Novonorm 2mg Tablet

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Novonorm 2mg Tablet is a prescription-only medicine (POM) that contains Repaglinide 2mg. It is supplied as a tablet and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Novonorm 2mg Tablet is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Take Novonorm 2mg Tablet within about 30 minutes before a main meal, swallowing the tablet with water. If you skip a meal, skip that dose of the medicine; if you add an extra meal, take an extra dose before it, following the principle “no meal, no dose – extra meal, extra dose,” always as guided by your doctor.

Dosage

Dosing with Novonorm 2mg Tablet is individualised based on your blood glucose response, usually starting at a low dose before each main meal and adjusted by your doctor over time, with typical maintenance doses given before two to four meals a day, up to a maximum daily dose set by your doctor. The specific strength prescribed to you reflects the dose your doctor has determined is right for your blood sugar control.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Low blood sugar (hypoglycaemia)
  • Weight gain
  • Headache
  • Dizziness
  • Nausea
  • Stomach discomfort

Contraindications

  • Known hypersensitivity to repaglinide or any ingredient in this product
  • Type 1 diabetes or diabetic ketoacidosis
  • Severe liver impairment
  • Concomitant use with gemfibrozil, which significantly increases repaglinide levels and the risk of severe hypoglycaemia

Drug / Food Interactions

  • Gemfibrozil substantially raises repaglinide blood levels and increases hypoglycaemia risk – this combination should be avoided
  • CYP3A4 inhibitors (e.g. clarithromycin, itraconazole) may increase repaglinide levels, while inducers (e.g. rifampicin) may reduce its effect
  • Other glucose-lowering medicines or insulin can have an additive effect, increasing the risk of low blood sugar
  • Alcohol can increase the risk and severity of hypoglycaemia when combined with repaglinide

Quick Tips

  • Take your dose shortly before eating, and skip the dose if you skip that meal
  • Carry a fast-acting source of sugar with you in case of low blood sugar symptoms
  • Check your blood glucose as advised by your doctor to monitor control
  • Be aware of hypoglycaemia symptoms such as sweating, shakiness, and confusion, and act promptly if they occur
  • Tell your doctor about all other medicines you take, particularly gemfibrozil or other fibrates

Ingredients / Active Ingredients

  • Repaglinide 2mg

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Not Advisable

Not recommended in patients with liver disease.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Limited Data

Limited data is available regarding the effect of this medicine on driving.

Frequently Asked Questions

Product Specifications

BrandNovo Nordisk
ManufacturerNovo Nordisk
ClassificationPrescription medicine
Ingredients / Active IngredientsRepaglinide
Pack Size90s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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