Volga R 0.3/1 Tablet (15 Tab)

VOLGA R 0.3/1 TABLET

Name: Volga R.

Composition: Each tablet contains Repaglinide 1 mg and Voglibose 0.3 mg.

Uses: Volga R 0.3/1 Tablet is prescribed for the management of type 2 diabetes mellitus in adults. It is particularly used when blood sugar levels are not adequately controlled by diet and exercise alone or with single medications. This combination medicine helps to control post-meal blood glucose levels and optimize glycemic control.

Dosage and Administration: Take Volga R 0.3/1 Tablet orally as directed by your doctor, typically just before your main meals. Swallow the tablet whole with a full glass of water; do not crush, chew, or break it. If a dose is missed, skip it and take the next scheduled dose; do not take a double dose to compensate. Your doctor will determine the appropriate daily dosage based on your blood sugar levels and response to the medicine.

Side Effects: Common side effects may include hypoglycemia (low blood sugar), abdominal pain, diarrhea, flatulence, headache, and dizziness. Other reported side effects include skin rash, nausea, vomiting, heartburn, blurred vision, chills, confusion, fever, and muscle pain. Most side effects are temporary and usually resolve upon discontinuing the medicine.

Precautions:

• Hypoglycemia: Volga R can cause low blood sugar, especially when taken with other antidiabetic medicines, alcohol, or if a meal is delayed. Monitor blood sugar levels regularly.
• Pregnancy and Breastfeeding: Caution is advised during pregnancy and breastfeeding, and it may be unsafe. Consult your doctor.
• Alcohol: Avoid alcohol consumption as it can increase the risk of hypoglycemia.
• Organ Impairment: Use with caution in patients with kidney or liver problems. It is not recommended for severe kidney or liver disease.
• Driving and Machinery: Exercise caution when driving or operating machinery as the medicine may cause dizziness or affect concentration due to blood sugar fluctuations.
• Drug Interactions: Inform your doctor about all other medications, supplements, and herbal products you are taking. Interactions can occur with antifungals (e.g., ketoconazole), cholesterol-lowering agents (e.g., gemfibrozil), anticonvulsants (e.g., phenobarbital), and other antidiabetic medicines, increasing the risk of hypoglycemia. Grapefruit juice may also increase repaglinide concentration.
• Contraindications: Not recommended for type 1 diabetes mellitus, diabetic ketoacidosis, severe infection, or gastrointestinal obstruction.

Storage: Store the medicine in a cool, dry place, away from moisture and direct sunlight, typically below 30°C. Keep out of sight and reach of children.

What is VOLGA R 0.3/1 Tablet used for?

VOLGA R 0.3/1 Tablet is primarily used to manage type 2 diabetes mellitus in adults, especially when diet, exercise, or a single medication (like voglibose or repaglinide alone) are not sufficient to control blood sugar levels. It helps to lower post-meal blood glucose and improve overall glycemic control.

How does VOLGA R 0.3/1 Tablet work?

This medicine contains two active ingredients: Repaglinide (1 mg) and Voglibose (0.3 mg). Repaglinide works by stimulating the pancreas to release more insulin, particularly in response to meals, which helps to lower blood sugar. Voglibose is an alpha-glucosidase inhibitor that slows down the digestion and absorption of carbohydrates in the intestines, thereby reducing the rise in blood glucose levels that typically occurs after meals.

What is the usual dosage for VOLGA R 0.3/1 Tablet?

The daily dose of VOLGA R 0.3/1 Tablet should be taken as prescribed by your doctor. It is typically taken orally just before or up to 30 minutes before your main meals. Your doctor may adjust the dosage based on your blood sugar levels and how you respond to the medicine. It should not be crushed, chewed, or broken.

What are the possible side effects of VOLGA R 0.3/1 Tablet?

Some common side effects include low blood sugar (hypoglycemia), abdominal pain, diarrhea, flatulence (gas), headache, dizziness, nausea, vomiting, and skin rash. Most of these are temporary and usually resolve over time. However, if any serious or persistent side effects occur, you should consult your doctor.

Is VOLGA R 0.3/1 Tablet safe during pregnancy or breastfeeding?

Caution is advised when taking VOLGA R 0.3/1 Tablet during pregnancy, and it is generally not recommended as it may harm the unborn baby. Similarly, it is not recommended during breastfeeding as it can harm the newborn. It is crucial to consult your doctor if you are pregnant, planning a pregnancy, or breastfeeding, as they may suggest alternative treatments.

Can VOLGA R 0.3/1 Tablet be taken with other medications?

VOLGA R 0.3/1 Tablet can interact with various medications. For example, antifungals (like ketoconazole, itraconazole), cholesterol-lowering agents (like gemfibrozil), and certain antibiotics (like clarithromycin) may increase repaglinide levels, potentially leading to low blood sugar. Anticonvulsants (like phenobarbital) may decrease the effectiveness of repaglinide. It is important to inform your doctor about all medicines, including over-the-counter drugs, herbal supplements, and vitamins, to avoid potential interactions.

What precautions should be taken while using VOLGA R 0.3/1 Tablet?

This medicine should be used with caution if you have liver impairment, kidney impairment, or malabsorption disorders. Alcohol consumption should be avoided as it can affect blood glucose levels and increase the risk of hypoglycemia. Exercise caution when driving or operating machinery, as low or high blood sugar can affect concentration. Inform your doctor if you are scheduled for major surgery or have severe infections.

What happens if a dose of VOLGA R 0.3/1 Tablet is missed?

If you forget to take VOLGA R 0.3/1 Tablet before a meal, you should skip that dose and take the next one before your next main meal. Do not take a double dose to make up for the missed one. Resume your regular dosing schedule with the next meal.

How should VOLGA R 0.3/1 Tablet be stored?

VOLGA R 0.3/1 Tablet should be stored in a cool, dry place, away from moisture and direct sunlight. Keep it out of the sight and reach of children and pets. It is often recommended to store it at room temperature (20-25°C) or below 30°C.