Glucored Forte Tablet 10's

• Glucored Forte Tablet is an anti-diabetic drug that contains Glibenclamide 5mg and Metformin 500mg used to treat type 2 diabetes mellitus in adults. It also helps control high blood sugar levels in diabetic patients
• Addictive Drug: No
• Therapeutic Class: Anti-Diabetic
• Schedule “H” prescription drug Warning: Not to be sold at a retail outlet without the prescription of a registered medical practitioner
• Schedule “G” prescription drug Caution: It is dangerous to take this medication without medical supervision
• Consult a doctor if you have kidney or liver disease before taking this tablet for type 2 diabetes mellitus
• Store at a room temperature protected from light and moisture 

Treatment of Type 2 diabetes mellitus in adults

• It is unsafe to consume Glucored Forte Tablet under the influence of alcohol as it can increase the risk of low blood sugar levels
• Do not take Antifungal drug (miconazole) or Iodine contrast agents (used for X-ray or scan) while using Glucored Forte
   

Glucored Forte Tablet may interact with the following medications
 

• High blood pressure (ritodrine, salbutamol, terbutaline, bosentan)
• Bile acid sequestrants (lower cholesterol levels)
• Drugs used to treat skin inflammation such as corticosteroids
• Drug used for diagnosis of adrenocortical insufficiency (tetracosactide)
• Pain killer (phenylbutazone)
• Antifungal drug (fluconazole)
• Mental illness (chlorpromazine)
• Medication used to reduce urine production (desmopressin)
• Medication used to treat endometriosis (danazol)

Pregnant or breastfeeding women must consult their doctor before taking Glucored Forte Tablet as a properly prescribed medication is safe for both

• Take it shortly before or with the first main meal of the day (usually breakfast). Avoid skipping meals
• Be careful while driving or operating machinery until you know how Glibenclamide 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 which 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 or 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 levels
• Altered taste
• Nausea and headache
• Diarrhea and stomach pain
• Upper respiratory tract infection

Take Glucored Forte Tablet with or after a meal. Do not crush, chew or break the tablet and swallow it as a whole with a glass of water

Glucored Forte Tablet is an anti-diabetic drug (biguanide) that contains Glibenclamide 5mg, Metformin 500mg

Glibenclamide 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 (glucose) from the intestines, and increasing the body's sensitivity to insulin

Q. Is Glibenclamide the same as Glipizide?
No, Glibenclamide and Glipizide are different medicines. However, they belong to the same class of medicines called sulfonylureas and are used to treat type 2 diabetes mellitus in adults

Q. Does Glibenclamide play any role in the treatment of polycystic ovarian syndrome (PCOS)?
No, Glibenclamide is not known to have any role in the treatment of polycystic ovarian syndrome (PCOS). Also, there is no clinical evidence available regarding the same

Q. Why should Glibenclamide be used cautiously in elderly patients?
Glibenclamide should be used with extra caution in elderly patients because they are at high risk of getting low blood sugar (hypoglycemic event)

Q. Is Glibenclamide useful in the management of prediabetes?
Glibenclamide is not used for the management of prediabetes, a condition with blood glucose levels higher than normal but not high enough to label you as diabetic. There are clinical studies available, but the evidence is not strong enough for its use in prediabetes

Q. How is Glibenclamide different from Teneligliptin?
Both Glibenclamide and Teneligliptin are antidiabetic medicines and control blood sugar levels effectively. However, they work in different ways and may show different kinds of side effects. Glibenclamide commonly causes hypoglycemia and weight gain while Teneligliptin causes headache and nasopharyngitis. Teneligliptin causes hypoglycemia when used along with insulins or sulfonylureas and does not cause weight gain

Q. Can I skip Glibenclamide for a few days?
No, Glibenclamide should not be skipped as it can make your diabetes worse. If you miss the dose by mistake, take it as soon as you remember

Q. Can I take Glibenclamide if I have a sulfa allergy?
Use of Glibenclamide should be avoided if you are allergic (hypersensitive) to sulfonylureas or sulfonamides or any of the other ingredients of this medicine

Q. Does Glibenclamide cause weight gain?
Yes, Glibenclamide can cause weight gain. It is advisable to closely monitor your diet and exercise regularly while taking this medicine. Avoid skipping your meals as it can cause very low blood sugar levels and you may end up snacking or taking a lot of sugars

Q. Is there any benefit of taking Glibenclamide with insulin?
Glibenclamide, when used with insulin, can help to control high blood sugar levels. Taking them together can help to lower the dose of insulin but there could also be an increased risk of hypoglycemia (low blood sugar levels). The dose of these medicines may need to be adjusted along with regular blood sugar level monitoring. Please consult your doctor if you have any doubts and follow your doctor's instructions carefully to get the maximum benefit of Glibenclamide

Q. Is it safe to take Glibenclamide with Liraglutide?
Yes, Glibenclamide and Liraglutide can be taken together, as they can help in better control of blood sugar levels. However, the risk of low blood sugar levels (hypoglycemia) can increase. Consult your doctor as a dose adjustment of the two may be needed

Q. Is Glibenclamide a Thiazolidinedione?
No, Glibenclamide is not a Thiazolidinedione, it is a sulfonylurea. However, both are antidiabetic medicines but belong to a different group of medicines

Q. Is Glibenclamide useful in the management of gestational diabetes?
Glibenclamide is not advised to be used for the management of gestational diabetes. The use of insulin is advised during pregnancy to control blood glucose levels. However, do not start taking Glibenclamide until prescribed by the doctor

Q. Does Glibenclamide cause hair loss?
No, hair loss is not seen with the use of Glibenclamide. However, diabetes can lead to hair loss. Talk to your doctor if you have excessive hair loss as it could be due to some other underlying condition or it could be a sign of your diabetes getting worsened

Q. Is it safe to take Glibenclamide with pioglitazone?
Yes, it is safe to take Glibenclamide with Pioglitazone in patients with diabetes mellitus. Together these two medicines can control your blood sugar levels, lower plasma lipid levels, and improve blood pressure. However, the risk of very low blood sugar levels can increase and the dose of these medicines may need to be adjusted

Q. What does Metformin do exactly?
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?
Take Metformin with or after a meal. Do not crush or chew the 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

• Glucored Forte Tablet is not safe for patients with kidney disease and must be avoided
• Glucored Forte must be used with caution by patients with liver disease as they must consult their doctor for dose adjustments
• Glucored Forte Tablet 10’s must be used with caution in patients with hormonal problems, infectious illnesses, and heart problems
• Do not take it if you have type 1 diabetes mellitus, diabetic ketoacidosis (high levels of acid in your blood), severe kidney or liver disease