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Introduction About NOVONORM 1MG TABLET

NOVONORM 1MG TABLET contains Repaglinide which belongs to the group of medicines called Antidiabetics. It is used to manage type 2 diabetes as an adjunct to diet and exercise.

Type 2 diabetes is a disease condition in which the pancreas does not make enough insulin to control sugar in the body or the body does not react well to insulin that is produced thus, leading to high blood glucose levels. The symptoms of high blood sugar level are feeling thirsty, increased urination, dry skin, and dry mouth.

Along with the management with NOVONORM 1MG TABLET your doctor may advise you to make some lifestyle changes such as having a balanced diet, good sleep, exercising. Before starting the managements with NOVONORM 1MG TABLET your doctor would want you to take some diagnostic tests.

NOVONORM 1MG TABLET is not recommended in patients who have severe liver disease, diabetes type 1 and diabetic ketoacidosis. Consult your doctor for advice.

Patients having moderate liver diseases, kidney problems or are about to have a surgery should take NOVONORM 1MG TABLET with caution.

NOVONORM 1MG TABLET should not be taken by pregnant or breast-feeding women, children and adolescents below 18 years of age.

It is also not recommended for use in elderly patients above 75 years of age. The most common side-effects of NOVONORM 1MG TABLET are hypoglycaemia, stomach pain and diarrhoea. Talk to your doctor if these worsen or doesn’t improve.

Uses Of NOVONORM 1MG TABLET

Used to manage type 2 diabetes mellitus

How NOVONORM 1MG TABLET Works

NOVONORM 1MG TABLET helps in reducing the blood sugar levels by acting on specific cells (beta cells) present in the pancreas and increases the release of insulin. Insulin is responsible for bringing the blood sugar levels down.

How to use NOVONORM 1MG TABLET

Take NOVONORM 1MG TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Side Effects Of NOVONORM 1MG TABLET

Common

hypoglycaemia
stomach pain
diarrhoea

Rare

acute coronary syndrome

Stop taking NOVONORM 1MG TABLET if you experience any of the following side effects and talk to your doctor immediately:

anaphylactic reaction characterised by swelling, difficulty in breathing, rapid heartbeat, feeling dizzy and sweating

How To Manage Side Effects

Diarrhea

NOVONORM 1MG TABLET should be used with caution in elderly patients above 75 years of age. Consult your doctor before taking.

Others

NOVONORM 1MG TABLET is not recommended for use if you:

have type 1 diabetes
have diabetic ketoacidosis

Before taking NOVONORM 1MG TABLET inform your doctor if you:

have a major surgery
have or had an infection or severe illness

Interactions

A. Drug - Drug Interactions:

medicines used to manage depression (Ex. Monoamine oxidase inhibitors)
medicines used to manage high blood pressure or heart conditions, beta blockers (Ex. propranolol), ACE inhibitors (Ex. captopril, enalapril)
salicylates (Ex. aspirin)
medicines used to manage cancer (Ex. octreotide)
medicines used as painkiller, NSAIDS (Ex. paracetamol, naproxen)
medicines used for anaemia or to manage inflammation (Ex. steroids)
oral contraceptives (used as birth control pills)
diuretics or water pills (Ex. thiazides)
medicines used to manage breast cysts and endometriosis (Ex. danazol)
medicines used to manage low levels of thyroid hormones (Ex. levothyroxine)
medicines used to manage asthma, sympathomimetics (Ex. albuterol, terbutaline)
antibiotic medicines (Ex. clarithromycin, trimethoprim, rifampicin)
antifungal medicines (Ex. itraconazole, ketoconazole)
medicines used to manage high blood fats (Ex. gemfibrozil)
medicines used to suppress the immune system (Ex. ciclosporin)
medicines used to reduce chronic iron overload (Ex. deferasirox)
medicines used to manage epilepsy (Ex. phenytoin, carbamazepine, phenobarbital)
St. John’s wort (herbal medicine)
medicines used to manage blood clots (Ex. clopidogrel)

Overdosage:

If you or anyone else accidentally takes too much of NOVONORM 1MG TABLET it can lead to hypoglycaemia. Inform your doctor immediately or visit the nearby hospital. Symptoms of overdosage of NOVONORM 1MG TABLET are cold sweat, cool pale skin, headache, fast heartbeat, nausea, feeling very hungry, temporary changes in vision, drowsiness, unusual tiredness and weakness, nervousness or tremor, feeling anxious and confused, and difficulty in concentrating.

Synopsis

Drug	:	Repaglinide
Pharmacological Category	:	Meglitinides
Therapeutic Indication	:	Type 2 Diabetes mellitus
Dosage Forms	:	Tablet

More Information

Keep NOVONORM 1MG TABLET out of reach of children
Store at room temperature

FAQs About NOVONORM 1MG TABLET

Q: Can NOVONORM 1MG TABLET be used alone to manage diabetes mellitus type 2?

A: No. NOVONORM 1MG TABLET is used in the management of diabetes mellitus type 2 or non-insulin dependent diabetes mellitus as an adjunct to diet or when diet and other sugar lowering medications are not working enough. Your doctor will be able to better understand your condition and manage accordingly.

Q: Is overdose of NOVONORM 1MG TABLET likely to cause hypoglycaemia (abnormally low blood sugar)?

A: Yes. overdose of NOVONORM 1MG TABLET may cause hypoglycaemia. Symptoms of overdosage of NOVONORM 1MG TABLET are cold sweat, cool pale skin, headache, fast heartbeat, drowsiness, unusual tiredness and weakness, nausea, feeling very hungry, temporary changes in vision, nervousness or tremor, feeling anxious and confused, and difficulty in concentrating. If you or anyone else happens to have an overdose of NOVONORM 1MG TABLET contact your doctor immediately.

Q: What to do if I forget to take a dose of NOVONORM 1MG TABLET?

A: If you forgot to take a dose of NOVONORM 1MG TABLET then do not take the missed dose between meals. Wait until your next scheduled dose and meal and continue taking your medicine as per normal. Do not take a double dose of NOVONORM 1MG TABLET to make up for a forgotten dose. Consult your doctor.

Q: Can I stop taking NOVONORM 1MG TABLET on my own?

A: No. You should not stop taking NOVONORM 1MG TABLET without the advice of the doctor. If you do so, the desired effect may not be achieved, and your blood sugar level can happen to rise again.

Q: Can NOVONORM 1MG TABLET be used in children and adolescents?

A: No. NOVONORM 1MG TABLET is not recommended to use in children and adolescents (below 18 years of age). Consult your doctor.

References

1. KD. Tripathi. Insulin, Oral Hypoglycaemic Drugs and Glucagon. Essentials of medical pharmacology. Seventh edition. 2013. Page – 273.

2. Zara Milner, Hossein Akhondi. Repaglinide. NIH National Library of Medicine, National center for biotechnology information. Jan 2022. [Accessed on 29th January 2024] https://www.ncbi.nlm.nih.gov/books/NBK559305/#article-93347.s3

3. Accord Healthcare. Electronic Medicines Compendium (EMC). [Revised in Jan 2019]. [Accessed on 29th January 2024] https://www.medicines.org.uk/emc/files/pil.4629.pdf

Useful Diagnostic Tests

HbA1C, Also known as Glycated Hemoglobin, Glycosylated Hemoglobin
Blood Glucose Fasting (FBS)
Random Blood Sugar (RBS)
Post Prandial Blood Sugar (PPBS)
Insulin – Fasting
Insulin Postprandial (PP)
Vital Diabetes Care
Extended Diabetes Care
Advance Diabetes Care
Comprehensive Diabetes Care

Author Details

Written By Dr. N. Sai Swaroop - Pharm.D

Reviewed For Accuracy By Dr. Jaya Prabakaran - MBBS, MD (Diabetology and Family Medicine)

Last updated on 30 Jan 2024 | 04:15 PM(IST)