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 ingredients in Mexdagry, are a Biguanide and SGLT2 inhibitor combination presented as a tablet for oral use. This fixed‑dose product lowers blood glucose by improving insulin sensitivity and increasing urinary glucose excretion, and is indicated for the management of type 2 diabetes mellitus in adult patients.

GNH India supplies Mexdagry as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company ensures quality compliance with EU standards and provides reliable global distribution.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Mexdagry, a combination of metformin and dapagliflozin, is used to improve glycemic control in type 2 diabetes mellitus.

  • Type 2 diabetes mellitus: improves blood glucose levels as part of diet and exercise regimen.
  • Inadequate control on metformin alone: provides additional HbA1c reduction when added to existing metformin therapy.
  • Combination with other antidiabetic agents: enhances overall glucose management alongside sulfonylureas, insulin or GLP‑1 receptor agonists.

How It Works

  • Metformin Hydrochloride activates AMP‑activated protein kinase, reducing hepatic gluconeogenesis and increasing peripheral insulin sensitivity. Dapagliflozin selectively inhibits the sodium‑glucose co‑transporter‑2 (SGLT2) in the renal proximal tubule, decreasing glucose reabsorption and promoting urinary glucose excretion. These mechanisms together provide a synergistic effect on glycemic control without causing hypoglycemia when used alone.

Side Effects

Common and serious adverse reactions have been reported with the Metformin/Dapagliflozin combination.

Common Side Effects

  • Nausea: mild gastrointestinal upset.
  • Diarrhea: loose stools that may improve over time.
  • Genital mycotic infection: itching or discharge, especially in women.

Serious or Rare Side Effects

  • Lactic acidosis: rare but potentially fatal metabolic disturbance.
  • Ketoacidosis: euglycemic diabetic ketoacidosis may develop.
  • Acute kidney injury: sudden decline in renal function.

Precautions & Warnings

When prescribing Mexdagry, several precautions should be observed to ensure patient safety.

  • Renal function assessment: evaluate eGFR before initiation and periodically thereafter.
  • Hepatic impairment risk: avoid in patients with significant liver disease due to lactic acidosis potential.
  • Hydration status: maintain adequate fluid intake to reduce risk of dehydration and renal events.
  • Risk of genital infections: monitor for symptoms and advise proper hygiene.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Store at room temperature: keep in original container, protect from moisture and heat.

Avoid Interactions

Mexdagry may interact with several medicines; awareness of major and moderate interactions helps prevent adverse outcomes.

Major Interactions (Avoid)

  • Iodinated contrast agents: can precipitate acute kidney injury when combined with metformin.
  • Insulin or sulfonylureas: increase risk of hypoglycemia.
  • Cimetidine: may raise metformin plasma concentrations.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors or ARBs: monitor renal function and potassium levels.
  • Diuretics: may enhance dehydration and affect blood pressure.
  • Alcohol: can increase risk of lactic acidosis.

Frequently Asked Questions

Mexdagry is a fixed‑dose oral tablet that combines metformin and dapagliflozin. It is prescribed to improve blood glucose control in adults with type 2 diabetes mellitus, typically as part of a comprehensive management plan that includes diet, exercise, and possibly other antidiabetic medications.

Metformin reduces hepatic glucose production and enhances peripheral insulin sensitivity, while dapagliflozin blocks the SGLT2 transporter in the kidneys, limiting glucose reabsorption and increasing its excretion in urine. The dual action lowers plasma glucose through both decreased production and increased elimination.

The specific 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 without medical guidance.

The safety of Mexdagry in pregnancy and lactation has not been definitively established. It should only be used if the potential benefits justify the possible risks to the fetus or infant, and the decision must be made by a qualified healthcare provider.

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 offers a combined mechanism—metformin’s insulin‑sensitising effect plus dapagliflozin’s renal glucose excretion—providing greater HbA1c reduction than metformin alone. Compared with separate tablets, the fixed‑dose simplifies regimens, while its efficacy is comparable to other SGLT2‑inhibitor‑based combinations.

Mexdagry tablets should be stored at room temperature, below 25 °C, in the original blister pack or container. Protect them from moisture, direct sunlight and excessive heat to maintain stability throughout the shelf life.

Mexdagry is taken orally, usually once daily with or without food, as directed by the prescriber. Swallow the tablet whole with a glass of water; do not crush, split, or chew unless specifically instructed.

The most serious adverse events include lactic acidosis (linked to metformin) and euglycemic diabetic ketoacidosis (linked to dapagliflozin). Both conditions are medical emergencies requiring immediate attention. Acute kidney injury and severe dehydration are also important risks, especially in patients with compromised renal function.

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 individuals with a history of lactic acidosis. It should also be avoided in patients with uncontrolled urinary tract infections.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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