PRECOSE (acarbose tablets) is Associate in Nursing oral alpha-glucosidase matter to be used within the management of kind a pair of diabetes. Acarbose is Associate in Nursing carbohydrate that is obtained from fermentation processes of a being, Actinoplanes utahensis, and is with chemicals called O-4,6-dideoxy4-[[(1S,4R,5S,6S)-4,5,6-trihydroxy-3-(hydroxymethyl)-2-cyclohexen-1-yl]amino] α-D-glucopyranos yl-(1 → 4)-O-α-D-glucopyranosyl-(1 →4)-D-glucose. it's a white to off-white powder with a relative molecular mass of 645.6. Acarbose is soluble in water and features a pKa of five.1.
PRECOSE is on the market as twenty five mg, fifty mg and a hundred mg tablets for oral use. The inactive ingredients are starch, crystalline polyose, metal stearate, and mixture oxide.
Generic Name: acarbose
PRECOSE is indicated as associate adjunct to diet and exercise to boost glycemic management in adults with kind two diabetes.
The suggested beginning indefinite quantity of PRECOSE is twenty five mg given orally thrice daily at the beginning (with the primary bite) of every main meal. However, some patients could get pleasure from a lot of gradual dose volumetric analysis to reduce gi aspect effects. this could be achieved by initiating treatment at twenty five mg once per day and after increasing the frequency of administration to realize 25 mg t.i.d.
Once a twenty five mg t.i.d. indefinite quantity regime is reached, indefinite quantity of PRECOSE ought to be adjusted at 4–8 week intervals supported one-hour postprandial aldohexose or glycosylated haemoprotein levels, and on tolerance. The indefinite quantity may be inflated from twenty five mg t.i.d. to 50 mg t.i.d. Some patients could get pleasure from additional increasing the indefinite quantity to one hundred mg t.i.d. the upkeep dose ranges from fifty mg t.i.d. to one hundred mg t.i.d. However, since patients with low weight is also at inflated risk for elevated body fluid transaminases, solely patients with weight > sixty kilogram ought to be thought-about for dose volumetric analysis higher than fifty mg t.i.d.
If no additional reduction in postprandial aldohexose or glycosylated haemoprotein levels is determined with volumetric analysis to one hundred mg t.i.d., thought ought to run to lowering the dose. Once an efficient and tolerated indefinite quantity is established, it ought to be maintained.
The maximum suggested dose for patients ≤ sixty kilogram is fifty mg t.i.d. the utmost suggested dose for patients > sixty kilogram is one hundred mg t.i.d.
Precose Side Effects:
Gastrointestinal symptoms are the foremost common reactions to PRECOSE. In U.S. placebo-controlled trials, the incidences of abdominal pain, diarrhea, and flatulence were nineteenth, 31%, and seventy four severally in 1255 patients treated with PRECOSE 50–300 mg t.i.d., whereas the corresponding incidences were ninth, 12%, and twenty nine in 999 placebo-treated patients.
In a annual safety study, throughout that patients unbroken diaries of epithelial duct symptoms, abdominal pain and symptom cared-for come to pretreatment levels over time, and therefore the frequency and intensity of flatulence cared-for abate with time. The accrued alimentary canal symptoms in patients treated with PRECOSE are a manifestation of the mechanism of action of PRECOSE and are associated with the presence of undigested sugar within the lower GI tract.
If the prescribed diet isn't discovered, the internal organ facet effects is also intense. If powerfully distressing symptoms develop in spite of adherence to the diet prescribed, the doctor should be consulted and therefore the dose briefly or for good reduced.
Elevated bodily fluid transferase Levels
Other Abnormal Laboratory Findings
Small reductions in hematocrit occurred a lot of usually in PRECOSE-treated patients than in placebo-treated patients however weren't related to reductions in hemoprotein. Low bodily fluid metal and low plasma pyridoxal levels were related to PRECOSE medical aid however are thought to be either spurious or of no clinical significance.
Postmarketing Adverse Event Reports
Additional adverse events reported from worldwide postmarketing expertise embody sudden infectious disease with fatal outcome, susceptible skin reactions (for example rash, erythema, exanthem and uticaria), edema, ileus/subileus, jaundice and/or infectious disease and associated liver harm, blood disease, and pneumatosis cystoides intestinalis.
Pneumatosis Cystoides Intestinalis
There are rare postmarketing reports of pneumatosis cystoides intestinalis related to the employment of alpha-glucosidase inhibitors, as well as Precose. Pneumatosis cystoides intestinalis could gift with symptoms of symptom, mucous secretion discharge, body part trauma, and constipation. Complications could embody pneumoperitoneum, volvulus, enteropathy, intussusception, internal organ hemorrhage, and internal organ perforation. If pneumatosis cystoides intestinalis is suspected, discontinue Precose and perform the acceptable diagnostic imaging.