acidosis is often subtle, accompanied only by nonspecific symptoms (eg, malaise, myalgias, respiratory distress,…
Can Empagliflozin-linagliptin-metformin be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. Based on animal data showing adverse renal effects from empagliflozin, use is not recommended during the second and third trimesters of pregnancy Breastfeeding: Unsafe. Since human kidney maturation occurs in utero and during the first 2 years of life when lactational exposure may occur, there may be risk to the developing human kidney, advise patients that use is not recommended while breastfeeding
What does Empagliflozin-linagliptin-metformin interact with?
MediHelp does not list a checked interaction for Empagliflozin-linagliptin-metformin yet. Always tell your pharmacist about every medicine you take.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
