{"product_id":"elzanor-tablets-5mg-1000mg","title":"Elzanor Tablets 5mg\/1000mg","description":"\u003cp\u003eMedicine Name: Elzanor Tablets 5\/1000mg\u003c\/p\u003e\n\u003cp\u003eElzanor 5 mg \/ 1000 mg Tablets\u003cbr\u003eRequires Prescription:\u003cbr\u003eYes\u003cbr\u003e________________________________________\u003cbr\u003eGenerics:\u003cbr\u003eEmpagliflozin 5 mg + Metformin Hydrochloride 1000 mg\u003cbr\u003e________________________________________\u003cbr\u003eUsed For:\u003cbr\u003eType 2 Diabetes Mellitus\u003cbr\u003e•    As an adjunct to diet and exercise\u003cbr\u003e•    For patients not adequately controlled with metformin alone or already using both empagliflozin and metformin\u003cbr\u003e________________________________________\u003cbr\u003eHow It Works:\u003cbr\u003e•    Empagliflozin is a SGLT2 inhibitor that lowers blood glucose by preventing glucose reabsorption in the kidneys, causing excess glucose to be excreted in urine.\u003cbr\u003e•    Metformin is a biguanide that lowers blood glucose by decreasing hepatic glucose production, reducing intestinal glucose absorption, and improving insulin sensitivity.\u003cbr\u003eTogether, they target different mechanisms to improve blood sugar control effectively.\u003cbr\u003e________________________________________\u003cbr\u003eElzanor Tablets Usage and Safety\u003cbr\u003eDosage:\u003cbr\u003e•    One tablet once or twice daily, usually with meals to reduce gastrointestinal side effects.\u003cbr\u003e•    Dose may be adjusted by a physician based on response and tolerability.\u003cbr\u003eSide Effects:\u003cbr\u003eEmpagliflozin-related (common):\u003cbr\u003e•    Urinary tract infections\u003cbr\u003e•    Increased urination\u003cbr\u003e•    Genital infections (especially in females)\u003cbr\u003eMetformin-related (common):\u003cbr\u003e•    Diarrhea\u003cbr\u003e•    Nausea or vomiting\u003cbr\u003e•    Flatulence\u003cbr\u003e•    Abdominal pain\u003cbr\u003e•    Loss of appetite\u003cbr\u003e•    Metallic taste\u003cbr\u003e•    Headache\u003cbr\u003e________________________________________\u003cbr\u003eDrug Interactions:\u003cbr\u003e•    Diuretics: May enhance risk of dehydration and hypotension\u003cbr\u003e•    Alcohol: Increases risk of lactic acidosis\u003cbr\u003e•    Cimetidine: May increase metformin levels\u003cbr\u003e•    Insulin or sulfonylureas: May cause hypoglycemia when used together\u003cbr\u003e•    Ranolazine, dolutegravir, vandetanib: May increase metformin exposure\u003cbr\u003e•    NSAIDs and ACE inhibitors: Can impair kidney function and interact with both components\u003cbr\u003e________________________________________\u003cbr\u003eIndications:\u003cbr\u003eElzanor 5 mg\/1000 mg is indicated to:\u003cbr\u003e•    Improve glycemic control in adults with type 2 diabetes mellitus\u003cbr\u003e•    Be used when diet and exercise alone or monotherapy with either component is insufficient\u003cbr\u003e________________________________________\u003cbr\u003eWhen Not to Use:\u003cbr\u003e•    Type 1 diabetes mellitus\u003cbr\u003e•    Diabetic ketoacidosis (DKA)\u003cbr\u003e•    Severe renal impairment or end-stage renal disease (eGFR \u0026lt; 30 mL\/min\/1.73 m²)\u003cbr\u003e•    History of serious hypersensitivity to empagliflozin, metformin, or any excipients\u003cbr\u003e•    Metabolic acidosis, including lactic acidosis\u003cbr\u003e________________________________________\u003cbr\u003ePrecautions:\u003cbr\u003e•    Monitor renal function before and during treatment\u003cbr\u003e•    Use cautiously in elderly patients, especially if taking diuretics or antihypertensives\u003cbr\u003e•    Assess for symptoms of dehydration, hypotension, or ketoacidosis\u003cbr\u003e•    Avoid excessive alcohol consumption\u003cbr\u003e•    Instruct patients on hydration and genital hygiene\u003cbr\u003e________________________________________\u003c\/p\u003e\n\u003cp\u003eWarnings:\u003cbr\u003e1. Lactic Acidosis:\u003cbr\u003e•    A rare but potentially fatal complication of metformin, especially in patients with renal impairment, liver disease, or dehydration.\u003cbr\u003e2. Hypotension:\u003cbr\u003e•    Due to volume depletion from empagliflozin; risk increased in elderly or those on diuretics.\u003cbr\u003e3. Ketoacidosis:\u003cbr\u003e•    Can occur even with near-normal blood glucose levels (euglycemic DKA); symptoms include nausea, vomiting, abdominal pain, shortness of breath, and confusion.\u003cbr\u003e4. Genital and Urinary Tract Infections:\u003cbr\u003e•    Higher risk due to glucosuria; counsel on proper hygiene and monitor for signs of infection.\u003cbr\u003e________________________________________\u003cbr\u003ePregnancy Category:\u003cbr\u003eUse only if clearly needed. Always consult a healthcare provider before use in pregnancy or breastfeeding.\u003cbr\u003e________________________________________\u003cbr\u003eStorage:\u003cbr\u003e•    Store at room temperature\u003cbr\u003e•    Keep away from heat, moisture, and direct sunlight\u003cbr\u003e•    Keep out of reach of children\u003cbr\u003e\u003c\/p\u003e","brand":"The Wellness Hospital","offers":[{"title":"Default Title","offer_id":53335792943435,"sku":null,"price":250.0,"currency_code":"PKR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0954\/5711\/6491\/files\/JA1_6865.jpg?v=1757311681","url":"https:\/\/wellnesspharmacy.pk\/products\/elzanor-tablets-5mg-1000mg","provider":"The Wellness Hospital","version":"1.0","type":"link"}