Gemer 0.5 Tablet PR 10's

• Gemer 0.5 Tablet PR is an anti-diabetic drug that is composed of Glimepiride 0.5mg and Metformin 500mg used for the treatment of type 2 diabetes mellitus in adults
• It helps control blood sugar levels in diabetic patients
• Addictive Drug: No
• Therapeutic Class: Anti-Diabetic
• Schedule “H” prescription drug Caution: Not to be sold by retail without the prescription of a registered medical practitioner
• Schedule “G” prescription drug Caution: This medication must be taken only under medical supervision
• Store below 30°C

Treatment of Type 2 diabetes mellitus in adults

• Gemer 0.5 Tablet PR must never be taken under the influence of alcohol as it may increase the chances of side effects, it may also put you at risk of rare but serious and potentially life-threatening conditions like lactic acidosis (build-up of lactic acid in the blood) and hypoglycemia
• Take the Gemer 0.5 Tablet PR as soon as possible if you miss a dose, if it's time for your next dose skip the missed dose and continue your regular schedule prescribed by your doctor. Do not take a double dose of Gemer 0.5 Tablet
   

Gemer 0.5 Tablet may interact with the following drugs, consult your doctor if you are using these drugs before taking Gemer 0.5 Tablet
 

• Insulin, High blood pressure reducing pills (hydrochlorothiazide, amlodipine)
• Water pills/diuretics (furosemide), Heart failure-related medicines (digoxin)
• Anti-hypertensive (metoprolol), Steroids (prednisolone), Thyroid hormones

Gemer 0.5 Tablet PR may be unsafe to use during pregnancy. Breastfeeding mothers can take Gemer 0.5 Tablet medication when properly prescribed by their doctor

• Glimepiride helps decrease high blood sugar levels and avoid long-term complications of diabetes
• Take it shortly before or with the first main meal of the day (usually breakfast). Avoid skipping meals
• Exercise regularly, eat a healthy diet and take your other diabetes medicines (if prescribed) alongside
• Monitor your blood sugar level regularly while you are taking this medicine
• Be careful while driving or operating machinery until you know how Glimepiride affects you
• It can cause hypoglycemia (low blood sugar level) when used with other antidiabetic medicines, alcohol or if you delay or miss a meal
• Always carry some sugary food or fruit juice with you in case you experience hypoglycemic symptoms such as cold sweats, cool pale skin, tremors, and anxiety
• Your doctor may check your liver function regularly. Inform your doctor if you develop symptoms, such as abdominal pain, loss of appetite, or yellowing of the eyes or skin (jaundice)
• You have been prescribed Metformin that controls the blood sugar level and reduces the risk of diabetic complications such as heart attacks
• Chances of weight gain and low blood sugar are lesser with this medicine as compared to other diabetes medicines
• Hypoglycemia (low blood sugar level) may occur when taken along with other antidiabetic medicines, alcohol, delaying/skipping a meal. Carry a sugar source with you for immediate relief
• Tell your doctor immediately if you experience any deep or rapid breathing, persistent nausea, vomiting, and stomach pain as Metformin may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood
• Prolonged use of Metformin may lead to vitamin B12 deficiency which may lead to anemia, causing fatigue, pale skin, shortness of breath, or headache. Notify your doctor if you experience any of these as you may require supplements
• Your doctor will monitor your blood sugar levels and kidney functions regularly while you are taking this medication

• Hypoglycemia or low blood glucose level
• Altered taste
• Nausea and diarrhea
• Stomach pain and headache
• Upper respiratory tract infection

Take Gemer 0.5 Tablet after a meal. Do not crush or chew the tablet, swallow it as a whole with a glass of water

Gemer 0.5 Tablet PR is an anti-diabetic medication (biguanide) that contains Glimepiride 0.5mg, Metformin 500mg

Glimepiride increases the amount of insulin released by the pancreas in order to lower blood glucose

Metformin reduces glucose production in the liver, delaying the absorption of sugar from the intestines, and increasing the body's sensitivity to insulin

Q. Does Glimepiride make you sleepy?
Glimepiride does not cause sleepiness. However, it may cause hypoglycemia (low blood sugar) when used with other anti-diabetes medicine due to which you may feel sleepy or have problems in sleeping

Q. Is Glimepiride safe for kidneys?
Glimepiride does not affect the kidneys of patients with normal kidney function. However, its use should be avoided in patients with severe kidney disease since Glimepiride is principally eliminated by the kidneys

Q. Does Glimepiride cause memory loss?
No, it is unknown whether Glimepiride causes memory loss. However, the use of Glimepiride may cause low blood sugar which may lead to problems with concentration and reduced alertness

Q. Who should not take Glimepiride?
Glimepiride should be avoided by patients who are allergic to it, have severe kidney or liver disease, have G6PD-deficiency (an inherited condition affecting red blood cells), or are due to have surgery. Additionally, patients who are trying to get pregnant, are pregnant or breastfeeding, or have insulin-dependent diabetes (type 1 diabetes mellitus) should avoid taking Glimepiride

Q. How long does it take for Glimepiride to start working?
Glimepiride takes about 2 to 3 hours to reduce blood sugar levels. You may not feel any difference, but this does not mean the medicine is not working. Continue taking the medication as directed by your doctor and if you have any concerns, discuss it with your doctor

Q. How long do I need to take Glimepiride? Can I stop the medication?
Usually, the treatment for diabetes is suggested for the long term. You may have to continue the treatment lifelong. Glimepiride only controls your body sugar level but does not cure it. Do not stop taking Glimepiride without consulting your doctor. If you stop taking Glimepiride suddenly your diabetes may get worse

Q. How and when to take Glimepiride?
Glimepiride is advised to be taken in the dose and duration suggested by your doctor. Generally, a single daily dose of Glimepiride is sufficient to control blood sugar levels. The dose should be taken whole with water shortly before or during breakfast. However, if you skip breakfast then the medicine should be taken shortly before or during your first main meal

Q. What can happen if I take more than the recommended dose of Glimepiride?
Glimepiride should be taken strictly as advised by the doctor. Overdose of Glimepiride may significantly decrease your blood sugar levels (hypoglycemia). If you think you have taken an excessive dose and experience a dip in your sugar level, consume enough sugar (e.g., a small bar of sugar cubes, sweet juice, or sweetened tea) and inform a doctor immediately. Severe cases of hypoglycemia accompanied by loss of consciousness and coma require immediate medical treatment and admission into hospital

Q. What does Metformin do?
People with type 2 diabetes are not able to make enough insulin or respond normally to the insulin made by their bodies. When this happens, the concentration of sugar/glucose increases in the blood. Metformin acts in several ways to reduce the increased levels of sugar in the blood. Metformin decreases glucose production from the liver and decreases absorption of glucose from the intestine after taking food while improving the sensitivity of the body organs and muscles towards insulin. This helps improve the uptake of glucose from the blood. It also helps your body to respond better to the insulin it makes naturally

Q. Does Metformin cause weight loss?
Yes, Metformin has been shown to cause weight loss in people who are overweight or obese. It may also cause a modest loss in weight in those overweight and obese individuals who are at risk for diabetes. In addition, patients who are sensitive or resistant to insulin may also show weight loss. But, do not start taking this medicine for weight loss on your own. Consult your doctor for the same

Q. What are the benefits of taking Metformin?
Metformin is one of the first medicines that is given to patients with high blood sugar levels. It helps control blood sugar levels. It promotes the body’s response to the insulin made by the pancreas, decreases the amount of sugar made by the liver, and decreases the amount of sugar absorbed by the intestines. Unlike other oral antidiabetic medicines, Metformin when taken alone, rarely causes low blood sugar as it prevents the pancreas from secreting more insulin. In addition to being a great medicine to lower blood sugar levels, it also helps in controlling weight gain

Q. Can Metformin make you sleepy?
Metformin usually does not cause sleepiness and is well tolerated. However, the use of Metformin may rarely cause sleep disorders and insomnia. Sleepiness may be due to a very serious side effect called lactic acidosis, which particularly occurs if your kidneys are not working properly. Contact your doctor if you feel sleepy or tired while taking Metformin

Q. How to take Metformin medication?
Take Metformin with or after a meal. Do not crush or chew the Gemer 0.5 tablet and swallow it with a glass of water. If your doctor has prescribed one tablet a day, prefer taking it in the morning with breakfast. If you have been prescribed two tablets a day, then take one in the morning and the other in the evening with dinner. In case of three doses a day, apart from morning and evening, you can take it with lunch. Taking Metformin with meals will reduce its digestive problems like indigestion, nausea, vomiting, diarrhea, stomach ache, and loss of appetite

Gemer 0.5 Tablet should be avoided by patients with the following problems as it may worsen the conditions

• Vitamin B12 deficiency, Kidney problems, Liver problem
• Cardiovascular disease (heart-related issues)
• Low blood sugar level (hypoglycaemia)

Do not take Gemer 0.5 Tablet if you have type 1 diabetes mellitus, diabetic ketoacidosis (high levels of acid in your blood), or if you have severe kidney or liver disease. Consult your doctor if you have ever had heart disease, thyroid disease, or some hormonal conditions, as Gemer 0.5 may not be suitable