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Comprar Amaryl XM (Brand name: Duetact) Online

  • €0.25
  • Brand name: Duetact
  • Disponibilidad: En stock
  • Ingrediente activo: pioglitazone
Amaryl XM es utilizado para tratar la diabetes de tipo 2 en ciertos pacientes.
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17 mg
Nombre del producto Por píldora Por paquete  
30 píldoras €0.95 €28.58
60 píldoras €0.76 €57.16 €45.31
90 píldoras €0.69 €85.75 €62.05
120 píldoras €0.66 €114.33 €78.78
180 píldoras €0.62 €171.49 €112.24
270 píldoras €0.60 €257.24 €162.44
360 píldoras €0.59 €342.99 €212.63
16 mg
Nombre del producto Por píldora Por paquete  
60 píldoras €0.54 €32.11
90 píldoras €0.42 €48.17 €37.76
120 píldoras €0.36 €64.22 €43.41
180 píldoras €0.30 €96.33 €54.72
270 píldoras €0.27 €144.50 €71.67
360 píldoras €0.25 €192.66 €88.64

Drug Name

Amaryl XM (Glimepiride/Pioglitazone) 

Drug Uses

Amaryl XM is used for treating type 2 diabetes in certain patients. It is used along with diet and exercise. 

How to use

Use Amaryl XM as directed by your doctor. Check the label on the medicine for exact dosing instructions.

An extra patient leaflet is available with Amaryl XM . Talk to your pharmacist if you have questions about this information.

Take Amaryl XM by mouth with breakfast or the first main meal of the day unless instructed otherwise by your doctor. Continue to take Amaryl XM even if you feel well. Do not miss any doses.

Taking Amaryl XM at the same time each day will help you remember to take it.

Drug Class and Mechanism

Amaryl XM is a thiazolidinedione and sulfonylurea antidiabetic combination. It lowers blood sugar by making the cells of the body more sensitive to the action of insulin. It also causes the pancreas to release insulin, which helps to lower blood sugar. 

Missed Dose

If you miss a dose of Amaryl XM , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. 

Storage

Store Amaryl XM at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Amaryl XM out of the reach of children and away from pets.

Warnings/Precautions

Do NOT use Amaryl XM if: 
you are allergic to any ingredient in Amaryl XM
you have moderate to severe heart failure, liver problems or abnormal liver function tests, certain severe problems associated with diabetes (eg, diabetic ketoacidosis, diabetic coma), moderate to severe burns, or very high blood acid levels (acidosis)
you have type 1 diabetes
you are taking bosentan

Contact your doctor or health care provider right away if any of these apply to you.

Some medical conditions may interact with Amaryl XM . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have had a severe allergic reaction (eg, severe rash, hives, breathing difficulties, dizziness) to any other sulfonamide medicine such as acetazolamide, celecoxib, certain diuretics (eg, hydrochlorothiazide), glipizide, probenecid, sulfamethoxazole, valdecoxib, or zonisamide
if you have a history of kidney, thyroid, heart, or blood vessel problems; stroke; certain hormonal problems (eg, adrenal or pituitary problems, syndrome of inappropriate secretion of antidiuretic hormone [SIADH]); or low blood sodium levels
if you have stomach or bowel problems (eg, stomach or bowel blockage, stomach paralysis), drink alcohol, or have had poor nutrition
if you have very poor health, a high fever, a severe infection, severe diarrhea, or high blood acid levels, or if you have had a severe injury
if you have swelling problems (edema) or certain eye problems (macular edema)
if you will be having surgery

Some MEDICINES MAY INTERACT with Amaryl XM . Tell your health care provider if you are taking any other medicines, especially any of the following: 
Bosentan because liver problems may occur, and the effectiveness of both medicines may be decreased
Beta-blockers (eg, propranolol) because the risk of low blood sugar may be increased. They may also hide certain signs of low blood sugar and make it more difficult to notice
Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), azole antifungals (eg, miconazole, ketoconazole), chloramphenicol, clofibrate, fenfluramine, insulin, metformin, monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), phenylbutazone, probenecid, quinolone antibiotics (eg, ciprofloxacin), salicylates (eg, aspirin), and sulfonamides (eg, sulfamethoxazole) because the risk of low blood sugar may be increased
Calcium channel blockers (eg, diltiazem), corticosteroids (eg, prednisone), decongestants (eg, pseudoephedrine), diazoxide, diuretics (eg, furosemide, hydrochlorothiazide), estrogens, hormonal contraceptives (eg, birth control pills), isoniazid, niacin, phenothiazines (eg, promethazine), phenytoin, rifamycins (eg, rifampin), sympathomimetics (eg, albuterol, epinephrine), or thyroid supplements (eg, levothyroxine) because they may decrease Amaryl XM 's effectiveness, resulting in high blood sugar
Gemfibrozil because blood sugar may be increased or decreased
 Anticoagulants (eg, warfarin) because their effectiveness may be decreased or the risk of their side effects may be increased by Amaryl XM

Possible Side Effects

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome: 
Diarrhea; headache; limb pain; muscle aches; nausea; upper respiratory tract infection; weight gain.

Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); blurred vision or other vision changes; chest pain; confusion; fever, chills, or sore throat; increased or painful urination; irregular heartbeat; symptoms of heart failure (eg, shortness of breath; sudden unexplained weight gain; swelling of the hands, ankles, or feet); symptoms of liver problems (eg, dark urine, severe or persistent nausea, stomach pain, unexplained vomiting or loss of appetite, yellowing of the skin or eyes); symptoms of low blood sugar (eg, anxiety, chills, dizziness or drowsiness, headache, increased hunger, increased sweating, tremors); unusual bone pain; unusual bruising or bleeding; unusual tiredness or weakness.

More Information

If you have any questions about Amaryl XM , please talk with your doctor, pharmacist, or other health care provider.
Amaryl XM is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

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Para evitar pasar a través de cualquier situación adversa y evitar efecto secundario alguno, tendría que considerar las precauciones, advertencias, así como las contraindicaciones con el propósito de no pasar por incidencia adversa alguna o por algún que otro efecto secundario, pero a veces ocurre que un paciente hipersensible sufre reacciones negativas de diferente envergadura que luego enumeraremos. Llame a su médico en línea o a su médico personal tan pronto como observan estos efectos para evitar consecuencia grave alguna:

More Common

  • Chest pain
  • decreased urine output
  • dilated neck veins
  • extreme fatigue
  • irregular breathing
  • irregular heartbeat
  • problems with teeth
  • swelling of the face, fingers, feet, or lower legs
  • tightness in the chest
  • trouble breathing
  • weight gain
  • Blurred vision or other changes in vision
  • cough
  • dry mouth
  • flushed, dry skin
  • fruit-like breath odor
  • headache
  • increased hunger
  • increased thirst
  • increased urination
  • loss of consciousness
  • muscle pain or soreness
  • problems with your teeth
  • runny or stuffy nose
  • sore throat
  • stomachache
  • sweating
  • unexplained weight loss

Less Common

  • Pain or swelling in the arms or legs without an injury
  • pale skin
  • swelling
  • trouble with breathing when active
  • unusual bleeding or bruising
  • unusual tiredness or weakness

Incidence Not Known

  • Dark urine
  • loss of appetite
  • nausea or vomiting
  • stomach pain
  • unexplained, rapid weight gain
  • yellow eyes or skin
Type Small Molecule
Accession Number DB01132  (APRD00653)
Groups Approved, Investigational
Synonyms
  • (+-)-5-((4-(2-(5-Ethyl-2-pyridinyl)ethoxy)phenyl)methyl)-2,4-thiazolidinedione
  • 5-{4-[2-(5-ethylpyridin-2-yl)ethoxy]benzyl}-1,3-thiazolidine-2,4-dione
  • Pioglitazona
  • Pioglitazone
  • Pioglitazonum
UNII X4OV71U42S
CAS number 111025-46-8
Weight Average: 356.439
Monoisotopic: 356.119463206
Chemical Formula C19H20N2O3S
InChI
InChI=1S/C19H20N2O3S/c1-2-13-3-6-15(20-12-13)9-10-24-16-7-4-14(5-8-16)11-17-18(22)21-19(23)25-17/h3-8,12,17H,2,9-11H2,1H3,(H,21,22,23)
IUPAC Name
5-({4-[2-(5-ethylpyridin-2-yl)ethoxy]phenyl}methyl)-1,3-thiazolidine-2,4-dione
Protein binding

Pioglitazone is extensively protein bound (> 99%) in human serum, principally to serum albumin. Pioglitazone also binds to other serum proteins, but with lower affinity [Label].

Toxicity Not Available
Half life

The mean serum half-life of pioglitazone and its metabolites (M-III and M-IV) range from 3 to 7 hours and 16 to 24 hours, respectively [Label].

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