くすりのしおり

Internal
Revised: 8/2019

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
Surepost Tablets 0.25mg
 Active ingredient:
Repaglinide
 Dosage form:
pale red tablet, minor axis: 5.0 mm, major axis: 7.0 mm, thickness: 2.3 mm
 Print on wrapping:
(face) シュアポスト 0.25 mg, シュアポスト 0.25, 糖尿病用薬, DS232
(back) SUREPOST 0.25 mg, シュアポスト 0.25 mg, 食直前に服用

Effects of this medicine

This medicine acts on the pancreas to promote insulin secretion and suppresses postprandial elevation of blood glucose levels (postprandial hyperglycemia). It consequently improves blood glucose.
It is usually used to treat type 2 diabetes mellitus.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you ever experienced any allergic reaction (itch, rash etc.) to any medicine.
    If you are a patient with ketosis, type 1 diabetes or infections.
    If the patient is in a diabetic coma or precoma.
    If you are in a preoperative or postoperative period.
    If you have an injury.
  • If you are pregnant, possibly pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • In general, for adults, take 1 tablet (0.25 mg of the active ingredient) at a time, three times daily, immediately before meals (10 minutes or less prior to). As the maintenance dose, take 1 to 2 tablets (0.25 to 0.5 mg) at a time, three times daily, immediately before meals (10 minutes or less prior to). The dosage may be adjusted as necessary, and a dose may be increased up to 4 tablets (1 mg). Strictly follow the instructions of your doctor/pharmacist.
  • If you noticed you have missed your dose after starting your meal, skip the missed dose and follow your regular dosing schedule. You should never take two doses at one time (hypoglycemic symptoms may occur).
  • If you took too much of the medicine (more than prescribed), check with your doctor/pharmacist.
  • Do not stop taking the medicine without the instructions of your doctor.

Precautions while taking this medicine

  • Strictly follow the instructions on diet and exercise therapy.
  • Dizziness and lightheadedness may occur due to hypoglycemia. Be careful when you work at heights, drive a car or operate dangerous machinery.
  • Take adequate amount of sugar (sugar, glucose, soft drinks, etc.) if you experienced any hypoglycemic symptoms. When you develop any hypoglycemic symptoms while taking the medicine concomitantly with alpha-glucosidase inhibitors (voglibose, acarbose or miglitol), take glucose.
  • Tell your family members that you are a diabetic patient.

Possible adverse reactions to this medicine

Common side effects are reported as below. If any of them occurs, check with your doctor/pharmacist: hypoglycemia, hypoglycemic symptoms, dizziness, lightheadedness, tremor (trembling of limbs), hunger, hives, erythema (red spots), itch, rash, etc.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • dizziness, lightheadedness, trembling, hunger  [hypoglycemia]
  • general malaise, loss of appetite, nausea  [hepatic dysfunction]
  • pressurized feeling in chest, angina pain, cold sweat  [myocardial infarction]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of the reach of children. Store away from direct sunlight, heat and moisture.
  • Discard the remainder. Do not store them. Ask the pharmacist or the medical institution staff how to discard.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.