Generic Composition:
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Voglibose 0.3 mg (Alpha-glucosidase inhibitor)
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Metformin Hydrochloride 500 mg (Biguanide)
Category: Oral Anti-Diabetic (Dual Combination)
Description:
Gluconorm V 0.3/500 Tablet is a combination anti-diabetic medicine used in the management of Type 2 Diabetes Mellitus, especially in patients with high postprandial (after-meal) blood sugar levels.
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Voglibose slows down the digestion and absorption of carbohydrates in the intestine, thereby preventing sudden spikes in blood sugar after meals.
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Metformin lowers glucose production in the liver, reduces intestinal glucose absorption, and enhances the body’s insulin sensitivity.
Together, they provide comprehensive glycemic control, managing both fasting and post-meal sugar levels and helping reduce the risk of long-term diabetes complications.
Uses:
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Treatment of Type 2 Diabetes Mellitus
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Particularly useful for controlling postprandial hyperglycemia
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Helps reduce the risk of diabetes-related complications such as neuropathy, nephropathy, retinopathy, heart disease, and stroke
Mechanism of Action:
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Voglibose (0.3 mg): Inhibits alpha-glucosidase enzyme → slows carbohydrate breakdown → prevents sharp rise in post-meal glucose
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Metformin (500 mg): Reduces hepatic glucose output, slows intestinal glucose absorption, improves insulin sensitivity
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Combined effect: Strong control of both fasting and postprandial glucose levels
Dosage & Administration:
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Usually 1 tablet once or twice daily before meals (as prescribed by doctor)
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Take just before food for maximum benefit (due to Voglibose action)
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Swallow whole with water; do not crush or chew
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Regular monitoring of blood sugar and HbA1c is required
Common Side Effects:
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Flatulence, bloating, abdominal discomfort (Voglibose-related)
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Nausea, diarrhea, stomach upset (Metformin-related)
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Headache, weakness
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Mild hypoglycemia (rare unless combined with insulin or sulfonylureas)
Serious Side Effects (rare):
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Lactic acidosis (from Metformin): muscle pain, fatigue, breathing difficulty
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Severe gastrointestinal upset
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Allergic reactions – rash, swelling, itching, breathing difficulty
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Liver dysfunction (rare)
Warnings & Precautions:
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Not for Type 1 Diabetes or diabetic ketoacidosis
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Avoid in severe kidney or liver impairment
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Use cautiously in patients with gastrointestinal disorders (due to Voglibose)
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Avoid alcohol (increases lactic acidosis risk with Metformin)
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Regular monitoring of blood sugar, kidney, and liver function is essential
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