Super Dia Tablet 500mg (Metformin Hydrochloride)

Adult dosage

The dosage should be determined based on individual drug efficacy and tolerance, and should not exceed the recommended maximum daily dose. This medication should be started at a low dose to reduce gastrointestinal side effects and to confirm the minimum effective dose required for adequate blood sugar control, taken 500 mg three times daily with meals. Dosage increases by 500 mg weekly, and if doses reach 2000 mg, it is typically administered in two doses in the morning and evening. If exceeding 2000 mg, it should be divided into three doses taken with meals, with a maximum daily dosage of 2550 mg. Blood sugar levels should be measured while starting this medication and adjusting the dosage to determine therapeutic response and confirm the minimum effective dose. Hemoglobin A1c levels should be measured approximately every three months. The goal of treatment with this medication is to either administer as monotherapy or as part of combination therapy with sulfonylureas or insulin, delivering the minimum effective dose to bring fasting blood sugar and hemoglobin A1c levels to normal or close to normal levels. In general, if a patient whose blood sugar is managed solely by diet temporarily cannot control their blood sugar, a short-term administration of this medication can yield enough effect.

Children's dosage

It can be used in children aged 10 or older or in growing adolescents. The usual starting dose is 500 mg once daily, taken during or after meals. Blood sugar levels should be measured after one week.

This medication can cause serious side effects such as severe lactic acidosis or hypoglycemia, so caution is required. It should not be used in patients with moderate to severe renal impairment, dehydration, severe infections, or cardiovascular problems. It should also be avoided in patients with acute heart failure, those scheduled for tests using radiological iodine contrast agents, and those allergic to this medication or similar drugs. Patients with specific forms of diabetes, severe infections, pre- or post-surgery, malnutrition, or liver dysfunction should also use this medication with caution. It can cause a rare but serious side effect called lactic acidosis; patients should immediately inform healthcare professionals if symptoms such as muscle pain, shortness of breath, weakness, or abdominal pain occur. Gastrointestinal symptoms may commonly occur but are usually temporary; if symptoms are severe, dosage adjustments or changes in administration may be needed. Renal function should be monitored regularly, particularly in elderly patients or those with decreased renal function. This medication may interact with other drugs; if other medications are being taken, inform the physician or pharmacist. During pregnancy, there may be fetal effects, so consultation with a specialist is necessary for those who are pregnant or planning to become pregnant. If breastfeeding, careful consideration is needed as this medication can be excreted in breast milk, affecting the decision to continue or stop breastfeeding. Special caution is needed in children and elderly patients, particularly in the case of children, where administration should follow a doctor's instructions. Overdose may require treatments like hemodialysis, so seek immediate medical attention. Regular blood glucose testing and renal function monitoring are important during treatment. Additionally, alcohol consumption should be avoided during use, as it may increase the risk of lactic acidosis. This medication does not cause weight gain, which can be advantageous for diabetic patients needing weight management. Finally, store this medication out of reach of children and do not transfer it to another container.

Serious side effects

Lactic acidosis (fatigue, muscle pain, shortness of breath, weakness, abdominal pain, low body temperature, hypotension, resistant bradyarrhythmia), severe allergic reactions (hives, severe swelling, chest tightness, difficulty breathing, cold sweat, pallor), severe skin reaction (severe rash with fever, blistering, skin peeling, pain in oral/ocular mucous membranes), respiratory problems (difficulty breathing or shortness of breath, asthma attacks, cough + fever accompanying respiratory abnormalities)

Mild side effects

• Nausea
• vomiting
• abdominal bloating
• loss of appetite
• dyspepsia
• constipation
• abdominal pain
• diarrhea
• metallic taste unpleasantness
• rash

This medication should be stored in a sealed container to prevent air and moisture from entering, and it is recommended to store it at room temperature between 1 and 30 degrees Celsius. This will help maintain the medication's effectiveness.

Appearance

White round film-coated tablets

Package unit

500 tablets/bottle