{"product_id":"elzanor-tablets-5-500mg","title":"Elzanor Tablets 5\/500mg","description":"\u003cp\u003eMedicine Name: Elzanor Tablets 5\/500mg\u003c\/p\u003e\n\u003cp\u003eElzanor 5 mg \/ 500 mg\u003cbr\u003eRequires Prescription\u003cbr\u003eYes\u003cbr\u003e________________________________________\u003cbr\u003eGenerics\u003cbr\u003eEmpagliflozin 5 mg + Metformin Hydrochloride 500 mg (fixed-dose combination)\u003cbr\u003e________________________________________\u003cbr\u003eUsed For\u003cbr\u003eType 2 Diabetes Mellitus – to improve blood sugar control alongside diet and exercise \u003cbr\u003e________________________________________\u003cbr\u003eHow It Works\u003cbr\u003e•    Empagliflozin: Inhibits SGLT2 in the kidneys, blocking glucose reabsorption and increasing urinary glucose excretion.\u003cbr\u003e•    Metformin: Suppresses hepatic glucose production, reduces intestinal glucose absorption, and improves peripheral insulin sensitivity \u003cbr\u003e________________________________________\u003c\/p\u003e\n\u003cp\u003e \u003c\/p\u003e\n\u003cp\u003eUsage And Safety\u003c\/p\u003e\n\u003cp\u003eDosage\u003cbr\u003e•    Typically one tablet daily with meals, often with breakfast.\u003cbr\u003e•    Empagliflozin: usually starts at 5 mg daily, max 10 mg\/day.\u003cbr\u003e•    Metformin: commonly 500 mg twice daily, up to 2,500 mg\/day depending on response \u003cbr\u003eSide Effects\u003cbr\u003e•    Most common: genital yeast infections (females), urinary tract infections, increased urination, gastrointestinal upset (nausea, diarrhea, flatulence), headache, weakness \u003cbr\u003e•    Serious but rare: lactic acidosis (metformin), hypotension or dehydration (empagliflozin), euglycemic diabetic ketoacidosis, Fournier’s gangrene \u003cbr\u003eDrug Interactions\u003cbr\u003e•    Diuretics (enhanced dehydration risk)\u003cbr\u003e•    Agents causing electrolyte imbalance or altering renal function\u003cbr\u003e•    Drugs that interfere with renal tests like 1,5 AG assay\u003cbr\u003e•    Certain anti-retrovirals, anticonvulsants, corticosteroids, thyroid products, estrogens, nicotinic acid, phenytoin, calcium channel blockers, and nifedipine \u003cbr\u003e________________________________________\u003cbr\u003eIndication\u003cbr\u003eRecommended as an adjunct to diet and exercise in adults with type 2 diabetes mellitus who are inadequately controlled on metformin or empagliflozin alone, or already on both as separate therapies\u003cbr\u003e________________________________________\u003cbr\u003eContraindications (When Not to Use)\u003cbr\u003e•    Type 1 diabetes mellitus, diabetic ketoacidosis\u003cbr\u003e•    Severe renal impairment or ESRD\u003cbr\u003e•    Known hypersensitivity to empagliflozin, metformin, or any excipients\u003cbr\u003e•    Conditions predisposing to lactic acidosis (e.g. severe hepatic impairment) \u003cbr\u003e________________________________________\u003c\/p\u003e\n\u003cp\u003ePrecautions\u003cbr\u003e•    Assess volume status to avoid dehydration\/hypotension\u003cbr\u003e•    Monitor kidney function before and during treatment\u003cbr\u003e•    Alcohol intake should be limited due to risk of lactic acidosis\u003cbr\u003e•    Instruct patients to maintain proper hydration and monitor for signs of infection or low blood pressure \u003cbr\u003e________________________________________\u003cbr\u003eWarnings\u003cbr\u003e1.    Lactic acidosis: Metformin-associated risk, especially in renal impairment or dehydration. Discontinue if symptoms such as unexplained malaise, respiratory distress, or severe abdominal pain appear.\u003cbr\u003e2.    Hypotension\/dehydration: Especially in elderly, renal-impaired or those on diuretics\u003cbr\u003e3.    Diabetic Ketoacidosis \/ Fournier’s gangrene: Though rare, watch for unexplained nausea, abdominal pain, breathlessness, genital pain\/swelling \u003cbr\u003e________________________________________\u003cbr\u003eAdditional Information\u003cbr\u003e•    Pregnancy\/Breastfeeding: Not generally recommended; consult healthcare provider\u003cbr\u003e•    Storage: Store at room temperature, away from direct light and heat \u003cbr\u003e\u003c\/p\u003e","brand":"The Wellness Hospital","offers":[{"title":"Default Title","offer_id":53335790944587,"sku":null,"price":535.0,"currency_code":"PKR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0954\/5711\/6491\/files\/elzanor-tab-5-500-30s.webp?v=1757311549","url":"https:\/\/wellnesspharmacy.pk\/products\/elzanor-tablets-5-500mg","provider":"The Wellness Hospital","version":"1.0","type":"link"}