Exermet Sr 850 Mg Tablet (15 Tab)

EXERMET SR 850 MG TABLET is an oral anti-diabetic medication manufactured by Cipla Ltd., primarily used for the management of type 2 diabetes mellitus. The "SR" in its name indicates "Sustained Release," meaning the tablet is designed to release its active ingredient gradually over an extended period.

Name

• Brand Name: EXERMET SR 850 MG TABLET
• Common Name: Metformin (sustained release)

Composition

• Active Ingredient: Metformin Hydrochloride 850 mg.

Uses

EXERMET SR 850 MG TABLET is prescribed for several conditions:

• Type 2 Diabetes Mellitus: It helps in controlling high blood sugar levels by reducing glucose production in the liver, delaying glucose absorption from the intestines, and improving the body's sensitivity to insulin.
• Polycystic Ovary Syndrome (PCOS): In women, it helps regulate hormonal balance, normalize menstrual cycles, lower blood sugar levels, and stimulate ovulation by improving insulin sensitivity.
• Prediabetes: In some cases, it is the recommended treatment for prediabetic conditions.
• Weight Management: It may aid in modest weight loss for some patients and those at risk for diabetes.

Dosage and Administration

• Typical Guidance: The dosage is individualized by a physician based on blood glucose levels and response to treatment.
• Initiation: It is typically started at a low dose, such as 500 mg once daily, and gradually increased.
• Administration: EXERMET SR 850 MG TABLET should be taken with or after a meal to reduce gastrointestinal side effects. It should be swallowed whole with water and not crushed, broken, or chewed.
• Consistency: Taking it at the same time(s) each day is crucial for optimal results.

Side Effects

Common Side Effects:

• Nausea, vomiting, diarrhea, abdominal pain, stomach upset, and loss of appetite.
• Metallic taste in the mouth.
• Flatulence.
• Weakness, indigestion, headaches. These effects are usually mild and temporary, especially at the start of treatment.

Serious Side Effects:

• Lactic Acidosis: A rare but serious condition, symptoms include rapid breathing, stomach pain, feeling cold, irregular heartbeat, dizziness, drowsiness, and muscle pain. Seek immediate medical attention if these occur.
• Vitamin B12 Deficiency: Long-term use may lead to vitamin B12 deficiency.
• Allergic reactions (rash, itching, swelling).
• Liver problems and skin reactions (rare).
• Hypoglycemia (low blood sugar) can occur if taken with other antidiabetic medications, alcohol, or if meals are skipped.

Precautions

• Medical History: Inform your doctor about any history of kidney, liver, or heart problems, severe infections, or dehydration.
• Kidney Function: Regular monitoring of kidney function tests is important, and it is not recommended in severe kidney disease.
• Alcohol Consumption: Avoid excessive alcohol intake as it can lower blood sugar and increase the risk of lactic acidosis.
• Pregnancy and Breastfeeding: Consult a healthcare professional if pregnant, planning pregnancy, or breastfeeding. While generally considered safe, caution is advised.
• Driving: Exercise caution while driving or operating machinery if blood sugar levels are too low or high, as it can affect concentration.
• Do not discontinue without medical advice.
• Combine with a healthy diet and exercise for optimal results.

Storage

• Store in a cool and dry place away from sunlight.
• Keep out of sight and reach of children.
• Typically stored at temperatures between 10ºC to 25ºC or below 30ºC.

EXERMET SR 850 MG TABLET by CIPLA LTD. is an extended-release medication primarily used for managing Type 2 Diabetes Mellitus. Its active ingredient is metformin hydrochloride, belonging to the biguanide class of drugs. It may also be used to treat Polycystic Ovary Syndrome (PCOS) in women.

Here are some frequently asked questions about EXERMET SR 850 MG TABLET:

What is EXERMET SR 850 MG TABLET used for?

EXERMET SR 850 MG TABLET is primarily used to control high blood sugar levels in adults with Type 2 Diabetes Mellitus, especially when diet and exercise alone are insufficient. It is also used to manage Polycystic Ovary Syndrome (PCOS), a menstruation-related disorder in women.

How does EXERMET SR 850 MG TABLET work?

The active ingredient, metformin, works by decreasing the amount of glucose produced by the liver, reducing the absorption of sugar from the intestines, and improving the body's sensitivity to insulin. This helps the body utilize its own insulin more effectively, leading to better blood sugar control. The "SR" in EXERMET SR signifies sustained release, meaning the tablet releases metformin gradually over an extended period to maintain consistent medication levels and minimize fluctuations in blood sugar.

What is the usual dosage for EXERMET SR 850 MG TABLET?

The typical starting dosage for metformin extended-release (ER) tablets is 500 mg once daily with the evening meal. Your doctor may gradually increase the dosage, usually by 500 mg every week or two, until blood sugar levels are controlled. The maximum daily dose for metformin ER is usually not more than 2000 mg. EXERMET SR 850 MG is commonly prescribed once daily, typically with food to help prevent stomach upset.

What are the possible side effects of EXERMET SR 850 MG TABLET?

Common side effects often include stomach problems such as diarrhea, nausea, vomiting, gas, abdominal pain, indigestion, headache, and a metallic taste in the mouth. These side effects are usually mild and temporary and can often be reduced by taking the medication with food.

A serious, but rare, side effect is lactic acidosis, which can be life-threatening. Symptoms to watch for include unusual tiredness, severe drowsiness, muscle pain, trouble breathing, stomach pain, dizziness, chills, or a slow/irregular heartbeat. Long-term use of metformin can also lead to a decrease in Vitamin B12 levels, which may cause anemia or nerve problems.

Is EXERMET SR 850 MG TABLET safe during pregnancy or breastfeeding?

For pregnancy, the National Institute for Clinical Excellence (NICE) advises that metformin is generally safe and effective. If you are already taking metformin before pregnancy, your doctor may recommend continuing it. However, the manufacturer's information for metformin sometimes advises against its use during pregnancy, so it is crucial to discuss this with your doctor. Metformin passes into breast milk in small amounts, but studies have generally concluded it is safe to use while breastfeeding, with no negative side effects reported in infants.

Can EXERMET SR 850 MG TABLET be taken with other medications?

Metformin can interact with other medications. Your blood sugar levels may need to be checked more often and your dose adjusted if you are taking medications such as steroid tablets, diuretics (water pills), medicines for heart problems or high blood pressure, male and female hormones, or other diabetes medicines. Combining metformin with certain drugs, like carbonic anhydrase inhibitors, can increase the risk of lactic acidosis. Always inform your doctor about all medications, including over-the-counter drugs and herbal supplements, you are taking.

What precautions should be taken when using EXERMET SR 850 MG TABLET?

It's important to stay hydrated while taking this medication. Avoid excessive alcohol intake as it can increase the risk of lactic acidosis. Inform your doctor if you have kidney, liver, or heart problems, or if you are undergoing surgery or an imaging scan that involves injectable iodinated contrast material, as you may need to temporarily stop the medication. Regular monitoring of blood glucose levels, kidney function, and vitamin B12 levels is recommended.

What happens if a dose is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not double doses to make up for a missed one.

How should EXERMET SR 850 MG TABLET be stored?

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep it out of the reach of children. Do not keep outdated medicine or medicine no longer needed.