FormWeb • dapagliflozin-metFORMIN

Huntsville Hospital

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Medications not yet evaluated by P&T are considered NON-FORMULARY. Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step!
Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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dapagliflozin-metFORMIN

dapagliflozin-metFORMIN

Non-formulary Miscellaneous Program Formulary
Therapeutic Interchange

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Xigduo XR	TABLET, EXTENDED RELEASE, ORAL	5 mg-500 mg, 5 mg-1,000 mg, 10 mg-500 mg, 10 mg-1,000 mg

Comments:

ORDER FORMULATION

THERAPEUTIC INTERCHANGE

dapagliflozin-metFORMIN (Xigduo XR)

5 mg-500 mg extended release tablet once Daily
5 mg-1,000 mg extended release tablet once Daily
10 mg-500 mg extended release tablet once Daily
10 mg-1,000 mg extended release tablet Once Daily

dapagliflozin (Farxiga) AND metFORMIN (Glucophage XR)

ONE 5 mg dapagliflozin tablet PLUS ONE 500 mg metFORMIN extended release tablet once Daily
ONE 5 mg dapagliflozin tablet PLUS ONE 1,000 mg metFORMIN extended release tablets
ONE 10 mg dapagliflozin tablet PLUS ONE 500 mg metFORMIN extended release tablet once Daily
ONE 10 mg dapagliflozin tablet PLUS ONE 1,000 mg metFORMIN extended release tablets once Daily

Xigduo XR medication guide

metFORMIN -- hold for 48 hours post IV contrast media per radiologist, contraindications with CHF, renal disease, hepatic disease, and age. Pharmacist may order SCr.

Xigduo XR is classified as non-formulary, not stocked. Dispense individual components separately.

Reviewed: December 18, 2014 (Xigduo XR)

Last updated: Dec. 20, 2017

Black Box Warning: metFORMIN: Lactic Acidosis

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