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.
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dapagliflozin-metFORMIN

dapagliflozin-metFORMIN
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    
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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






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