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Metformin and liver
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Metformin and kidney function
Generic Name: Metformin metformin and kidney function hydrochloride, dosage Form: tablet, film coated, metformin and kidney function show On This Page, view All. Show On This Page, metformin Description, metformin hydrochloride tablets, USP are oral antihyperglycemic drugs used in the metformin and kidney function management of type 2 diabetes. Metformin hydrochloride diamide hydrochloride) is not chemically or pharmacologically related to any other classes of oral antihyperglycemic agents. The structural formula is as shown: Metformin hydrochloride USP is a white to off-white crystalline compound with a molecular formula of C4H11N5 HCl and a molecular weight of 165.63. Metformin hydrochloride is freely soluble in water and is practically insoluble in acetone, ether, and chloroform. The pKa of Metformin.4. The pH of a 1 aqueous solution of Metformin hydrochloride.68. Metformin hydrochloride tablets, USP contain 500 mg, 850 mg, or 1,000 mg of Metformin hydrochloride USP. Each tablet contains the metformin and kidney function inactive ingredients povidone, microcrystalline cellulose, sodium starch glycolate and magnesium stearate. In metformin and kidney function addition, the coating for the tablets contains hypromellose and polyethylene glycol. Metformin - Clinical Pharmacology. Mechanism of Action, metformin is an antihyperglycemic agent which improves glucose tolerance in patients with type 2 diabetes, lowering both basal and postprandial plasma glucose. Its pharmacologic mechanisms of action are different from other classes of oral antihyperglycemic agents. Metformin decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization. Unlike sulfonylureas, Metformin does not produce hypoglycemia in either patients with type 2 diabetes or normal subjects (except in special circumstances, see. Precautions ) and does not cause hyperinsulinemia. With Metformin therapy, insulin secretion remains unchanged while fasting insulin levels and day-long plasma insulin response may actually decrease. Pharmacokinetics, absorption and Bioavailability, the absolute bioavailability of a Metformin hydrochloride 500 mg tablet given under fasting conditions is approximately 50. Studies using single oral doses of Metformin hydrochloride tablets 500 mg to 1,500 mg, and 850 mg to 2,550 mg, indicate that there is a lack of dose proportionality with increasing doses, which is due to decreased absorption rather than an alteration in elimination. Food decreases the extent of and slightly delays the absorption of Metformin, as shown by approximately a 40 lower mean peak plasma concentration (Cmax a 25 lower area under the plasma concentration versus time curve (AUC and a 35-minute prolongation of time to peak plasma. The clinical relevance of these decreases is unknown. Distribution, the apparent volume of distribution (V/F) of Metformin following single oral doses of Metformin hydrochloride tablets 850 mg averaged. Metformin is negligibly bound metformin and kidney function to plasma proteins, in contrast to sulfonylureas, which are more than 90 protein bound. Metformin partitions into erythrocytes, most likely as a function of time. At usual clinical doses and dosing schedules of Metformin hydrochloride tablets, steady state plasma concentrations of Metformin are reached within 24 to 48 hours and are generally 1 g/mL. During controlled clinical trials of Metformin hydrochloride tablets, maximum Metformin plasma levels did not exceed 5 g/mL, even at maximum doses. Metabolism and Elimination, intravenous single-dose metformin and kidney function studies in normal subjects demonstrate that Metformin is excreted unchanged in the urine and does not undergo hepatic metabolism (no metabolites have been identified in humans) nor biliary excretion. Renal clearance (see Table 1) is approximately.5 times greater than creatinine clearance, which indicates that tubular secretion is the major route of Metformin elimination. Following oral administration, approximately 90 of the absorbed drug is eliminated via the renal route within the first 24 hours, with a plasma elimination half-life of approximately.2 hours.
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