INTRODUCTION

EUREPA 1MG TABLET contains Repaglinide which belongs to the group of medicines called Antidiabetics. It is used to treat 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 treatment with EUREPA 1MG TABLET your doctor may advise you to make some lifestyle changes such as having a balanced diet, good sleep, exercising. Before starting the treatments with EUREPA 1MG TABLET your doctor would want you to take some diagnostic tests.

EUREPA 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 EUREPA 1MG TABLET with caution.

EUREPA 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 EUREPA 1MG TABLET are hypoglycaemia, stomach pain and diarrhoea. Talk to your doctor if these worsen or doesn’t improve.

USES OF EUREPA 1MG TABLET

• Used to treat type 2 diabetes mellitus

HOW EUREPA 1MG TABLET WORKS

EUREPA 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.

DIRECTIONS FOR USE

Take EUREPA 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 EUREPA 1MG TABLET

HOW TO MANAGE SIDE EFFECTS

Diarrhoea:

Drink lots of fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor.

Stomach pain:

Try to rest and relax. Eat and drink slow or try to have smaller and frequent meals. Keep a heat pad on your stomach. If the symptom does not improve, contact your doctor.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug Interactions:

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

Overdosage:

If you or anyone else accidentally takes too much of EUREPA 1MG TABLET it can lead to hypoglycaemia. Inform your doctor immediately or visit the nearby hospital. Symptoms of overdosage of EUREPA 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

MORE INFORMATION

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

FAQs ABOUT EUREPA 1MG TABLET

Can EUREPA 1MG TABLET be used alone to treat diabetes mellitus type 2?

No. EUREPA 1MG TABLET is used in the treatment 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 treat accordingly.

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

Yes. overdose of EUREPA 1MG TABLET may cause hypoglycaemia. Symptoms of overdosage of EUREPA 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 EUREPA 1MG TABLET contact your doctor immediately.

What to do if I forget to take a dose of EUREPA 1MG TABLET?

If you forgot to take a dose of EUREPA 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 EUREPA 1MG TABLET to make up for a forgotten dose. Consult your doctor.

Can I stop taking EUREPA 1MG TABLET on my own?

No. You should not stop taking EUREPA 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.

Can EUREPA 1MG TABLET be used in children and adolescents?

No. EUREPA 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 25th May 2022] https://www.ncbi.nlm.nih.gov/books/NBK559305/#article-93347.s3

3. Accord Healthcare. Electronic Medicines Compendium (EMC). [Revised in Jan 2019]. [Accessed on 25th April 2022] https://www.medicines.org.uk/emc/files/pil.4629.pdf

USEFUL DIAGNOSTIC TESTS

• Fasting blood sugar
• Postprandial glucose test
• Glycosylated haemoglobin