{"id":64534,"date":"2024-10-02T06:03:04","date_gmt":"2024-10-02T06:03:04","guid":{"rendered":"https:\/\/medsbase.com\/?post_type=product&#038;p=64534"},"modified":"2026-05-08T09:15:21","modified_gmt":"2026-05-08T09:15:21","slug":"biciphage-1000-sr","status":"publish","type":"product","link":"https:\/\/medsbase.com\/da\/biciphage-1000-sr\/","title":{"rendered":"Biciphage 1000 SR"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">&#9889; Quick Answer &mdash; What is Biciphage 1000 SR?<\/h3>\n<p style=\"margin:0;\"><strong>Biciphage 1000 SR<\/strong> er et m\u00e6rke af <strong>metformin hydrochloride<\/strong> (1000 mg SR), a first-line oral medicine for <strong>type 2-diabetes<\/strong>. Det virker ved at reducere glukoseproduktionen i leveren og forbedre, hvordan kroppen reagerer p\u00e5 insulin \u2014 <strong>det for\u00e5rsager ikke hypoglyk\u00e6mi alene<\/strong> og er v\u00e6gtneutralt eller moderat v\u00e6gtreducerende. Metformin er den mest udbredt anvendte antidiabetiske medicin globalt, anbefalet som f\u00f8rstevalgs behandling af ADA, EASD, NICE og IDF retningslinjer. Ogs\u00e5 brugt off-label for polycystisk ovariesyndrom (PCOS), pr\u00e6diabetes og graviditetsdiabetes. Tag sammen med mad for at reducere mavebesv\u00e6r. Mest almindelige bivirkninger: diarr\u00e9, kvalme, metallisk smag \u2014 forbedres normalt efter 1\u20132 uger eller ved skift til SR. <strong>Undg\u00e5 ved eGFR &lt; 30 mL\/min\/1,73 m\u00b2<\/strong>; dosisreducer hvis eGFR 30\u201345. Sikker p\u00e5 lang sigt; overv\u00e5g vitamin B12 \u00e5rligt.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Hvad du f\u00e5r med MedsBase:<\/strong> WHO-GMP certificeret producent \u00b7 Diskret emballage \u00b7 Verdensomsp\u00e6ndende forsendelse \u00b7 1.400+ verificerede <a href=\"https:\/\/medsbase.com\/da\/reviews\/\">kundeanmeldelser<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Hver ordre er d\u00e6kket af vores <a href=\"https:\/\/medsbase.com\/da\/medsbase-re-shipment-assurance-policy\/\"><strong>Reshipment Assurance Policy<\/strong><\/a> \u2014 hvis din pakke ikke ankommer inden for 20 hverdage, sender vi en erstatning.<\/p>\n<h3>Hvorfor bestille fra MedsBase<\/h3>\n<p>Vores generiske medicin kommer fra WHO-GMP certificerede producenter og sendes verdensomsp\u00e6ndende i diskret, neutral emballage \u2014 ingen medicinnavn p\u00e5 pakkens ydre. Kortbetalinger h\u00e5ndteres af en reguleret processor (kontoudtogsbeskrivelser inkluderer en reguleret betalingsprocessor \u2014 aldrig \u201cMedsBase\u201d eller medicinnavn). Crypto og SEPA bankoverf\u00f8rsel accepteres ogs\u00e5. Hver ordre er d\u00e6kket af vores Reshipment Assurance Policy.<\/p>\n<h2 class=\"wp-block-heading\">What Is Biciphage 1000 SR?<\/h2>\n<p>Biciphage 1000 SR is an oral antidiabetic medicine containing <strong>metformin hydrochloride<\/strong> (1000 mg SR), manufactured by WHO-GMP certified manufacturer. Sustained-release (SR) formulation &mdash; releases metformin gradually over 8&ndash;10 hours, reducing GI side effects and allowing once-daily dosing. It is prescribed for adults and children 10&nbsp;years and older with type&nbsp;2 diabetes mellitus, typically alongside diet and exercise. Available in packs of 30, 60, 90 or 180 tablets.<\/p>\n<p>Metformin tilh\u00f8rer <strong>biguanid-klassen<\/strong> og har v\u00e6ret i klinisk brug siden 1957. Det er den mest ordinerede diabetesmedicin i verden og er p\u00e5 WHOs liste over essentielle l\u00e6gemidler.<\/p>\n<h2 class=\"wp-block-heading\">How Does Biciphage 1000 SR Work?<\/h2>\n<p>Metformin har tre overlappende mekanismer, der tilsammen s\u00e6nker blodsukkeret uden at for\u00e5rsage hypoglyk\u00e6mi i ikke-diabetiske tilstande:<\/p>\n<ul>\n<li><strong>Reducerer levers produktion af glukose<\/strong> \u2014 aktiverer AMP-aktiveret proteinkinase (AMPK) i leveren og h\u00e6mmer mitokondriel glycerophosphat dehydrogenase, hvilket reducerer glukoneogenesen med cirka en tredjedel.<\/li>\n<li><strong>Forbedrer insulinf\u00f8lsomheden<\/strong> \u2014 \u00f8ger den perifere glukoseoptagelse i muskel- og fedtv\u00e6v, hvilket lader kroppen bruge sit eget insulin mere effektivt.<\/li>\n<li><strong>Neds\u00e6tter tarmens optagelse af glukose<\/strong> \u2014 reducerer moderat den postprandielle glukosestigning og kan positivt p\u00e5virke tarmens mikrobiota.<\/li>\n<\/ul>\n<p>Metformin s\u00e6nker typisk HbA1c med <strong>1,0\u20131,5 procentpoint<\/strong> som monoterapi. Det er v\u00e6gtneutralt eller resulterer i beskedent v\u00e6gttab (2\u20133 kg i gennemsnit) og har gunstige kardiovaskul\u00e6re resultater (UKPDS, langtidsopf\u00f8lgning).<\/p>\n<h2 class=\"wp-block-heading\">Dosering og administration<\/h2>\n<p><strong>Metformin SR-dosering:<\/strong> Usual starting dose is 500 mg once daily with the evening meal. Titrate up in 500 mg increments weekly if tolerated. Maximum dose is 2,000 mg once daily (or split into two doses of 1,000 mg twice daily if GI upset). Always take Biciphage 1000 SR <strong>med eller umiddelbart efter mad<\/strong> \u2014 dette reducerer risikoen for kvalme og diarr\u00e9 markant.<\/p>\n<ul>\n<li><strong>Start lavt, titrer langsomt.<\/strong> Den st\u00f8rste faktor for langtidstolerabilitet er en forsigtig optitrering over 4\u20136 uger.<\/li>\n<li><strong>Glemt en dosis?<\/strong> Spring den over og tag den n\u00e6ste dosis p\u00e5 det s\u00e6dvanlige tidspunkt \u2014 tag ikke en dobbeltdosis.<\/li>\n<li><strong>Nyrejusteret dosis.<\/strong> eGFR &gt; 60: fuld dosis. eGFR 45\u201360: overv\u00e5g nyrefunktion hver 3.\u20136. m\u00e5ned. eGFR 30\u201345: halver dosen. <strong>eGFR &lt; 30: stop metformin.<\/strong><\/li>\n<li><strong>F\u00f8r kontrastbilledtagning eller operation.<\/strong> Hold metformin p\u00e5 dagen for IV-jodholdigt kontrastmiddel hvis eGFR &lt; 60, og i 48 timer efter, med genoptagelse n\u00e5r nyrefunktionen er stabil.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Bivirkninger<\/h2>\n<p>Metformin er generelt veltolereret. De mest almindelige bivirkninger (som rammer 10\u201325% af brugerne, normalt i de f\u00f8rste 2 uger) er:<\/p>\n<ul>\n<li>Diarr\u00e9, kvalme, mavekramper<\/li>\n<li>Metallisk smag i munden<\/li>\n<li>Nedsat appetit<\/li>\n<li>Luft i maven<\/li>\n<\/ul>\n<p>Disse er normalt milde og selvbegr\u00e6nsende. Skift til en SR-formulering eller indtagelse med st\u00f8rre m\u00e5ltider l\u00f8ser GI-symptomerne i de fleste tilf\u00e6lde.<\/p>\n<p><strong>Sj\u00e6ldne men vigtige:<\/strong><\/p>\n<ul>\n<li><strong>Vitamin B12-mangel<\/strong> \u2014 langtidsbrug af metformin (&gt; 4 \u00e5r) reducerer B12-absorptionen hos 6\u201330% af brugerne. Kontroller serum B12 \u00e5rligt og suppler hvis lavt.<\/li>\n<li><strong>Laktatacidose<\/strong> \u2014 ekstremt sj\u00e6lden (&lt; 10 tilf\u00e6lde pr. 100.000 patient\u00e5r) men potentielt d\u00f8delig. Sker n\u00e6sten altid i forbindelse med akut nyreskade, sepsis, sv\u00e6r dehydrering eller hypoxi. <strong>Hold metformin under enhver akut sygdom med dehydrering, opkastning eller reduceret indtag.<\/strong><\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">L\u00e6gemiddelinteraktioner<\/h2>\n<ul>\n<li><strong>IV-jodholdigt kontrastmiddel<\/strong> \u2014 hold metformin f\u00f8r og efter proceduren hvis eGFR &lt; 60.<\/li>\n<li><strong>Alkohol<\/strong> \u2014 stort alkoholforbrug \u00f8ger risikoen for laktatacidose. Moderat alkohol er generelt sikkert.<\/li>\n<li><strong>Kationiske l\u00e6gemidler<\/strong> (cimetidin, dolutegravir, ranolazin) \u2014 konkurrerer om renal tubul\u00e6r sekretion og \u00f8ger metforminniveauet.<\/li>\n<li><strong>Karbanhydraseh\u00e6mmere<\/strong> (acetazolamid, topiramat) \u2014 additiv risiko for metabolisk acidose.<\/li>\n<li><strong>Insulin og sulfonylurinstoffer<\/strong> \u2014 additivt blodsukkers\u00e6nkende; hypoglyk\u00e6mi bliver en bekymring ved kombination.<\/li>\n<li><strong>Kortikosteroider, diuretika, beta-2-agonister<\/strong> \u2014 kan forh\u00f8je blodsukkeret; t\u00e6ttere overv\u00e5gning er n\u00f8dvendig.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Who Should Not Take Biciphage 1000 SR?<\/h2>\n<ul>\n<li>Sv\u00e6r nyreinsufficiens (eGFR &lt; 30 mL\/min\/1,73 m\u00b2)<\/li>\n<li>Akut eller dekompenseret hjertesvigt, der kr\u00e6ver indl\u00e6ggelse<\/li>\n<li>Sv\u00e6r leversvigt<\/li>\n<li>Akut metabolisk acidose, herunder diabetisk ketoacidose<\/li>\n<li>Alvorlig akut sygdom med risiko for v\u00e6vshypoksi (sepsis, respirationssvigt, nyligt hjerteanfald<\/li>\n<li>Kendt overf\u00f8lsomhed over for metformin<\/li>\n<\/ul>\n<p>I <strong>graviditet<\/strong>, metformin bruges bredt til graviditetsdiabetes og PCOS og har en st\u00e6rk sikkerhedsprofil; dr\u00f8ft med din jordemoder. Det passerer i sm\u00e5 m\u00e6ngder over i moderm\u00e6lken og betragtes generelt som foreneligt med amning.<\/p>\n<h2 class=\"wp-block-heading\">Opbevaring<\/h2>\n<p>Store Biciphage 1000 SR below 25&deg;C in a dry place, in the original blister. Keep out of reach of children.<\/p>\n<h2 id=\"faqs\">Ofte stillede sp\u00f8rgsm\u00e5l<\/h2>\n<h3 class=\"wp-block-heading\">Is Biciphage 1000 SR the same as metformin?<\/h3>\n<p>Yes. Biciphage 1000 SR contains the same active ingredient (metformin hydrochloride) as the originator brand Glucophage and every other metformin generic. Bioequivalence is required by regulatory authorities, so clinical effect is the same at the same dose.<\/p>\n<h3 class=\"wp-block-heading\">Will Biciphage 1000 SR help me lose weight?<\/h3>\n<p>Metformin giver et beskedent v\u00e6gttab (typisk 2\u20133 kg over 6\u201312 m\u00e5neder) hos personer med type 2-diabetes eller insulinresistens. Det er ikke et v\u00e6gttabsmiddel til ikke-diabetiske voksne \u2014 effekterne er sm\u00e5, og de fleste unders\u00f8gelser viser kun v\u00e6gttab hos dem med forh\u00f8jede insulinv\u00e6rdier eller PCOS.<\/p>\n<h3 class=\"wp-block-heading\">Can I take Biciphage 1000 SR for PCOS?<\/h3>\n<p>Ja \u2014 metformin bruges bredt off-label til polycystisk ovariesyndrom for at forbedre insulinf\u00f8lsomheden, genoprette \u00e6gl\u00f8sning og reducere androgensymptomer. Typisk dosis er 1.500\u20132.000 mg\/dag.<\/p>\n<h3 class=\"wp-block-heading\">Does Biciphage 1000 SR cause hypoglycaemia (low blood sugar)?<\/h3>\n<p>Ikke alene. Metformin stimulerer ikke insulinudl\u00f8sning, s\u00e5 det for\u00e5rsager ikke hypoglyk\u00e6mi som monoterapi. Lavt blodsukker bliver kun en bekymring, n\u00e5r metformin kombineres med et sulfonylurinstof, meglitinid eller insulin.<\/p>\n<h3 class=\"wp-block-heading\">How long does Biciphage 1000 SR take to work?<\/h3>\n<p>Fastende blodsukker falder normalt inden for 1\u20132 uger. Maksimal HbA1c-effekt ses efter 2\u20133 m\u00e5neder. Hvis HbA1c ikke er faldet med 0,5% eller mere efter 3 m\u00e5neder ved maksimal tolereret dosis, tilf\u00f8jes normalt yderligere behandling.<\/p>\n<h3 class=\"wp-block-heading\">Can I drink alcohol while taking Biciphage 1000 SR?<\/h3>\n<p>Moderat alkoholindtag (1\u20132 drinks om dagen) er generelt sikkert. Tungt eller binge-drikning b\u00f8r undg\u00e5s \u2014 det \u00f8ger risikoen for laktatacidose og kan for\u00e5rsage hypoglyk\u00e6mi, is\u00e6r uden mad.<\/p>\n<h3 class=\"wp-block-heading\">Where can I buy Biciphage 1000 SR online?<\/h3>\n<p>You can order Biciphage 1000 SR (1000 mg SR) from MedsBase in packs of 30, 60, 90 or 180 tablets. We ship worldwide, with discreet packaging and genuine WHO-GMP certified manufacturer stock.<\/p>\n<p class=\"medsbase-bundle-link-2026-05-01\" data-marker=\"mb-bundle-link-diabetes-starter-pack\">Biciphage 1000 SR users often add a sulfonylurea step-up tablet once metformin monotherapy is no longer controlling HbA1c; for the bundled first-line + step-up regimen see our <a href='\/da\/diabetes-starter-pack\/'>Diabetes Starter Pack (Glycomet SR 1000 mg + Glycomet-GP)<\/a> with both tiers shipped together.<\/p>\n<p class=\"medsbase-link-boost-2026-05-08\" data-marker=\"mb-link-boost-glycomet-sr\">Patients managed on <a href=\"https:\/\/medsbase.com\/da\/biciphage-1000-sr\/\">Biciphage 1000 SR<\/a> who require flexible SR dosing \u2014 including 250&nbsp;mg, 500&nbsp;mg, or 850&nbsp;mg strengths \u2014 may consider <a href=\"https:\/\/medsbase.com\/da\/glycomet-sr\/\">Glycomet SR (metforminhydrochlorid 250\u20131000 mg SR)<\/a> as a WHO-GMP-certified alternative offering the same extended-release metformin backbone across a broader strength range.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h2 class=\"wp-block-heading\">Relaterede diabetesmedikamenter<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/da\/glycomet-sr\/\">Glycomet SR \u2014 Metformin SR 250\/500\/850\/1000 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/glycomet-gp\/\">Glycomet-GP \u2014 Kombination af Metformin + Glimepiride<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/januvia\/\">Januvia \u2014 Sitagliptin (DPP-4-h\u00e6mmer)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/jardiance-empagliflozin\/\">Jardiance \u2014 Empagliflozin (SGLT-2-h\u00e6mmer)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/forxiga-dapagliflozin\/\">Forxiga \u2014 Dapagliflozin (SGLT-2-h\u00e6mmer)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/amaryl\/\">Amaryl \u2014 Glimepirid (sulfonylurea)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/da\/diabetes-medication\/\"><strong>Se alle diabetesmedicin<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Medicinsk ansvarsfraskrivelse.<\/strong> Denne side er kun til informationsform\u00e5l og erstatter ikke l\u00e6gevejledning fra en kvalificeret sundhedsfaglig person. Type 2-diabetes kr\u00e6ver overv\u00e5gning og dosisindividualisering af en l\u00e6ge \u2014 brug altid metformin under l\u00e6gelig vejledning, is\u00e6r hvis du har nyre- eller leversygdom, er gravid eller ammer, eller tager andre l\u00e6gemidler.<\/div>","protected":false},"excerpt":{"rendered":"<p>\u2705 Lowers blood sugar<br \/>\n\u2705 Behandler type 2-diabetes<br \/>\n\u2705 St\u00f8tter v\u00e6gtstyring<br \/>\n\u2705 Forbedrer insulinf\u00f8lsomhed<br \/>\n\u2705 Reduces risk of complications<\/p>\n<p>Biciphage 1000 SR contains <strong>Metformin<\/strong>.<\/p>","protected":false},"featured_media":64535,"comment_status":"open","ping_status":"closed","template":"","meta":[],"product_brand":[],"product_cat":[3230,3231],"product_tag":[5310,3255],"class_list":{"0":"post-64534","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-diabetes","7":"product_cat-diabetes-medication","8":"product_tag-biciphage","9":"product_tag-metformin","11":"first","12":"instock","13":"shipping-taxable","14":"purchasable","15":"product-type-variable","16":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product\/64534","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/comments?post=64534"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media\/64535"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/media?parent=64534"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_brand?post=64534"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_cat?post=64534"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/da\/wp-json\/wp\/v2\/product_tag?post=64534"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}