Repaglinide (Prandin)

Trade Name : Prandin

Novo Nordisk

TABLET

Strength 0.5 mg/1

REPAGLINIDE Glinide [EPC],Potassium Channel Antagonists [MoA]

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Trade Marks displayed in compliance with provisions of: Trademark Act, 1999 u/s 30 and 30 (1) of "Fair use"

GNH India is WHO GDP and ISO 9001 2015 Certified Pharmaceutical Wholesaler/ Supplier/ Exporters/ Importer from India of Repaglinide (Prandin) which is also known as Prandin and Manufactured by Novo Nordisk. It is available in strength of 0.5 mg/1 per ml. Read more

Repaglinide (Prandin) is supplied for Tenders/ Emergency imports/ Un - licensed, Specials, Orphan drug/ Name patient line/ RLD supplies/ Reference listed drugs/ Comparator Drug/ Bio-Similar/ Innovator samples For Clinical trials.  Click to know price.     Read less

Packaging and Delivery

Validated Cold Chain Shipment

We deliver your medicines through a validated cold chain shipment process. This process is used as these medicines need to manufactured, transported and stored at very specific temperatures, utilizing thermal and refrigerated packaging methods.

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We deliver your medicines through a validated cold chain shipment process. This process is used as these medicines need to manufactured, transported and stored at very specific temperatures, utilizing thermal and refrigerated packaging methods.

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About GNH

We deliver your medicines through a validated cold chain shipment process. This process is used as these medicines need to manufactured, transported and stored at very specific temperatures, utilizing thermal and refrigerated packaging methods.

We deliver your medicines through a validated cold chain shipment process. This process is used as these medicines need to manufactured, transported and stored at very specific temperatures, utilizing thermal and refrigerated packaging methods.

Read more
  • No data
  • PRANDIN is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
  • PRANDIN is a glinide indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus n n
  • Limitation of Use:
  • No data
  • The recommended starting dose is 0.5 mg orally before each meal if HbA1c is less than 8%; and 1 or 2 mg orally before each meal if HbA1c is 8% or greater. (n )n
  • The recommended dose range is 0.5 mg to 4 mg before meals, with a maximum daily dose of 16 mg. (n )n
  • The patientu2019s dose should be doubled up to 4 mg with each meal until satisfactory glycemic control is achieved. At least one week should elapse to assess response after each dose adjustment. (n )n
  • Instruct patients to skip the dose of PRANDIN if a meal is skipped. In patients who experience hypoglycemia, the dose of PRANDIN should be reduced. (n ; n )n
  • Instruct patients to take PRANDIN within 30 minutes before meals. (n )n
  • In patients with severe renal impairment (CrCl = 20 u2013 40 mL/min), recommended starting dose is 0.5 mg orally before each meal. (n )n
  • Dose modifications are required when used concominantly with some medications. (n ,n )n
  • Tablets: 0.5 mg, 1 mg, 2 mg (n )n
  • PRANDIN is contraindicated in patients with:
  • Concomitant use with gemfibrozil (n )n
  • Known hypersensitivity to repaglinide or any inactive ingredients (n )n
  • No data
  • Hn- yn- pn- on- gn- lycemia
  • Sn- en- rn- ious Cardiovascular Adverse Reactions with Concomitant NPH-insulin
  • Macrovascular outcomes
  • The following serious adverse reaction is also described elsewhere in the labeling:
  • Hypoglycemia n n
  • The most common adverse reactions (5% or greater incidence) among patients treated with PRANDIN were: hypoglycemia, upper respiratory infection, headache, sinusitis, arthralgia, nausea, diarrhea, and back pain. (n )n
  • To report SUSPECTED ADVERSE REACTIONS, contact Gemini Laboratories, LLC at (855) 346-8326 or FDA at 1-800-FDA-1088 or n . n
  • Clinically Important Drug Interactions with PRANDIN
  • Table 3 includes a list of drugs with clinically important drug interactions when administered concomitantly with PRANDIN and instructions for preventing or managing them.
  • Clopidogrel
  • Cyclosporine
  • CYP2C8 and CYP3A4 Inhibitors and Drugs That May Increase the Risk of Hypoglycemia
  • CYP2C8 and CYP3A4 Inducers and Drugs That May Decrease the Blood Glucose Lowering Effect of PRANDIN
  • Drn- un- gn- s That May Blunt Signs and Symptoms of Hypoglycemia
  • No data
  • Lactation: PRANDIN is not recommended when breastfeeding (n )n
  • Severe hypoglycemic reactions with coma, seizure, or other neurological impairment may occur and constitute medical emergencies requiring immediate hospitalization. Hypoglycemic symptoms without loss of consciousness or neurologic findings should be treated aggressively with oral glucose and adjustments in drug dosage and/or meal patterns. Close monitoring may continue until the physician is assured that the patient is out of danger. Patients should be closely monitored for a minimum of 24 to 48 hours, since hypoglycemia may recur after apparent clinical recovery. There is no evidence that PRANDIN is dialyzable using hemodialysis.
  • PRANDIN (repaglinide) is an oral blood glucose-lowering drug of the glinide class. Repaglinide, S(+)2-ethoxy-4(2((3-methyl-1-(2-(1u00ad piperidinyl) phenyl)-butyl) amino)-2-oxoethyl) benzoic acid, is chemically unrelated to the oral sulfonylurea insulin secretagogues.
  • Structural Formula of Repaglinide
  • Repaglinide is a white to off-white powder with molecular formula Cn Hn Nn On and a molecular weight of 452.6. PRANDIN tablets contain 0.5 mg, 1 mg or 2 mg of repaglinide. In addition, each tablet contains the following inactive ingredients: calcium hydrogen phosphate (anhydrous), microcrystalline cellulose, maize starch, polacrilin potassium, povidone, glycerol (85%), magnesium stearate, meglumine and poloxamer. The 1 mg and 2 mg tablets contain iron oxides (yellow and red, respectively) as coloring agents.n
  • No data
  • In a 104-week carcinogenicity study in rats at doses up to 120 mg/kg/day, which is approximately 90 times clinical exposure on a mg/m2 basis, the incidences of benign adenomas of the thyroid and liver were increased in male rats. No evidence of carcinogenicity was found in female rats. The higher incidences of thyroid and liver tumors in male rats were not seen at lower dose of 30 mg/kg/day and 60 mg/kg/day respectively (which are over 20 and 45 times, respectively, clinical exposures on a mg/mn basis). In a 104-week carcinogenicity study in mice at doses up to 500 mg/kg/day, no evidence of carcinogenicity was found in mice (which is approximately 187 times clinical exposure on a mg/mn basis).n
  • Repaglinide was non-genotoxic in a battery of n n and n n studies: Bacterial mutagenesis (Ames test), n n forward cell mutation assay in V79 cells (HGPRT), n n chromosomal aberration assay in human lymphocytes, unscheduled and replicating DNA synthesis in rat liver, and n n mouse and rat micronucleus tests.n
  • In a rat fertility study, repaglinide was administered to male and female rats at doses up to 300 and 80 mg/kg/day, respectively. No adverse effects on fertility were observed (which are over 60 times clinical exposure on a mg/mn basis).n
  • No data
  • PRANDIN (repaglinide) tablets are supplied as biconvex tablets available in 0.5 mg (white), 1 mg (yellow) and 2 mg (peach) strengths.
  • All strengths of Prandin are not being marketed.
  • Store at 20u00b0 to 25u00b0 C (68u00b0 to 77u00b0 F) [see USP Controlled Room Temperature].
  • Protect from moisture. Keep bottles tightly close.
  • Dispense in tight containers with safety closures.
  • Hy
  • p
  • og
  • l
  • y
  • cemia
  • Inform patients that PRANDIN can cause hypoglycemia and instruct patients and their caregivers on self-management procedures including glucose monitoring and management of hypoglycemia. Inform patients that their ability to concentrate and react may be impaired as a result of hypoglycemia. In patients at higher risk for hypoglycemia and patients who have reduced symptomatic awareness of hypoglycemia, increased frequency of blood glucose monitoring is recommended n n n
  • Administration
  • Instruct patients to take PRANDIN within 30 minutes before meals. Instruct patients to skip their dose of PRANDIN when a meal is skipped. n .n
  • Drug Interactions
  • Discuss potential drug interactions with patients and inform them of potential drug-drug interactions with PRANDIN. n n n n n
  • PRANDINn is a registered trademark of Gemini Laboratories, LLC.n
  • Rev. 01-2019-00
  • Manufactured for:n nGemini Laboratories, LLCn nBridgewater, NJ 08807n
  • For information contact:n nGemini Laboratories, LLC atn n(855) 346-8326 or FDA atn n1-800-FDA-1088 orn n n
  • 0.5 mg Tablet
  • NDC 0169-0081-81
  • List 008181
  • Prandinn n n n
  • (repaglinide) Tablets
  • 0.5
  • 100 Tablets
  • 1 mg Tablet
  • NDC 0169-0082-81
  • List 008281
  • Prandinn n n n
  • (repaglinide) Tablets
  • 1
  • 100 Tablets
  • 2 mg Tablet
  • NDC 0169-0084-81
  • List 008481
  • Prandinn n n n
  • (repaglinide) Tablets
  • 2
  • 100 Tablets

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