{"product_id":"elzanor-tablets-12-5mg-1000mg","title":"Elzanor Tablets 12.5mg\/1000mg","description":"\u003cp\u003eMedicine Name: Elzanor Tablets 12.5\/1000mg\u003c\/p\u003e\n\u003cp\u003eElzanor Tablets Specification\u003cbr\u003eRequires Prescription: Yes\u003cbr\u003eGenerics:\u003cbr\u003e•    Empagliflozin (12.5 mg)\u003cbr\u003e•    Metformin Hydrochloride (1000 mg)\u003cbr\u003eUsed For:\u003cbr\u003e•    Management of Type 2 Diabetes Mellitus\u003cbr\u003e________________________________________\u003cbr\u003eHow It Works\u003cbr\u003e•    Metformin Hydrochloride is a biguanide class antihyperglycemic agent that lowers both fasting and post-meal blood glucose levels. It works by:\u003cbr\u003eo    Decreasing hepatic glucose production\u003cbr\u003eo    Reducing glucose absorption in the intestine\u003cbr\u003eo    Enhancing insulin sensitivity and peripheral glucose uptake\u003cbr\u003e•    Empagliflozin is an SGLT2 inhibitor that lowers blood sugar by:\u003cbr\u003eo    Inhibiting glucose reabsorption in the kidney\u003cbr\u003eo    Increasing urinary glucose excretion\u003cbr\u003eTogether, these drugs work synergistically to improve glycemic control in patients with type 2 diabetes.\u003cbr\u003e________________________________________\u003cbr\u003eIndication\u003cbr\u003eElzanor is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus:\u003cbr\u003e•    Inadequately controlled with metformin or empagliflozin alone\u003cbr\u003e•    Already receiving both drugs separately\u003cbr\u003e________________________________________\u003cbr\u003eUsage and Safety\u003cbr\u003eDosage:\u003cbr\u003eEmpagliflozin 12.5 mg + Metformin HCl 1000 mg\u003cbr\u003eDose should be individualized based on the patient’s current regimen, renal function, and glycemic control targets.\u003cbr\u003e________________________________________\u003cbr\u003eSide Effects\u003cbr\u003eEmpagliflozin-related:\u003cbr\u003e•    Urinary tract infections\u003cbr\u003e•    Genital fungal infections (especially in females)\u003cbr\u003eMetformin-related:\u003cbr\u003e•    Diarrhea, nausea, vomiting\u003cbr\u003e•    Flatulence, abdominal discomfort\u003cbr\u003e•    Headache, weakness (asthenia)\u003cbr\u003e•    Metallic taste\u003cbr\u003e________________________________________\u003cbr\u003eDrug Interactions\u003cbr\u003e•    Diuretics (increased risk of volume depletion)\u003cbr\u003e•    Cimetidine and drugs that affect renal function\u003cbr\u003e•    Oral contraceptives, thyroid products, steroids\u003cbr\u003e•    NSAIDs, phenytoin, calcium channel blockers\u003cbr\u003e•    Nifedipine may increase metformin absorption\u003cbr\u003e•    Ranolazine, dolutegravir, vandetanib (affect renal clearance)\u003cbr\u003e________________________________________\u003cbr\u003eContraindications (When Not to Use)\u003cbr\u003e•    Severe renal impairment, end-stage renal disease (ESRD), or dialysis\u003cbr\u003e•    Metabolic acidosis, including diabetic ketoacidosis\u003cbr\u003e•    Known hypersensitivity to either ingredient\u003cbr\u003e________________________________________\u003cbr\u003ePrecautions\u003cbr\u003e•    Keep away from children\u003cbr\u003e•    Use with caution in elderly or dehydrated patients\u003cbr\u003e•    Regular monitoring of renal function is advised\u003cbr\u003e•    Not recommended for type 1 diabetes mellitus\u003cbr\u003e________________________________________\u003cbr\u003eWarnings\u003cbr\u003e1. Lactic Acidosis:\u003cbr\u003e•    Rare but serious; early symptoms include malaise, muscle pain, abdominal pain, drowsiness, or breathing issues.\u003cbr\u003e2. Hypotension:\u003cbr\u003e•    Due to volume depletion from empagliflozin; caution in patients on diuretics or with low blood pressure.\u003cbr\u003e3. Ketoacidosis:\u003cbr\u003e•    May occur even with normal blood glucose levels. Seek medical help immediately for symptoms like nausea, vomiting, fatigue, or difficulty breathing.\u003cbr\u003e________________________________________\u003cbr\u003ePregnancy Category\u003cbr\u003e•    Consult your physician before use.\u003cbr\u003e________________________________________\u003cbr\u003eStorage\u003cbr\u003e•    Store at room temperature, away from moisture, direct light, and heat.\u003cbr\u003e\u003c\/p\u003e","brand":"The Wellness Hospital","offers":[{"title":"Default Title","offer_id":53335762239819,"sku":null,"price":320.0,"currency_code":"PKR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0954\/5711\/6491\/files\/JA1_6866.jpg?v=1757311372","url":"https:\/\/wellnesspharmacy.pk\/products\/elzanor-tablets-12-5mg-1000mg","provider":"The Wellness Hospital","version":"1.0","type":"link"}