PREPARATION IS INTENDED FOR ADULT TREATMENT.
The recommended dose of Glyclad® should be taken orally, once a day, preferably during breakfast.
The daily dose can be from 30 mg (it is possible to use gliclazide, prolonged-release tablets 30 mg) to 120 mg in a single dose.
If it is necessary to use a long-acting glyclazide in a daily dose of 30 mg and 60 mg, prolonged-release tablets of 30 mg and 60 mg of gliclazide, respectively, should be used.
It is recommended to swallow the whole tablet without chewing or grinding.
If one or more of the preparations of the Gliklad® You can not take a higher dose to the next dose, the missed dose should be taken the next day.
As with other hypoglycemic drugs,the dose of the drug in each case must be selected individually, depending on the concentration of glucose and blood HbAlc.
Initial dose
The initial recommended dose (including for elderly patients, ≥65 years) of prolonged-release glyclazide is 30 mg per day (1 tablet of prolonged-release 30 mg gliclazide).
In case of adequate control, the drug in this dose can be used for maintenance therapy. With inadequate glycemic control, the daily dose of gliclazide can be sequentially increased to 60 mg, 90 mg or 120 mg.
Increase in the dose is possible not earlier than after 1 month of therapy with the drug in the previously prescribed dose. Exception is made by patients, in whom the blood glucose concentration did not decrease after 2 weeks of therapy. In such cases, the dose of the drug may be increased 2 weeks after the start of the treatment.
The maximum recommended daily dose of the drug is 120 mg.
Transition from gliclazide therapy to tablets with immediate release of 80 mg to therapy with Gliclide® sustained-release tablets
2 tablets immediate release glycazide 80 mg are equivalent to 1 tablet of the drug Gliklada® 60 mg.When transferring patients from gliclazide (immediate-release tablets) 80 mg to glycade® tablets, careful glycemic control is recommended.
Transition from therapy with another hypoglycemic drug to therapy with Gliklad®
The drug Gliklada® can be used in place of another hypoglycemic drug for ingestion. When transferring to the preparation of Glyclad® patients receiving other hypoglycemic drugs for ingestion, their dose and half-life period should be taken into account. As a rule, a transition period is not required. The initial dose of prolonged-action gliclazide should be 30 mg (1 tablet of long-acting glyclazide 30 mg) and then should be titrated depending on the concentration of blood glucose.
When replacing Sulfonylureas with a long half-life in order to avoid hypoglycemia caused by the additive effect of two hypoglycemic agents, you can stop taking them for several days. The initial dose of prolonged-action gliclazide is also 30 mg and, if necessary, can be further increased as described above. Combination with other hypoglycemic drugs The drug Gliklada can be used in combination with biguanides, inhibitors of alpha-glucosidase or insulin.
With inadequate glycemic control, additional insulin therapy should be prescribed with careful medical supervision.
Elderly patients
Correction of the dose of Glyclad® for patients over 65 years of age is not required.
Patients with renal insufficiency
The results of clinical studies showed that correction of the dose of the drug in patients with mild and moderate renal insufficiency is not required. It is recommended that a thorough medical check is carried out.
Patients at risk of developing hypoglycemia
In patients who are at risk for developing hypoglycemia (insufficient or unbalanced nutrition, severe or poorly compensated endocrine disorders - pituitary and adrenal insufficiency, hypothyroidism, cancellation of GCS after their long reception and / or reception in high doses, severe diseases of the cardiovascular system - severe ischemic heart disease,severe atherosclerosis of the carotid arteries, widespread atherosclerosis), it is recommended to use the minimal dose (30 mg) of the long-acting glyclazide.
Prevention of complications of diabetes mellitus
To achieve intensive glycemic control, you can gradually increase the dose of Gliclada® to 120 mg / day in addition to diet and exercise before reaching the target level HbAlc. It should be remembered about the risk of developing hypoglycemia. In addition, other hypoglycemic drugs may be added to therapy, for example, metformin, an alpha-glucosidase inhibitor, a thiazolidinedione derivative or insulin.
Children and teenagers under the age of 18
Data on the efficacy and safety of gliclazide in children and adolescents under the age of 18 are not available.