GMM 1MG is a combination of Glimepiride and Metformin which belongs to a group of medicines called Antidiabetic agents. It is used to treat type II diabetes mellitus when diet, exercise and treatment with other single agents did not result in adequate response. Type II diabetes mellitus is a chronic medical condition in which the body cannot properly utilize the circulating sugars (glucose) from the blood to make energy. As a result, the patient experience sudden unintentional weight loss, extreme tiredness, increased urination, thirst or hunger and slow healing ulcers. If left untreated, it can cause permanent damage to the nerves in the body and may to lead to other life-threatening complications.
Glimepiride is a sulfonylurea which acts by making the pancreas secrete more insulin to digest the circulating glucose and metformin is biguanide which acts by blocking the production of glucose by the liver. GMM 1MG decrease blood glucose levels and makes the body respond better to insulin.
While taking GMM 1MG, patients must continue to take carbohydrate-regularized diet as instructed by their doctor to obtain better results. Before taking GMM 1MG inform your doctor if you have type 1 diabetes mellitus, severe liver or kidney diseases, or heart problems. GMM 1MG is not recommended for use in pregnant and breastfeeding women. The common side effects of GMM 1MG are nausea, vomiting, diarrhea, stomach pain and changes in taste.
GMM 1MG effectively reduces elevated blood glucose levels, where glimepiride acts by making the pancreas secrete more insulin to digest the circulating glucose and metformin acts by blocking the production of glucose by the liver. They collectively decrease the elevated blood glucose levels and makes the body respond better to insulin.
Take GMM 1MG as instructed by your doctor. Swallow it as whole and do not crush or chew it. Do not stop taking GMM 1MG unless your doctor tells you to stop.
Stop taking GMM 1MG and consult your doctor immediately, if you experience
Nausea and vomiting:
Try to take GMM 1MG with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. This side effect can be seen usually while taking GMM 1MG and would stop within two weeks of therapy. However, consult your doctor if they persist longer.
Diarrhea:
Drink lots of fluids, such as water or fruit juices to keep yourself hydrated. This side effect can be seen usually while taking GMM 1MG and would stop within two weeks of therapy. However, consult your doctor if they persist longer
Low blood sugar:
During signs of low blood sugar levels, immediately consume a meal or a snack which is rich in sugars like sweets, biscuits, or fruit juice. Follow the carbohydrate-regularized diet as instructed by your doctor to obtain better results. Consult your doctor if the signs of low blood sugar levels do not improve.
GMM 1MG is generally not recommended for use in pregnant women. Consult your doctor before taking.
GMM 1MG is generally not recommended for use in breast feeding women. Consult your doctor before taking.
Do not drive or operate any tools or machines if you experience signs of low blood sugar levels (like dizziness or fainting) while taking GMM 1MG.
Avoid alcohol consumption while taking GMM 1MG as it could further increase blood glucose levels.
GMM 1MG is not recommended for use in patients who have severe kidney impairment. Consult your doctor before taking.
GMM 1MG is not recommended if you have severe liver disease. Consult your doctor before taking.
Do not take GMM 1MG if you are allergic to Metformin, Glimepiride or other sulphonylureas (such as glibenclamide, gliclazide) or sulfonamides (Ex. sulphamethoxazole).
GMM 1MG is not recommended for use in patients having severe infection in the lungs or in the respiratory tract. Consult your doctor before taking.
GMM 1MG is not recommended for use if you:
Before taking GMM 1MG, inform your doctor if you:
Use in Pediatrics:
Use in Geriatrics:
A. Drug - Drug interactions:
Before taking GMM 1MG, inform your doctor if you are taking,
Overdosage:
If you or anyone else accidentally take too much of GMM 1MG, consult your doctor immediately. Overdose may cause signs of lactic acidosis (such as generalized weakness and tiredness, vomiting, stomach pain, muscle pain, difficulty in breathing, reduced body temperature and decreased heartbeat).
Drug | : | Glimepiride, Metformin |
Pharmacological Category | : | Sulfonylurea, Biguanide |
Therapeutic Indication | : | Type II diabetes mellitus |
Dosage Forms | : | Tablet |
Can I consume alcohol while taking GMM 1MG?
No. Do not consume alcohol while taking GMM 1MG as it can increase your blood sugar levels further.
Can GMM 1MG cause vitamin B12 deficiency?
Yes. The use of GMM 1MG can cause alternation in blood count. It can cause decrease in number of red blood cells making your skin look pallor and can make you feel tired and weak. Consult your doctor if you experience any of these symptoms.
What are the precautions do I need to follow while taking GMM 1MG?
Before taking GMM 1MG inform your doctor if you are pregnant or breastfeeding or if you have type I diabetes or any other conditions affecting your liver, kidney, or heart function. Inform your doctor if you have any signs of infections. Make sure to drink plenty of fluids to avoid dehydration and urinary infections. While taking GMM 1MG, always carry a sugary snack or meal with you, so that it can help you to cope up sudden episodes of dizziness or fainting caused due to low blood sugar levels. Regularly monitor your blood glucose levels and kidney functions as instructed by your doctor without fail.
Can I stop taking GMM 1MG once my symptoms are relieved?
No, do not stop taking GMM 1MG without consulting your doctor. Continue to take GMM 1MG as instructed by your doctor to obtain better results.
What are the possible side effects of GMM 1MG?
GMM 1MG can cause nausea, vomiting, diarrhea, stomach pain and changes in taste sensation. However, these side effects are usually temporary and gets resolved within two weeks of time. If they persist for longer period, contact your doctor.
1. KD Tripathi MD. Insulin, Oral Hypoglycaemic Drugs and Glucagon. Hormones and related drugs. Essentials of Medical Pharmacology 7th ed. New Delhi, May 2013. Page – 270 — 273 & 275-276.
2. Rakesh Kumar Sahay, Vinod Mittal, G Raja Gopal, Sunil Kota, Ghanshyam Goyal, Mahesh Abhyankar, Santosh Revenkar. Glimepiride and Metformin Combinations in Diabetes Comorbidities and Complications: Real-World Evidence. Cureus. September 28, 2020. [Accessed on 26th March 2022] https://www.cureus.com/articles/37779-glimepiride-and-metformin-combinations-in-diabetes-comorbidities-and-complications-real-world-evidence
3. Hye-soon Kim, Doo-man Kim, Bong-soo Cha, Tae Sun Park, Kyoung-ah Kim, Dong-lim Kim, Choon Hee Chung, Jeong-hyun Park, Hak Chul Jang and Dong-seop Choi. Efficacy of glimepiride/metformin fixed-dose combination vs metformin uptitration in type 2 diabetic patients inadequately controlled on low-dose metformin monotherapy: A randomized, open label, parallel group, multicenter study in Korea. NCBI; PMC US National Library of Medicine, National Institute of Health. November 2014. [Accessed 26th March 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4234234/
4. Torrent pharmaceuticals Ltd. [Revised in June 2019] [Accessed on 26th March 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2642.pdf
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