Repaglinide

Type 2 Diabetes Mellitus

Drug Status

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Government Approvals

US(FDA), UK(BNF)

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WHO Essential Medicine

NO

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Known Teratogen

No

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Pharmaceutical Class

Glinide

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Controlled Drug Substance

No

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Drug Ingredient

repaglinide

Summary

  • Repaglinide is used to manage type 2 diabetes, which is a condition where the body doesn't use insulin properly, leading to high blood sugar levels. It is not suitable for type 1 diabetes or diabetic ketoacidosis, which is a dangerous buildup of acid in the blood.

  • Repaglinide works by stimulating the pancreas, which is an organ that produces insulin, to release more insulin. This helps lower blood sugar levels, especially after meals, by allowing sugar to enter the cells for energy.

  • The usual starting dose of Repaglinide for adults is 0.5 mg taken before each meal. It should be taken 15 to 30 minutes before eating, usually two to four times a day. The maximum recommended dose is 16 mg per day.

  • Common side effects of Repaglinide include low blood sugar, which is called hypoglycemia, and weight gain. Some people may also experience mild stomach upset, such as nausea or diarrhea.

  • Repaglinide should not be used by people with type 1 diabetes or diabetic ketoacidosis. It can cause low blood sugar, especially if meals are skipped. Caution is advised for those with liver problems. Always follow your doctor's advice and report any unusual symptoms.

Indications and Purpose

How does Repaglinide work?

Repaglinide works by stimulating the pancreas to release insulin, which helps lower blood sugar levels. Think of it like pressing a button that signals the pancreas to produce more insulin when you eat. This helps control blood sugar spikes after meals. Repaglinide is effective for managing type 2 diabetes when used with diet and exercise. It helps keep blood sugar levels stable and reduces the risk of diabetes-related complications.

Is Repaglinide effective?

Repaglinide is effective for managing type 2 diabetes. It works by stimulating the pancreas to release insulin, which helps lower blood sugar levels. Clinical studies show that Repaglinide significantly improves blood sugar control in diabetes patients. It is often used in combination with diet and exercise to achieve the best results. Always follow your doctor's instructions to ensure the medication works effectively for you.

What is Repaglinide?

Repaglinide is a medication used to manage type 2 diabetes. It belongs to a class of drugs called meglitinides, which help control blood sugar by stimulating the pancreas to release insulin. This medication is typically used in combination with diet and exercise to improve blood sugar levels. Repaglinide is not used for type 1 diabetes or diabetic ketoacidosis, which is a dangerous buildup of acid in your blood.

Directions for Use

For how long do I take Repaglinide?

Repaglinide is usually a long-term medication for managing type 2 diabetes. You'll typically take it every day as a lifelong treatment unless your doctor suggests otherwise. Stopping this medication without medical advice could cause your condition to worsen. How long you'll need this medication depends on your body's response, any side effects you experience, and changes in your overall health. Always talk with your doctor before changing or stopping your Repaglinide treatment.

How do I dispose of Repaglinide?

If you can, bring unused Repaglinide to a drug take-back program or collection site at a pharmacy or hospital. They will dispose of this medicine properly so it doesn't harm people or the environment. If you can't find a take-back program, you can throw most medicines in the trash at home. But first, take them out of their original containers, mix them with something undesirable like used coffee grounds, seal the mixture in a plastic bag, and throw it away.

How do I take Repaglinide?

Take Repaglinide before meals, usually two to four times a day, depending on your doctor's instructions. It's important to take it 15 to 30 minutes before eating. This medication should not be crushed or chewed. Swallow it whole with water. If you miss a dose, take it as soon as you remember, unless it's almost time for your next dose. In that case, skip the missed dose. Never take two doses at once. Always follow your doctor's specific advice about diet and fluid intake while taking this medication.

How long does it take for Repaglinide to start working?

Repaglinide starts working quickly, usually within 30 minutes of taking it. It helps lower blood sugar levels by stimulating insulin release from the pancreas. The full therapeutic effect can be seen after a few weeks of consistent use. How quickly the medication works can depend on your diet, exercise, and overall health. Take it exactly as prescribed for the best results.

How should I store Repaglinide?

Store Repaglinide at room temperature, away from moisture and light. Keep it in a tightly closed container. Don't store it in humid places like bathrooms, where moisture in the air could affect how well the medication works. Always store Repaglinide out of children's reach to prevent accidental swallowing. Remember to check the expiration date regularly and properly dispose of any unused or expired medication.

What is the usual dose of Repaglinide?

The usual starting dose of Repaglinide for adults is 0.5 mg taken before each meal. Your doctor may adjust your dose based on your blood sugar levels. The maximum recommended dose is 16 mg per day. Elderly patients and those with liver problems may require dose adjustments. Always follow your doctor's specific dosing instructions for your personal health needs.

Warnings and Precautions

Can I take Repaglinide with other prescription drugs?

Repaglinide may interact with other diabetes medications, blood pressure drugs, and antifungal medications. Consult your doctor for advice on taking it with other prescriptions.

Can Repaglinide be taken safely while breastfeeding?

The safety of Repaglinide while breastfeeding isn't well-established. We don't have much information about whether this medication passes into human breast milk. If you're taking Repaglinide and want to breastfeed, talk with your doctor about safer medication options that would allow you to nurse your baby safely. Your doctor can help determine the best approach for your situation.

Can Repaglinide be taken safely while pregnant?

The safety of Repaglinide during pregnancy isn't well-established. It's important to manage diabetes during pregnancy to avoid complications for both mother and baby. If you're pregnant or planning to become pregnant, talk with your doctor about the safest way to manage your blood sugar. Your doctor can help create a pregnancy-specific treatment plan that protects both you and your baby.

Does Repaglinide have adverse effects?

Adverse effects are unwanted reactions to a medication. Common adverse effects of Repaglinide include low blood sugar, which is called hypoglycemia, and weight gain. Serious side effects can include liver problems and allergic reactions. If you experience symptoms like jaundice, which is yellowing of the skin or eyes, or severe allergic reactions, seek medical attention immediately. Always inform your doctor about any new or worsening symptoms while taking Repaglinide.

Does Repaglinide have any safety warnings?

Yes, Repaglinide has important safety warnings. It can cause low blood sugar, which is called hypoglycemia, especially if you skip meals or exercise more than usual. Symptoms include dizziness, sweating, and confusion. Always carry a source of sugar with you. Repaglinide should be used with caution in people with liver problems. Not adhering to these warnings can lead to serious health issues. Always follow your doctor's advice and report any unusual symptoms.

Is it safe to drink alcohol while taking Repaglinide?

It's best to avoid alcohol while taking Repaglinide. Alcohol can increase your risk of low blood sugar, which is called hypoglycemia, and may interfere with your diabetes management. If you do choose to drink occasionally, limit how much alcohol you consume and monitor your blood sugar levels closely. Talk with your doctor about alcohol use while taking Repaglinide to get personalized advice based on your specific health situation.

Is it safe to exercise while taking Repaglinide?

You can exercise while taking Repaglinide, but keep a few things in mind. This medication can lower your blood sugar, which is called hypoglycemia, especially if you exercise more than usual. To exercise safely, monitor your blood sugar levels before and after physical activity. Watch for signs of low blood sugar, like dizziness or weakness. If you notice these symptoms, slow down or stop exercising and rest. Most people can maintain their regular exercise routine while taking Repaglinide, but check with your doctor if you have concerns.

Is it safe to stop Repaglinide?

Stopping Repaglinide suddenly can cause your blood sugar levels to rise quickly, which can be dangerous. This medication is usually used long-term for managing type 2 diabetes. Always talk with your doctor before stopping Repaglinide. They might suggest gradually reducing your dose or switching to a different medication to keep your condition under control. Your doctor will help you make any medication changes safely to protect your health.

Is Repaglinide addictive?

Repaglinide is not addictive or habit-forming. This medication doesn't cause dependency or withdrawal symptoms when you stop taking it. Repaglinide works by stimulating insulin release from the pancreas, which doesn't affect brain chemistry in ways that could lead to addiction. You won't experience cravings for this medication or feel compelled to take more than prescribed. If you have concerns about medication dependence, you can feel confident that Repaglinide doesn't carry this risk.

Is Repaglinide safe for the elderly?

Elderly patients may be more sensitive to the effects of Repaglinide, particularly the risk of hypoglycemia. Careful dose adjustments and regular blood sugar monitoring are important.

What are the most common side effects of Repaglinide?

Side effects are unwanted reactions that can happen when taking a medication. Common side effects of Repaglinide include low blood sugar, which is called hypoglycemia, and weight gain. These effects vary from person to person. If you notice new symptoms after starting Repaglinide, they might be temporary or unrelated to the medication. Talk with your doctor before stopping any medication.

Who should avoid taking Repaglinide?

Don't take Repaglinide if you're allergic to it or its ingredients. It's not for people with type 1 diabetes or diabetic ketoacidosis, which is a dangerous buildup of acid in your blood. Use caution if you have liver problems, as it may affect how the medication works. Always consult your doctor about these concerns to ensure safe use of Repaglinide.