Product image of Novonorm (Repaglinide) supplied by GNH India

Novonorm

Active Ingredient:
Repaglinide
Origin:
EU

Novonorm (Repaglinide)

Repaglinide, the active ingredient in Novonorm, is a meglitinide presented as a tablet for oral use. It treats type 2 diabetes mellitus in adult patients by enhancing insulin secretion after meals. It works by binding to pancreatic beta‑cell K‑ATP channels, leading to rapid insulin release that helps control post‑prandial glucose levels.

GNH India supplies Novonorm as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable sourcing for regulated markets.

Manufacturer / TM Owner

Novo Nordisk A/S

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Indications & Clinical Uses

Repaglinide is used to manage hyperglycemia within the type 2 diabetes mellitus therapeutic pathway.

  • Type 2 diabetes mellitus: improves overall glycemic control when combined with diet and exercise.
  • Post‑meal hyperglycemia: reduces glucose spikes after meals.
  • Adjunct therapy: complements other oral antidiabetic agents to achieve target HbA1c.

How It Works

  • Repaglinide binds to the sulfonylurea receptor subunit of the ATP‑sensitive potassium (K‑ATP) channel on pancreatic beta cells. This interaction closes the channel, causing cell depolarization and calcium influx, which triggers rapid insulin granule exocytosis. The insulin release is glucose‑dependent and occurs primarily in response to meals, thereby lowering post‑prandial blood glucose levels.

Side Effects

Repaglinide may cause several adverse reactions, ranging from mild to serious.

Common Side Effects

  • Hypoglycemia: low blood sugar, especially if meals are missed.
  • Nausea: mild stomach upset.
  • Diarrhea: loose stools.
  • Headache: mild to moderate pain.
  • Dizziness: sensation of lightheadedness.

Serious or Rare Side Effects

  • Severe hypoglycemia: confusion, loss of consciousness, seizures.
  • Allergic reactions: rash, itching, swelling, or anaphylaxis.
  • Liver dysfunction: elevated transaminases, jaundice.
  • Pancreatitis: abdominal pain, nausea, vomiting.

Precautions & Warnings

When prescribing Repaglinide, clinicians should consider several safety measures.

  • Meal timing: take the tablet shortly before meals to match insulin release.
  • Renal impairment: adjust dose or monitor closely in patients with reduced kidney function.
  • Hepatic impairment: use with caution in liver disease due to altered metabolism.
  • Concomitant sulfonylureas: avoid combined use to reduce risk of severe hypoglycemia.
  • Pregnancy and lactation: assess risk‑benefit; limited data available.
  • Store at ambient temperature: keep below 25 °C, in original packaging, protected from moisture.

Avoid Interactions

Repaglinide interacts with several drugs that may alter its effectiveness or safety.

Major Interactions (Avoid)

  • Strong CYP2C8 inhibitors (e.g., gemfibrozil): may increase Repaglinide plasma levels, risking hypoglycemia.
  • Other insulin secretagogues (e.g., sulfonylureas): additive hypoglycemic effect.
  • MAO‑B inhibitors: potential for enhanced hypoglycemia.

Moderate Interactions (Monitor Closely)

  • CYP2C8 inducers (e.g., rifampin): may reduce drug exposure, decreasing efficacy.
  • Beta‑blockers: may mask hypoglycemia symptoms.
  • NSAIDs (high dose): may affect renal function, influencing drug clearance.
  • Alcohol: can potentiate hypoglycemia, especially with missed meals.

Frequently Asked Questions

Novonorm contains repaglinide, an oral antidiabetic medication indicated for the treatment of type 2 diabetes mellitus. It helps lower blood glucose levels, particularly after meals, and is used as part of a comprehensive diabetes management plan that includes diet, exercise, and other therapies as prescribed by a healthcare professional.

Repaglinide belongs to the meglitinide class and works by binding to the sulfonylurea receptor on pancreatic beta‑cell K‑ATP channels. This binding closes the channel, leading to cell depolarization, calcium influx, and rapid release of insulin. The insulin secretion is glucose‑dependent and primarily occurs in response to food intake, thereby reducing post‑prandial blood glucose.

The dose of Novonorm is individualized and set by the prescribing clinician based on factors such as the patient’s blood glucose profile, renal and hepatic function, concomitant medications, and overall treatment goals. Patients should follow the prescriber’s instructions and not adjust the dose without medical advice.

Safety data for repaglinide in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant. Healthcare providers will evaluate the risk‑benefit ratio and may consider alternative therapies when safer options are available.

To order Novonorm, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details, and any necessary import documentation.

Novonorm (repaglinide) is a short‑acting meglitinide, offering rapid insulin release that targets post‑prandial glucose spikes. Compared with longer‑acting sulfonylureas, it has a lower risk of prolonged hypoglycemia and provides more flexible dosing around meals. However, it shares the class‑related risk of hypoglycemia and may require dose adjustments in renal or hepatic impairment.

Novonorm tablets should be stored at ambient temperature, preferably below 25 °C, in the original container to protect from moisture and light. Keep the medication out of reach of children and do not use it after the expiration date printed on the packaging.

Novonorm is taken orally as a tablet, usually 15–60 minutes before the start of a meal. The exact timing and number of tablets per day are determined by the prescriber based on the individual’s glycemic targets and meal pattern. It should be swallowed with a glass of water.

The most serious adverse effects of Novonorm include severe hypoglycemia, which can cause confusion, loss of consciousness, or seizures, and rare cases of liver dysfunction or pancreatitis. Patients should be educated to recognize early signs of low blood sugar and seek medical attention promptly if serious symptoms develop.

Novonorm is contraindicated in patients with known hypersensitivity to repaglinide or any component of the formulation. It should also be avoided in individuals with severe hepatic impairment, uncontrolled infection, or in those taking other insulin‑secretagogues that could precipitate dangerous hypoglycemia without close medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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