Glycomet-GP-4 Forte Tablet

Glycomet Gp Forte Tablet is an oral anti-diabetic medicine. It is a combination of glimepiride and metformin. It is used for the treatment of type 2 diabetes mellitus.

Type 2 diabetes mellitus is a condition in which your pancreas does not make enough insulin to control blood sugar levels and your body is also unable to efficiently use its insulin. This causes high blood sugar levels in your body, which can cause medical problems like heart disease, kidney disease, blindness and poor blood flow in your hands and legs. Glycomet Gp Forte Tablet lowers the raised blood sugar levels.

You should take this medicine in the exact dose and duration as advised by your doctor. Do not stop taking this medicine on your own. You must exercise regularly and have a balanced diet while taking this medicine for adequate control of your blood sugar levels.

Dosage

Overdose

An overdose of the Glycomet Gp Forte Tablet may lead to low blood sugar, headache, nausea, vomiting, sleep disturbances, and dizziness. Seek emergency medical attention if you think you have taken too much of this medicine.

Missed a Dose

If you missed any dose of Glycomet Gp Forte Tablet, take it as soon as you remember it. If it is time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose of medicine to compensate for a missed one.

Mode of Action

How Does It Work?

• Glycomet Gp Forte Tablet contains a combination of glimepiride and metformin as active substances.
• Glimepiride lowers the blood sugar level by increasing the release of insulin hormone from the pancreas. Insulin moves sugar (glucose) from the blood into the cells.
• Metformin decreases the absorption of sugar in the intestine and the production of sugar by the liver.
• Both of these components are known to increase the insulin sensitivity of the body (allows the cells of the body to use blood sugar more effectively, thereby reducing blood sugar).

Directions for Use

• Glycomet Gp Forte Tablet should be taken as directed by your doctor.
• Swallow it whole with a glass of water.
• Do not cut, chew, or break the medicine.
• Take it at a fixed time for optimal results.
• Do not consume more than the dose prescribed by your doctor.

Precautions and Warnings

Pregnancy

Can I take Glycomet Gp Forte Tablet during pregnancy?

Glycomet Gp Forte Tablet should not be used during pregnancy. Inform your doctor if you are pregnant or planning a pregnancy, as he might suggest you some other alternative.

Breast Feeding

Can I take Glycomet Gp Forte Tablet while breastfeeding?

No information is available if Glycomet Gp Forte Tablet passes into the human breast milk. Thus, you should not take this medicine during breastfeeding unless advised by your doctor.

Driving

Can I drive if I have consumed Glycomet Gp Forte Tablet?

Glycomet Gp Forte Tablet can cause drowsiness or confusion. If you experience any symptoms after taking this medicine that may affect your ability to drive properly, then it is suggested that you avoid driving.

Alcohol

Can I consume alcohol with Glycomet Gp Forte Tablet?

It is advisable not to consume alcohol during treatment with Glycomet Gp Forte Tablet as alcohol increases the risk of low blood sugar.

Other General Warnings

Talk to your doctor if

• You experience extreme hunger, headache, nausea, vomiting, sleepiness, restlessness, reduced alertness, confusion, shakiness, or dizziness. These could be signs of low blood sugar.
• 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 a planned surgery.
• You have kidney or liver problems.
• You have a thyroid disorder.
• You are overweight.
• You have a low level of vitamin B12.

Contraindications

• If you are allergic to metformin, glimepiride, or any of the ingredients of Glycomet Gp Forte Tablet.
• If you are pregnant or breastfeeding.
• If you have kidney or liver failure.
• If you have 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, or you have taken injections containing iodine.
• If you had heart or lung failure, or a recent incidence of heart attack or shock.
• If you are an alcoholic.

Side effects

• Nausea
• Vomiting
• Diarrhoea
• Abdominal pain
• Headache

Interactions

Interactions with other medicines

• Some medicines can affect the way the Glycomet Gp Forte Tablet works or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
• Tell your doctor about all the medicines, supplements, or herbals you are currently taking or might take to avoid any possible interaction.
• Especially, if you are taking medicines to treat high blood pressure, heart failure, high/abnormal cholesterol levels, blood clots, infections, thyroid disorders, diabetes, asthma, oral contraceptives, pain, immunomodulatory medicines, or medicines for the brain-related disorder.
• Medicines used to treat acidity/heartburn like ranitidine, blood pressure lowering medicines like atenolol, propranolol, clonidine, and anti-psychotic medicines like reserpine can either increase or decrease the effect of this medicine.

Storage and disposal

• Store Glycomet Gp Forte Tablet at room temperature in a cool and dry place. Protect it from light and moisture.
• Keep it out of the reach of children and pets.

Frequently Asked Questions (FAQs)

What diet should I follow if I am a diabetic patient?

• A diet should be high in fibre, low in fat with adequate protein, carbohydrates, vitamins and minerals.
• Maintain the regular meal timings and try to have soups and salads.
• Diet should include boiled, steamed or baked food.
• Ensure moderate use of edible oils (groundnut oil, olive oil), very little use of ghee and butter.
• Drink at least 8-10 glasses of water daily.
• Carry fruit or low-calorie 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, corn flakes, poori, biryani, naan, fried rice, etc.
• Stop having daals with ghee, deep-fried pulses.
• Avoid cream soups, carrot juice, deep-fried vegetables, 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. Inform your doctor if you are on any medicines.
• 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.

When should I take Glycomet Gp Forte Tablet?

Take the Glycomet Gp Forte Tablet as prescribed by your doctor for the prescribed duration. This medicine should be taken with food, as a whole with a glass of water. Do not skip the meals as well as medicine.

Can Glycomet Gp Forte Tablet be stopped?

No, you should never stop taking Glycomet Gp Forte 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 difference between Type 1 diabetes mellitus and Type 2 diabetes mellitus?

Type 1 diabetes mellitus is a condition where your body attacks the cells in your pancreas and it does not produce insulin at all. Type 2 diabetes mellitus is a condition where your pancreas does not make enough insulin to control your blood sugar levels and your body is unable to efficiently use its insulin.

Can I take Glycomet Gp Forte if I have Type 1 diabetes mellitus?

No, Glycomet Gp Forte Tablet should not be taken if you have Type 1 diabetes mellitus.