Product image of Mexdagry (Metformin Hydrochloride, Dapagliflozin) supplied by GNH India

Mexdagry

Active Ingredient:
Metformin Hydrochloride, Dapagliflozin
Origin:
EU

Mexdagry (Metformin Hydrochloride, Dapagliflozin)

Metformin Hydrochloride and Dapagliflozin, the active ingredient in Mexdagry, is a Biguanide; SGLT2 inhibitor presented as an oral tablet for oral use. It treats type 2 diabetes mellitus in adult patients by improving blood glucose control.

GNH India supplies Mexdagry as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑compliant distribution across multiple regions.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Mexdagry combines metformin and dapagliflozin to manage hyperglycemia in type 2 diabetes.

  • Type 2 diabetes mellitus: lowers fasting and post‑prandial blood glucose levels.
  • Adjunct to diet and exercise: improves HbA1c when lifestyle measures alone are insufficient.
  • Combination with other antidiabetic agents: provides additional glucose reduction for patients inadequately controlled on monotherapy.

How It Works

  • Metformin reduces hepatic gluconeogenesis and enhances peripheral insulin sensitivity, while dapagliflozin selectively blocks the renal sodium‑glucose co‑transporter‑2 (SGLT2), promoting urinary glucose excretion. The complementary actions result in decreased plasma glucose concentrations and improved overall glycaemic control in type 2 diabetes.

Side Effects

The following adverse reactions have been reported with the combination of metformin and dapagliflozin.

Common Side Effects

  • Nausea: mild to moderate gastrointestinal discomfort.
  • Diarrhea: loose stools, often transient.
  • Genital mycotic infection: increased risk in both sexes.
  • Urinary tract infection: symptoms of dysuria or frequency.
  • Increased urinary volume: polyuria due to glucosuria.
  • Abdominal discomfort: bloating or cramping.

Serious or Rare Side Effects

  • Lactic acidosis: rare but life‑threatening metabolic disturbance.
  • Ketoacidosis: euglycaemic diabetic ketoacidosis may occur.
  • Severe dehydration: due to excessive fluid loss.
  • Hypersensitivity reactions: rash, angioedema, or anaphylaxis.
  • Acute kidney injury: sudden decline in renal function.
  • Pancreatitis: inflammation of the pancreas.

Precautions & Warnings

When prescribing Mexdagry, clinicians should consider several safety measures.

  • Renal function assessment: evaluate eGFR before initiating therapy.
  • Hepatic impairment: use with caution in patients with liver disease.
  • Risk of lactic acidosis: monitor for symptoms especially in renal dysfunction.
  • Genital infections: educate patients on hygiene to reduce risk.
  • Hypoglycemia risk: monitor when used with insulin or sulfonylureas.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Mexdagry may interact with several concomitant medications.

Major Interactions (Avoid)

  • Iodinated contrast agents: increase risk of renal impairment.
  • Insulin or sulfonylureas: may cause severe hypoglycemia.
  • Cimetidine: can raise metformin plasma concentrations.

Moderate Interactions (Monitor Closely)

  • Diuretics: may affect volume status and renal function.
  • ACE inhibitors or ARBs: monitor renal function and electrolytes.
  • Alcohol: potentiates risk of lactic acidosis.
  • NSAIDs: may reduce renal clearance of metformin.

Frequently Asked Questions

Mexdagry is indicated for the treatment of type 2 diabetes mellitus in adults. It helps lower elevated blood glucose levels when used together with diet and exercise, and may be combined with other antidiabetic agents to achieve better glycaemic control.

Metformin decreases hepatic glucose production and improves peripheral insulin sensitivity, while dapagliflozin blocks the renal sodium‑glucose co‑transporter‑2 (SGLT2), causing excess glucose to be excreted in the urine. The dual mechanism reduces overall blood glucose concentrations.

The appropriate dose of Mexdagry is determined by the prescribing healthcare professional based on the individual’s clinical condition, renal function, and response to therapy. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety of Mexdagry in pregnancy and lactation has not been established. It is generally advised to avoid use during pregnancy and breastfeeding unless the potential benefit justifies the potential risk, and this decision should be made by a qualified clinician.

To order Mexdagry, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Mexdagry combines a biguanide (metformin) with an SGLT2 inhibitor (dapagliflozin), offering both insulin‑sensitising and glucose‑excreting effects. Compared with metformin alone, it provides greater HbA1c reduction, and versus SGLT2 inhibitor monotherapy, it adds the benefits of reduced hepatic glucose output.

Mexdagry should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date printed on the label.

Mexdagry is taken orally, usually as a tablet, with or without food. The tablet should be swallowed whole with a glass of water. Patients should follow the dosing schedule prescribed by their healthcare provider.

Serious risks include lactic acidosis, euglycaemic diabetic ketoacidosis, severe dehydration, and hypersensitivity reactions such as rash or anaphylaxis. Patients should seek immediate medical attention if they experience unexplained muscle pain, rapid breathing, severe abdominal pain, or signs of an allergic reaction.

Mexdagry is contraindicated in patients with severe renal impairment (eGFR < 30 mL/min/1.73 m²), known hypersensitivity to metformin or dapagliflozin, acute or chronic metabolic acidosis, and in those with a history of lactic acidosis. Caution is also advised for patients with hepatic disease or unstable heart failure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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