Lino-M 1000
2.5mg+1000mgRx৳ 16/unit
Pack: ৳ 160
৳ 16/unit
Pack: ৳ 160
At a glance
Linagliptin + Metformin Hydrochloride is a combination of two medicines that control high blood sugar levels in people with type 2 diabetes mellitus. It reduces glucose production, increases insulin sensitivity, and enhances incretin hormone activity.
Indications
- Type 2 diabetes mellitus - as an adjunct to diet and exercise to improve glycemic control
Pharmacology
Linagliptin inhibits the DPP-4 enzyme, increasing incretin hormone (GLP-1 and GIP) levels, which stimulates glucose-dependent insulin release and reduces glucagon secretion. Metformin decreases hepatic glucose production, reduces intestinal glucose absorption, and increases insulin sensitivity.
Dosage
Immediate Release Tablets:
- Not currently taking metformin: 2.5 mg/500 mg twice daily
- Already taking metformin: 2.5 mg linagliptin with current metformin dose twice daily
- Maximum dose: 2.5 mg/1,000 mg twice daily
Extended Release Tablets:
- Not currently taking metformin: 5 mg/1,000 mg once daily
- Already taking metformin: 5 mg linagliptin + equivalent metformin dose once daily
- Maximum daily dose: Linagliptin 5 mg + Metformin 2,000 mg
Side effects
Common Side Effects:
- Diarrhea
- Nausea
- Vomiting
- Upset stomach
- Headache
- Nasal congestion
- Sore throat
- Respiratory tract infection
- Hypoglycemia (with insulin or sulfonylurea)
Use in pregnancy
Use in Pregnancy: Linagliptin + Metformin is generally considered safe during pregnancy (Category B). Animal studies have shown low or no adverse effects to the developing baby.
Pregnancy Category: B — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Inform doctor immediately if symptoms of lactic acidosis occur (deep/rapid breathing, persistent nausea, vomiting, stomach pain)
- Monitor blood sugar regularly to avoid hypoglycemia
- Avoid alcohol (risk of hypoglycemia and lactic acidosis)
- Temporarily stop before major surgery or contrast dye procedures
- Monitor liver and kidney function regularly
Overdose effects
Overdose: supportive measures; Metformin is dialyzable, Linagliptin is not. Lactic acidosis has been reported in metformin overdose.
Storage conditions
Store below 30°C in a cool and dry place, protected from light and moisture; keep out of reach of children.