In the article, we consider the instructions for use and reviews for the drug "Diabeton".
In the treatment of diabetes there are many different nuances, and it is far from always possible to immediately find a medicine that will help one hundred percent control glycemia. Diabeton is an effective antidiabetic medicine.
Instructions for use with the "Diabeton MV" and the usual "Diabeton" are very detailed.
Description of the drug
What is this medication? According to the instructions for use, “Diabeton” is produced in tablets with a dosage of 80 milligrams.
Doctors recommend a new generation of the drug, which is characterized by a prolonged action, since it acts softer than other drugs of the sulfonylurea category. Against the background of the use of a profiled form of the drug, the risks of hypoglycemia are minimal, and the effect of one pill lasts throughout the day.
Dosage form, characterized by a prolonged effect, is available in dosages of 30 or 60 mg. Instructions for use for "Diabeton" is available in each pack.
For those who forget to drink pills on time, a single dose is a big advantage. The medicine is prescribed in combination with muscle loads and a low-carb diet, without which any antidiabetic pills are ineffective. Usually, this medication is prescribed in parallel with Metformin, which actively affects insulin resistance, unlike Diabeton.
Diabeton capsules are not available (this is stated in the instructions for use). We will review reviews about the drug below.
Indications for prescribing a drug
According to the instructions for use, “Diabeton” was developed to stabilize the glycemic profile, and in addition, to prevent complications of diabetes, reduce the risk of heart attacks, strokes, nephropathy and retinopathy as well. But athletes can also use it to increase muscle mass. This drug is indicated for normal-weight diabetics with a second type of disease of the middle degree without any signs of insulin resistance.
Patients in the framework of the starting treatment regimen "Diabeton" is not assigned. For diabetics who have signs of obesity, this drug is harmful because their pancreas is already working with increased stress, producing insulin to neutralize glucose.
Prescribing a medication for this category of patients can cause death from heart disease. Instructions for use with Diabeton tablets confirm this.
This drug has a lot of contraindications that should be considered before its appointment. So, we pass to their consideration.
Contraindications for use
Contraindications exist with all medicines. Just before using the medicine, it is important to pay attention to some warnings. In accordance with the instructions for use for "Diabeton", it is unacceptable to use it in the presence of the following ailments:
- With type 1 diabetes.
- Against the background of high sensitivity to the medicinal components of the formula.
- With ketoacidosis or diabetic coma.
- In the period of childhood and youth.
- In the presence of pregnancy and during breastfeeding.
- Against the background of serious pathologies of the kidneys and liver.
- With individual intolerance to drugs based on sulfonylurea.
- Against the background of the parallel use of "Miconazole", which is an antifungal agent.
How can the combined use of two drugs affect the outcome of treatment? The medicine "Miconazole" enhances the sugar-lowering capabilities of "Diabeton." In the event that the glycemic profile is not monitored in a timely manner, there is a risk of hypoglycemia. If there is no alternative to Miconazole, the doctor should reduce the dosage of Diabeton.
Instructions for use must be strictly observed.
When is this drug prescribed with caution?
With great caution, this medication should be taken when combined with drugs such as Phenylbutazone, as well as with hypoglycemic drugs. When combined with anticoagulants, as well as with alcohol, this drug is also taken with caution.
Alcohol intolerance
The drug "Diabeton" may increase intolerance to alcohol. This manifests itself in the form of shortness of breath, headache, tachycardia, abdominal cramps and other dyspeptic disorders. In the event that “Diabeton” provokes hypoglycemia, then alcohol can reliably mask its symptoms. Given that the signs of intoxication are similar to glycemic, in case of untimely help, the risks of diabetic coma increase. The optimal alcohol dosage for a diabetic is a glass of dry red wine for the occasion. But it’s best not to drink alcohol at all.
Side effects
The main undesirable side effect is hypoglycemia, which involves a drop in glucose below the target range, which will be accompanied by the following clinical manifestations:
- Headache and impaired coordination.
- Uncontrolled hunger.
- Dyspeptic disorder.
- A breakdown, and in addition, excitement, alternating with nervousness.
- Inhibition and inability to concentrate.
- Speech disorder and visual impairment.
- Lack of self-control and helplessness, as well as fainting.
In the presence of a mild form of hypoglycemia, the victim is given carbohydrates, and in severe forms, urgent hospitalization is necessary. In addition to hypoglycemia, there are other side effects in the form of allergic rashes, digestive disorders, malfunctions in the circulatory system (in this case, anemia is observed in patients along with a decrease in white blood cells). In addition, an increase in the concentration of liver enzymes is likely.
All side effects are usually reversible and pass soon without drug intervention almost immediately after discontinuation of this drug. In the event that this drug is prescribed instead of an alternative antidiabetic drug, then glycemia must be monitored within ten days in order to avoid the imposition of dangerous effects. When prescribing "Diabeton", the doctor should inform the patient about possible adverse reactions and symptoms of overdose.
Reception mode
In pharmacies, this medication is presented in two varieties:
- A drug with a dosage of 80 milligrams.
- Dosage form "Diabeton MV" with a dosage of 30 and 60 milligrams.
For the usual "Diabeton", the starting norm is 80 milligrams per day, over time this amount of the drug is increased to three tablets per day, distributing them in several doses. The maximum allowed per day to take four tablets.
For the modified form, the starting dose is 30 mg. Instructions for use for "Diabeton" confirms that, if necessary, the dose is smoothly adjusted. The medicine is used once a day, up to a maximum of 120 milligrams. Even if the patient is prescribed the maximum dosage, it should still be taken at a time in the morning. So it is said in the instructions for use for "Diabeton MV".
Like all sulfanylurea drugs, the drug should be drunk half an hour before meals. Taking it at the exact time indicated by the instructions, the patient allows the medication to be absorbed and show its activity with the first spoon of food.
Efficiency mark
The effectiveness of the selected dosage can be evaluated at home using a glucometer. Usually check its performance before and after meals. The appropriate dosage is always calculated individually based on the glycemic profile and laboratory tests. You can combine the use according to the instructions for use of "Diabeton" with diabetes capsules with a different mechanism of action.
Overdose
Considering that the treatment with Diabeton is dangerous for the development of hypoglycemia, then deliberately increased dosages of this medication increase its symptoms several times. The exact lethal dosage of the medication has not been established, but if dangerous signs are not eliminated in time, then any dose will become fatal. In case of an overdose, it is necessary to perform gastric lavage, and in addition, control glycemia every ten minutes.
The shelf life of this medicine is two years, in the future it is not suitable for therapy and must be disposed of. Any special conditions for its storage are absolutely not required.
In the instructions for use, analogues of "Diabeton" are not indicated.
Analogs
The original drug was and remains the only drug "Diabeton" from a company called Servier. The cost for it ranges from two hundred and fifty to three hundred rubles. In pharmacies, they can offer analogues in the form of the domestic “Diabefarma”, the Slovenian “Glicad”, the Indian “Diabinax” and so on. Among other things, the drug “Gliclazide” can replace this medicine along with “Predian”, “Diatika”, “Glisid”, “Glucostabil” and “Glioral”.
As noted earlier, in addition to the usual drug, Servier also produces Diabeton MV.
All other medicines are generics, their manufacturers did not invent the medicine, but simply acquired the right to release it. The existing evidence base is relevant only to the original Diabeton drug.
Generics are characterized by low quality filler, which sometimes seriously affects the overall effectiveness of the drug. The most budgetary counterparts are substitutes for Indian or Chinese production. Among domestic generics that successfully replace Diabeton and enjoy high prestige, it is worth mentioning medicines called Glidiab and Gliklazid.
Next, find out what diabetics write about this medicine.
Diabetics reviews of Diabeton
About the drug "Diabeton" reviews are mixed. People write that sugar helps to control this drug, but undesirable consequences from its use are also often recorded. As diabetics write, modified release pills are well tolerated. With regard to side effects, these are most often observed in diabetics who regularly take the medicine "Diabeton" for several years.
In the comments, patients advise others to consider the interaction of this medication with anticoagulants, since the latter enhance the capabilities and activity of Diabeton. It is also reported that subject to taking this medication half a tablet daily, sugar will be guaranteed to stay within normal limits without serious side effects.
Others report that taking Diabeton adds to digestive problems. For example, people say that they have heartburn along with the sensation of a bloated abdomen and a full stomach when they take this medication. In any case, it is extremely important for diabetics in the course of treatment to constantly monitor the glycemic index of products, since there is always a danger of hypoglycemia.