Ectorin Met Tablet 15/850 mg (Pioglitazone, Metformin Hydrochloride)

Adult dosage

This medication should generally be administered divided with meals, starting at 1 tablet per day, with careful evaluation of the appropriateness of the therapeutic response, and the dosage should be gradually adjusted. The administered dosage should not exceed pioglitazone 30 mg and metformin 2500 mg. In patients with renal impairment, the elderly, frail patients, and those with nutritional deficiencies, the maximum dose should not be increased. The therapeutic response evaluation is based on hemoglobin A1c (HbA1C).

This medication assists in controlling blood sugar levels. However, there are several important precautions when taking this medication. First, this medication should not be used in patients with impaired kidney function or severe heart failure. If kidney function deteriorates, the medication may accumulate in the body and pose risks. Second, this medication can cause a rare but serious side effect called lactic acidosis. Lactic acidosis occurs when there is excessive buildup of lactic acid in the body, with symptoms including fatigue, muscle pain, shortness of breath, and abdominal pain. If these symptoms appear, it is essential to inform a doctor immediately and discontinue the medication. Third, patients with impaired liver function should not take this medication, and it is important to regularly check liver health. Fourth, excessive alcohol consumption should be avoided while taking this medication. Alcohol may increase the risk of side effects from the medication. Fifth, heart failure patients should be closely monitored as symptoms may worsen with this medication, and medical consultation should be sought immediately if symptoms arise. Sixth, this medication should be administered with caution to patients with a history of bladder cancer, and if bladder-related symptoms (hematuria, urination disorders, etc.) occur, the doctor should be notified immediately. Seventh, pregnant or breastfeeding women should not take this medication, and safety has not been established for children. Eighth, the elderly may have reduced kidney function, so the dosage of this medication should be carefully adjusted and kidney function assessed regularly. Finally, this medication may interact with other medications, so it is necessary to inform healthcare providers of all medications being taken and to monitor treatment effects and side effects through regular blood sugar tests and blood tests.

Serious side effects

Severe lactic acidosis, hypoglycemia, severe edema, congestive heart failure, worsening heart disease, acute kidney function deterioration, sepsis, liver abnormalities (liver failure, jaundice), severe skin adverse reactions, bladder cancer, severe allergic reactions, severe headache, seizures, consciousness confusion, visual disturbances, paralysis, fractures, macular edema, shortness of breath, asthma attack, acute coronary syndrome, acute myocardial infarction, edema accompanied by elevated blood pressure

Mild side effects

• Upper respiratory tract infection
• diarrhea
• nausea
• headache
• urinary tract infection
• sinusitis
• dizziness
• lower extremity edema
• weight gain
• muscle pain

This medication should be stored in a tightly sealed container to prevent exposure to air or moisture. It is also recommended to store it at room temperature between 1 and 30 degrees Celsius.

Appearance

White to grayish-white rectangular film-coated tablet

Package unit

30 tablets/box [(10 tablets/PTP*3)]