Clinical indications

Heart indications

  • Treatment of genuine heart insufficiency in patients who have proven to be failures with either drug when used alone or in combination.
  • Reduction of myocardial oxygen requirements during acute or chronic cardiac ischemia.
  • Reduction of risk of fatal cardiac arrhythmias in the immediate post-myocardial infarction period.

Diabetes indications

  • Treatment of non-insulin dependent diabetes (diabetes type 2) when the conditions cannot controlled adequately by diet and reduction of excess weight alone.
  • May be used concomitantly with other oral agents in patients who have proven to be failures with either drug when used alone or in combination.
  • May be used in combination with insulin to reduce the insulin dose where reduction of insulin dosage or frequency is considered beneficial.
  • As a adjunct therapy of diabetic ketoacidosis.

Other metablism diseases

  • For reduction of triglycerides and LDL-cholesterol to prevent arteriosclerosis.

Rheumatoid arthritis and other inflammatory diseases

  • Treatment alone or in combination with known anti-inflammatory drugs to prevent side-effects.

Leukemia and other cancer

  • For enhancement of clinical efficacy of anti-tumor agents.

Farm animal ketosis

  • Treatment of dairy cow ketoacidosis.