Product Information:

DIAMPA 10mg Tablets contain Dapagliflozin as the active ingredient, a selective sodium-glucose cotransporter-2 (SGLT2) inhibitor. It works by inhibiting glucose reabsorption in the proximal renal tubules of the kidneys, leading to increased urinary excretion of glucose and a subsequent reduction in blood glucose levels—independent of insulin. DIAMPA is used as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus and offers additional benefits in heart failure and chronic kidney disease.

Uses of (DIAMPA 10MG TABLETS):

1. Monotherapy or add-on therapy for type 2 diabetes mellitus in adults
2. Reduction of risk of hospitalization for heart failure in patients with type 2 diabetes and established cardiovascular disease or multiple risk factors
3. Slowing the progression of chronic kidney disease (CKD) in patients with type 2 diabetes and albuminuria
4. Adjunctive treatment in heart failure with reduced ejection fraction (HFrEF), regardless of diabetes status (per updated clinical guidelines)

Key Benefits of (DIAMPA 10MG TABLETS):

1. Insulin-independent mechanism—low risk of hypoglycemia when used alone
2. Promotes modest weight loss and reduces systolic blood pressure
3. Proven cardio-renal protection: lowers risk of heart failure hospitalization and slows kidney function decline
4. Once-daily oral dosing for convenient long-term management
5. Can be combined with metformin, sulfonylureas, DPP-4 inhibitors, or insulin

How To Use (DIAMPA 10MG TABLETS):

Take one tablet once daily in the morning, with or without food. Swallow whole with water—do not crush or chew. Continue diet and exercise regimen. Monitor blood glucose, HbA1c, renal function, and blood pressure regularly. Not indicated for type 1 diabetes or diabetic ketoacidosis.

When Not to Use (DIAMPA 10MG TABLETS):

Do not use if you have:

1. Hypersensitivity to dapagliflozin or any excipients
2. Severe renal impairment (eGFR <30 mL/min) or end-stage renal disease
3. Active volume depletion (e.g., due to diuretics, vomiting, or diarrhea)
4. History of Fournier’s gangrene or serious hypersensitivity reaction
5. Type 1 diabetes or diabetic ketoacidosis

Side Effects of (DIAMPA 10MG TABLETS):

Common: Genital mycotic infections (e.g., vulvovaginal candidiasis, balanitis), urinary tract infections, increased urination, mild dizziness.

Serious (rare):

1. Fournier’s gangrene (necrotizing fasciitis of perineum—seek emergency care for pain/redness/swelling in genital area)
2. Hypotension, acute kidney injury, or euglycemic diabetic ketoacidosis (symptoms: nausea, vomiting, abdominal pain, fatigue—even with normal blood sugar)
3. Dehydration, especially in elderly or those on diuretics
4. Discontinue and seek immediate medical help if these occur.

Dosage: (DIAMPA 10MG TABLETS):

1. Standard adult dose: 10mg once daily
2. No dose adjustment needed for mild hepatic impairment
3. Avoid initiation if eGFR <45 mL/min; discontinue if eGFR persistently <30 mL/min

Who It’s For (DIAMPA 10MG TABLETS):

Adults with type 2 diabetes requiring glucose-lowering therapy, especially those with cardiovascular disease, heart failure, or chronic kidney disease. Also used in non-diabetic HFrEF per current guidelines. Not for children, type 1 diabetes, or severe renal impairment.

Warnings & Precautions:

1. Assess volume status before starting—correct dehydration first
2. Monitor for signs of genital infections or UTIs
3. Temporarily discontinue before surgery or iodinated contrast procedures
4. Counsel patients on symptoms of ketoacidosis
5. May cause false-positive urine glucose tests due to glucosuria

Drug Interactions:

1. Diuretics, ACE inhibitors, ARBs: Increased risk of hypotension or renal impairment
2. Insulin or sulfonylureas: Low hypoglycemia risk when combined, but possible
3. No significant CYP450 interactions
4. Always inform your doctor about all medications.

Additional Information:

Store below 30°C in a dry place, protected from light and moisture. Keep out of reach of children. Do not use after the expiration date on the blister pack. Available by prescription in Pakistan.