Short answer: Acarbose has a half-life of about 2 hours. People vary, so treat these as estimates.
Acarbose is an alpha-glucosidase inhibitor: it slows the digestion of starches and sugars in the gut, so blood sugar rises less after meals. It is a tablet for type 2 diabetes, sold as generic acarbose (the original brand was Precose).
Also known as: Precose.
Generic acarbose comes as 25 mg, 50 mg and 100 mg tablets.
The FDA acarbose label approves it, with diet and exercise, to improve blood sugar control in adults with type 2 diabetes. It is taken three times a day with the first bite of each main meal. The label starts at 25 mg three times a day and adjusts every 4 to 8 weeks, up to 50 mg three times a day for people 60 kg or under and 100 mg three times a day above 60 kg.
Gas, diarrhea and stomach pain are common: in US trials, flatulence was reported by 74% on acarbose versus 29% on placebo, and diarrhea by 31% versus 12%. The label recommends liver tests every 3 months in the first year, because liver enzyme rises were seen, mostly above 50 mg three times a day. On its own acarbose should not cause low blood sugar, but with insulin or a sulfonylurea it can; the label says to treat low blood sugar with glucose (dextrose), not table sugar, because acarbose blocks the breakdown of table sugar. It is not used with cirrhosis, inflammatory bowel disease or bowel blockage.
Interest in acarbose for aging comes from a 2014 mouse study (Harrison, Aging Cell) in which it raised median lifespan by 22% in males and 5% in females. That is an animal result, and any use for aging is off-label.
Acarbose works inside the gut, and less than 2% of a dose is absorbed as active drug. The FDA label gives a plasma elimination half-life of acarbose activity of about 2 hours in healthy volunteers, so it does not build up with three-times-daily dosing. The label gives no typical time to peak, so we do not list one.
Numbers shown are taken from the source above. Half-life varies from person to person.
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