Is it possible to replace Forxigi with Diabeton?

As a pharmacist, I cannot recommend such a change without consulting a doctor. Replacing Forxigi (dapagliflozin) with Diabeton (gliclazide) for reduced glucose tolerance in an elderly patient with heart failure requires careful medical evaluation and consultation with a physician. Both drugs have different mechanisms of action and may have different side effects and contraindications.

Forsiga (dapagliflozin) is an SGLT2 inhibitor that works by increasing the excretion of glucose in the urine, which leads to lower blood glucose levels and improved hemodynamic parameters. This drug also has a beneficial effect on the cardiovascular system, which is important for patients with heart failure.
https://www.gdziepolek.pl/produkty/92331/forxiga-tabletki-powlekane/apteki

Diaprel (gliclazide) is a drug from the group of sulfonylurea derivatives that increases insulin secretion by the pancreas. It is mainly used to treat type 2 diabetes, but its use in cases of reduced glucose tolerance requires caution, especially in older patients with heart disease, due to the risk of hypoglycemia and other potential side effects.

https://www.gdziepolek.pl/produkty/23428/diaprel-mr-tabletki-o-zmodyfikowanym-uwalnianiu/apteki

The action and composition of individual drugs can be checked by clicking on the attached links on the gdziepolek.pl website, which also allows you to book them at the nearest pharmacy.

The decision to change the medication should be made by a doctor who will take into account the patient's individual needs, health, kidney function, risk of side effects and other clinical factors.

If you have any further doubts, it is worth consulting your attending physician. If you are unable to consult your doctor, you can use the teleconsultation here:

https://www.gdziepolek.pl/telekonsultacja/z-diabetologiem

The advice is provided in Polish.