Usual
Starting Dose:
The usual starting dose of Gluconorm as initial therapy is 1-2 mg once daily, administered with breakfast or the first main meal.
The maximum starting dose of Gluconorm should be no more than 2 mg.
Usual Maintenance Dose:
The usual maintenance dose is 1 to 4 mg once daily.
The maximum recommended dose is 8 mg once daily.
Gluconorm-Metformin Combination Therapy:
If patients do not respond adequately to the maximal dose of Gluconorm monotherapy, addition of metformin may be considered.
With concomitant Gluconorm and metformin therapy, the desired control of blood glucose may be obtained by adjusting the dose of each drug.
Gluconorm-Insulin Combination Therapy:
Combination therapy with Gluconorm and insulin may also be used in secondary failure patients. The recommended Gluconorm dose is 8 mg once daily administered with the first main meal.
After starting with low-dose insulin, upward adjustments of insulin can be done approximately weekly as guided by frequent measurements of fasting blood glucose.
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