Gemer 0.5 Tablet

Gemer 0.5mg Tablet is a combination of two medicines, Glimepiride and Metformin, which are used to treat type 2 diabetes. Type 2 diabetes is a condition in which your body does not make enough insulin or the insulin it does make does not work properly.

Insulin is a hormone that helps your body use glucose (sugar) for energy. Gemer 0.5mg Tablet is used when diet and exercise alone are not enough to control your blood sugar levels.

It is important to follow your doctor's advice on diet and exercise while taking Gemer 0.5mg Tablet. Glycomet Gp 0.

5 tablet , Gluconorm G 0.5 tablet , Zoryl M 0.5 tablet , Glimisave M 0.

5 tablet , Semi Amaryl M tablet , Gepride M 0.5 tablet and Geminor M tablet also contains Glimepiride and Metformin as their main ingredients. Gemer 0.

5mg Tablet is not suitable for everyone. You should not take it if you have type 1 diabetes, diabetic ketoacidosis, severe liver or kidney disease or acute heart problems. You should also not take it if you are pregnant or breastfeeding.

The most common side effects of taking Gemer 0.5mg Tablet are taste disturbance, nausea, diarrhoea, stomachache and vomiting. These side effects are usually mild and go away on their own.

If any of the side effects worsen, contact your doctor.

Dosage

Overdose

• Overdose of Gemer Tablet may lead to severe hypoglycemia (low blood sugar) and lactic acidosis (excessive lactic acid build-up).
• This can result in headache, nausea, vomiting, sleep disturbances, restlessness, impaired alertness and reactions, depression, confusion, dizziness etc.
• If you experience these, immediately take glucose or juice or sugar-containing products (sugar candy).
• Contact your doctor immediately or visit the nearest hospital as you may require close monitoring for the next few hours.

Missed a Dose

• A missed dose may lead to high blood sugar levels, which includes symptoms like feeling thirsty, excessive urination, loss of appetite, drowsiness, the fruity smell from breath etc.
• If you missed any dose of medicine, take it as soon as you remember.
• If it's time for your next dose, then skip the missed dose and continue with your regular dose schedule.
• Do not take a double dose of medicine to compensate for the missed one.

Mode of Action

How Does It Work?

• Gemer Tablet is known to control blood sugar to a greater extent than metformin or glimepiride alone Glimiperide lowers the blood sugar level increasing release of insulin hormone from the pancreas.
• Insulin moves sugar (glucose) from the blood into the cells.
• Metformin decreases the absorption in the intestine and production of sugar by the liver.
• Both of these components are known to increase the insulin sensitivity of the body (which allows the cells of the body to use blood glucose more effectively, reducing blood sugar).

Directions for Use

Gemer Tablet should be taken as directed by your doctor. Swallow it whole with a glass of water. Take it at a fixed time for optimal results. Do not consume it more than that prescribed by your doctor.

Precautions and Warnings

Pregnancy

Can I take Gemer Tablet during pregnancy?

Gemer Tablet should not be used during pregnancy as it may cause harm to the unborn baby. Inform your doctor if you are planning a pregnancy, he might suggest some other alternative.

Breast Feeding

Can I take Gemer Tablet while breastfeeding?

Gemer Tablet passes into the breast milk in very small quantities which might not be harmful to the baby. If you are taking this medicine while breastfeeding, monitor your child for signs of hypoglycemia such as excessive sleepiness, poor feeding, fits, difficulty in breathing, or decreased body temperature.

Driving

Can I drive if I have consumed Gemer Tablet?

• Gemer Tablet can cause low blood sugar levels which can lead to drowsiness, unconsciousness or confusion. These can be dangerous while driving.
• Consult your doctor whether you can drive a car if you have frequent episodes of hypoglycemia.
• Keep a juice or chocolate in the car close to you while driving, in case you start feeling any of the above symptoms of hypoglycemia, immediately have the juice or chocolate.
• Note that artificial sweeteners are not of any use in such scenarios.

Alcohol

Can I consume alcohol with Gemer Tablet?

• It is advisable not to consume alcohol during treatment with Gemer Tablet.
• Alcohol alters the way this medicine works. Be cautious not to consume alcohol on an empty stomach. Alcohol increases the risk of low blood sugar.
• Excessive consumption of alcohol when taking this medicine can cause a serious complication known as ketoacidosis.

Other General Warnings

Talk to your doctor if

• You experience extreme hunger, headache, nausea, vomiting, sleepiness, restlessness, aggression, reduced alertness, confusion, shakiness or dizziness. These could be signs of low blood sugar. If you have any of these, immediately have sugar or sweet juice. Inform your doctor as you may need a change in your medicine's dose.
• You are experiencing pins-and-needles sensation, numbness and weakness.
• You are going to have a diagnostic imaging test that involves the injection of iodine.
• You have dehydration due to diarrhoea, vomiting or limited fluid intake.
• You have suffered through trauma.
• You have to undergo surgery shortly. You have serious kidney and liver problems. You have a thyroid disorder.
• You are overweight (specific diet restriction may be suggested).

Contraindications

• If you are allergic to metformin, glimepiride or any of the ingredient of Gemer Tablet.
• If you are pregnant or breastfeeding.
• If you have serious kidney failure or liver failure.
• If you have any metabolic acidosis (too much acid in the body fluids) like lactic acidosis, diabetic ketoacidosis or diabetic pre-coma.
• If you have dehydration, severe infections, shock and injections containing iodine.
• If you have had heart or lung failure, the recent incidence of heart attack and shock.
• If you are an alcoholic.

Side effects

• Weight gain, low blood sugar level which can cause headache, sweating, nausea, wet skin, anxiety and restlessness
• Vomiting, nausea, diarrhoea, stomach pain, loss of taste sensation, metallic taste and stomach discomfort (pressure and fullness)
• High blood pressure, irregular heart rhythm, chest pain (arrhythmias)
• Rash, itching
• Temporary visual disturbances
• Difficulty in breathing, decrease in vitamin B12 levels

Interactions

Interactions with other medicines

• Sometimes Gemer Tablet may affect the way other medicines work, and other medicines may affect how Gemer Tablet works, if taken at the same time.
• Always inform your doctor about all the medicine you are taking, that includes all prescribed or non-prescribed herbal medicines, dietary supplements as well as other treatment if you are taking for any disorder.
• Especially if you are on certain medications like painkillers, medicines for heart diseases, muscle pain, brain-related disorder, antacids like ranitidine, anti-coagulants such as warfarin, medicine to lower blood cholesterol (fibrates), medicines for a thyroid disorder, antihypertensive medicines etc.
• Other medicines that should be used with caution are antibiotics like Clarithromycin, oral contraceptives, anti-epileptic medicines like phenytoin, medicines for constipation, water pills etc.
• You may have symptoms of low blood sugar if you are already taking other medicines for diabetes like Insulin, Pioglitazone. Caution is advised.

Storage and disposal

• Store at room temperature in a dry place.
• Protect it from light and moisture.
• Keep out of the reach of children.

Frequently Asked Questions (FAQs)

What diet should I follow?

• The diet should be high in fibre and low in fat with adequate protein, carbohydrates, vitamins and minerals.
• Maintain the regular meal timings and try to have soups and salads.
• Include boiled, steamed or baked food.
• Ensure moderate use of edible oils (groundnut oil, olive oil) and very little use of ghee and butter.
• Drink at least 8-10 glasses of water daily.
• Carry fruit or low-calorie and high fibre biscuits while travelling.

What should I avoid being a diabetic patient?

• Do not shop when you are hungry. You could be tempted to buy oily and fried food.
• Avoid overeating.
• Avoid maida, white bread, potato, noodles, cornflakes, poori, biryani, naan, fried rice, etc.
• Stop having daals with ghee and deep-fried pulses.
• Avoid cream soups, carrot juice, deep-fried vegetables and vegetable curries with excess oil.

My blood sugar falls too often; what could be the reason?

• Avoid skipping meals, fasting, too much alcohol intake, taking alcohol on an empty stomach and taking a double dose.
• If you are taking any medicines mentioned in the drug interaction section, you need to inform your doctor.
• Always keep a juice or sugar candy with you. In case you experience symptoms of hypoglycemia like headache, irritability, drowsiness, reduced alertness or nausea, immediately have the juice or glucose.
• Do not have artificial sweeteners in this situation.
• If such episodes happen too often, inform your doctor as you may need a decrease in the dose of this medicine.

Can Gemer Tablet be stopped?

No, you should never stop taking Gemer Tablet without consulting your doctor. Abrupt stopping of the medicine can result in a sudden rise in blood glucose levels and cause further harm to the kidney and other organs.

What is the use of Gemer Tablet?

Gemer Tablet is mainly used to treat Type 2 diabetes mellitus (high blood sugar levels) when blood sugar levels cannot be controlled by Glimepiride or Metformin alone, along with controlled diet and exercise.