Prescribing errors Metformin, Jardimet and Galvumet

Kia ora team, a reminder that Empagliflozin (Jardiance) and Vildagliptin (Galvus) used for diabetes management come in a combined dose with Metformin called Jardimet and Galvumet. If your patient is taking one of the combination options, it is a very rare instance that they would need additional metformin as well. Remember that a dose above 2 gms per day of Metformin increases the rate of side effects with little improvement in HbA1c.  
 

• Empagliflozin comes as a 10 mg or a 25 mg tablet or in various empagliflozin/metformin combinations (5 mg/500 mg; 5 mg/1000 mg; 12.5 mg/500 mg; 12.5 mg/1000 mg)

• Vildagliptin is a 50 mg tablets or in combination with metformin 850 mg or 1000 mg tablets

 
There have been a number of prescribing errors picked up over the last few months.
 
Many thanks
​Suzanne