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Written By Veda Maddala , M Pharmacy
Reviewed By Sureshvarma D , MPharma
Non returnable*
COD available

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Whats That

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Synonym :

GLIMEPIRIDE+METFORMIN HYDROCHLORIDE

Manufacturer/Marketer :

Alkem Laboratories Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Glucoryl-M 2 Forte Tablet

Glucoryl-M 2 Forte Tablet belongs to a class of medicines called anti-diabetic drugs used in the treatment of type 2 diabetes, especially in patients whose blood sugar levels are not controlled by diet and exercise alone. Type 2 diabetes is a chronic (long-lasting) condition that affects the way our body processes glucose. People with type 2 diabetes either do not produce enough insulin, or the insulin produced is unable to perform its function in the body (insulin resistance).

Glucoryl-M 2 Forte Tablet is a combination of two antidiabetic drugs, namely: Glimepiride and Metformin. Glimepiride works by stimulating beta cells in the pancreas that produce insulin. Thus, insulin helps to remove sugar from the blood. Metformin PR is a prolonged-release formulation that releases the drug in smaller portions over a longer duration of time. Metformin works by reducing the sugar production by cells in the liver and delays sugar absorption from the intestines. Also, it increases the sensitivity of muscle cells to insulin which enables these cells to remove sugar more effectively from the blood.

Take Glucoryl-M 2 Forte Tablet as prescribed by your doctor. You are advised to take Glucoryl-M 2 Forte Tablet for as long as your doctor has prescribed it for you based on your medical condition. In some cases, you may experience stomach pain, nausea, diarrhoea, vomiting, headache or metallic taste. Most of these side effects of Glucoryl-M 2 Forte Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Glucoryl-M 2 Forte Tablet or any other medicines, please tell your doctor. Glucoryl-M 2 Forte Tablet is not recommended for children. Avoid breastfeeding while taking Glucoryl-M 2 Forte Tablet as it may be excreted in human milk. If you are pregnant or planning for pregnancy, please inform your doctor before taking Glucoryl-M 2 Forte Tablet as it may harm the unborn baby. Avoid alcohol consumption with Glucoryl-M 2 Forte Tablet as it may increase the risk of lactic acidosis (accumulation of lactic acid in the body). Drive only if you are alert after taking Glucoryl-M 2 Forte Tablet . Take short, frequent meals and avoid prolonged fasting while taking Glucoryl-M 2 Forte Tablet .

Uses of Glucoryl-M 2 Forte Tablet

Type 2 diabetes mellitus

Directions for Use

Take Glucoryl-M 2 Forte Tablet as advised by your doctor. Swallow it as a whole with a glass of water. Do not crush or break it.

Medicinal Benefits

Glucoryl-M 2 Forte Tablet contains Glimepiride and Metformin used in the treatment of type 2 diabetes. Glimepiride stimulates cells in the pancreas that produce insulin which helps to remove sugar from the blood. Metformin PR is a prolonged-release formulation that releases the drug in smaller portions over a longer duration of time. Metformin reduces sugar production by cells in the liver and delays sugar absorption from the intestines. Also, it increases the sensitivity of muscle cells to insulin which enables these cells to remove sugar more effectively from the blood.

Storage

Store in a cool and dry place away from sunlight
Side effects of Glucoryl-M 2 Forte Tablet
  • If you experience low blood sugar levels, inform your doctor. They will assess the severity and make recommendations for the next actions.
  • Your doctor will assess your symptoms, blood sugar levels, and overall health before recommending the best course of action, which may include treatment, lifestyle modifications, or prescription adjustments.
  • Follow your doctor's instructions carefully to manage the episode and adjust your treatment plan.
  • Make medication adjustments as recommended by your doctor to prevent future episodes.
  • Implement diet and lifestyle modifications as your doctor advises to manage low blood sugar levels.
  • Monitor your blood sugar levels closely for patterns and changes.
  • Track your progress by recording your blood sugar levels, food intake, and physical activity.
  • Seek further guidance from your doctor if symptoms persist or worsen so that your treatment plan can be revised.
  • Get plenty of rest and sleep.
  • Keep your body warm.
  • Drink plenty of fluids to stay hydrated.
  • Avoid strenuous activities.
  • Maintain good hygiene to prevent flu from spreading.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.

Drug Warnings

If you are allergic to Glucoryl-M 2 Forte Tablet or any other medicines, please tell your doctor. Glucoryl-M 2 Forte Tablet is not recommended for children. Avoid breastfeeding while taking Glucoryl-M 2 Forte Tablet as it may be excreted in human milk. If you are pregnant or planning for pregnancy, please inform your doctor before taking Glucoryl-M 2 Forte Tablet as it may harm the unborn baby. Avoid alcohol consumption with Glucoryl-M 2 Forte Tablet as it may increase the risk of lactic acidosis (accumulation of lactic acid in the body). Drive only if you are alert after taking Glucoryl-M 2 Forte Tablet . Take short, frequent meals and avoid prolonged fasting while taking Glucoryl-M 2 Forte Tablet . Beware of symptoms of hypoglycemia (low blood sugar) which include sweating, dizziness, palpitations, shivering, intense thirst, dry mouth, dry skin, frequent urination, etc. Whenever you experience any of these symptoms, immediately consume 5-6 candies or 3 glucose biscuits, or 3 teaspoons of honey/sugar, and also consult your doctor. Make sure to carry these with you at all times, especially during long travels.

Drug-Drug Interactions

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GlimepirideMoxifloxacin
Severe
GlimepirideBumetanide
Severe

Drug-Drug Interactions

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GlimepirideMoxifloxacin
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Co-administration of Moxifloxacin can affect blood glucose levels. Both high blood glucose and low blood glucose.

How to manage the interaction:
Although there is a possible interaction, Glucoryl-M 2 Forte Tablet can be taken with Moxifloxacin if prescribed by the doctor. Consult the doctor if you experience headache, dizziness, rapid heartbeat, increased thirst, and increased urination. Do not discontinue the medications without consulting a doctor.
GlimepirideBumetanide
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Bumetanide may interfere with blood glucose control and reduce the effectiveness of Glucoryl-M 2 Forte Tablet.

How to manage the interaction:
Although there is a possible interaction, Glucoryl-M 2 Forte Tablet can be taken with bumetanide if prescribed by the doctor. Monitoring of blood glucose levels is advised.
GlimepirideLeflunomide
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Co-administration of Leflunomide may increase the blood levels and effects of Glucoryl-M 2 Forte Tablet.

How to manage the interaction:
Although there is a possible interaction, Glucoryl-M 2 Forte Tablet can be taken with Leflunomide if prescribed by the doctor. Consult the doctor if your condition changes or you experience increased side effects. Regular monitoring of blood glucose levels is advised. Do not discontinue the medications without consulting a doctor.
GlimepirideDiethylstilbestrol
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Co-administration of Diethylstilbestrol may interfere with blood glucose control and reduce the effectiveness of Glucoryl-M 2 Forte Tablet.

How to manage the interaction:
Although there is a possible interaction between Glucoryl-M 2 Forte Tablet and Diethylstilbestrol, you can take these medicines together if prescribed by a doctor. It's important to keep an eye on how much urine you're producing. If you notice any of these signs - very high or very low blood sugar levels - make sure to contact a doctor right away. Do not stop using any medications without talking to a doctor.
GlimepirideAminolevulinic acid
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Aminolevulinic acid sensitizes your skin to bright lights and combining it with other medications that can also have this effect (i.e., photosensitivity) such as Glucoryl-M 2 Forte Tablet may increase the risk of a severe sunburn.

How to manage the interaction:
Taking Glucoryl-M 2 Forte Tablet with Aminolevulinic acid together can possibly result in an interaction, but it can be taken if a doctor has advised it. If you notice that your skin is very sensitive to sunlight or if you have a really bad sunburn, it's important to contact a doctor right away. Do not stop using any medications without talking to a doctor.
GlimepirideCitalopram
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Taking Glucoryl-M 2 Forte Tablet with Citalopram may increase the risk of low blood sugar.

How to manage the interaction:
Although there is a possible interaction, Glucoryl-M 2 Forte Tablet can be taken with Citalopram if prescribed by the doctor. Consult the prescriber if you experience symptoms of low blood sugar such as headache, dizziness, drowsiness, nervousness, confusion, tremor, nausea, hunger, weakness, perspiration, palpitation, and rapid heartbeat. Do not discontinue the medications without consulting a doctor.
GlimepirideTrovafloxacin
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
When Glucoryl-M 2 Forte Tablet is taken with Trovafloxacin, it can affect blood glucose levels either hypoglycemia or hyperglycemia.

How to manage the interaction:
Taking Glucoryl-M 2 Forte Tablet with Trovafloxacin together can possibly result in an interaction, but it can be taken if a doctor has advised it. It's important to be aware of symptoms like increased urination and thirst, and to contact your doctor if you experience any concerning symptoms. Your doctor may be able to suggest alternative medications that don't interact with your diabetes treatment. Do not stop using any medications without a doctor's advice.
GlimepirideEnoxacin
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Taking Glucoryl-M 2 Forte Tablet with Enoxacin, may affect blood glucose levels which may lead to hypoglycemia (low blood glucose) and hyperglycemia (high blood glucose).

How to manage the interaction:
Taking Glucoryl-M 2 Forte Tablet with Enoxacin together can possibly result in an interaction, but it can be taken if a doctor has advised it. This can be a good thing if you need help lowering your blood sugar, but it can also be a problem if it goes too low. If you notice any of these symptoms, it's important to contact a doctor right away. Do not stop using any medications without a doctor's advice.
GlimepirideBisoprolol
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Concomitant use of bisoprolol with Glucoryl-M 2 Forte Tablet may increase the risk, severity, and/or duration of hypoglycemia (low blood sugar). It may also mask some of the symptoms of hypoglycemia such as palpitation, tremor, and rapid heartbeat, making it more difficult to recognize an oncoming episode.

How to manage the interaction:
Although there may be an interaction, bisoprolol can be taken with Glucoryl-M 2 Forte Tablet if prescribed by the doctor. Consult the prescriber if you develop symptoms of low blood sugar like shakiness, dizziness, sweating, nausea, hunger, weakness, or lightheadedness.
GlimepirideAmprenavir
Severe
How does the drug interact with Glucoryl-M 2 Forte Tablet:
Co-administration of Amprenavir and Glucoryl-M 2 Forte Tablet may interfere with blood glucose control and reduce the effectiveness of Glucoryl-M 2 Forte Tablet.

How to manage the interaction:
Although taking Glucoryl-M 2 Forte Tablet and Amprenavir together can evidently cause an interaction, it can be taken if a doctor has suggested it. If you notice any of these signs - really high or low blood sugar levels - make sure to contact a doctor right away. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Do regular exercise such as cycling, walking, jogging, dancing, or swimming for a minimum of 30 minutes per day. Invest at least 150 minutes of your week in exercise.
  • Maintain healthy body weight as obesity is also related to the onset of diabetes.
  • Maintain a low-fat and low-sugar diet. Replace carbohydrates-containing foods with whole grains, fruits, and vegetables as carbohydrates turn to sugars leading to high blood sugar.
  • Avoid consumption of alcohol and quit smoking.

Habit Forming

No

Therapeutic Class

ANTIDIABETICS

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Author Details

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Drug-Diseases Interactions

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GLIMEPIRIDE-2MG+METFORMIN-1000MGHypertensive heart and renal disease
Severe
GLIMEPIRIDE-2MG+METFORMIN-1000MGUnspecified kidney failure
Severe

Drug-Diseases Interactions

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GLIMEPIRIDE-2MG+METFORMIN-1000MGHypertensive heart and renal disease
Severe
How does the disease interact with Glucoryl-M 2 Forte Tablet:
When compared to diet alone or diet plus insulin, the use of oral hypoglycemic medications may be associated with an increased risk of cardiovascular mortality. This alert is based on the University Group Diabetes Programme (UGDP) project, a long-term prospective clinical investigation aimed to assess the efficacy of glucose-lowering medications in preventing or delaying vascular problems in non-insulin-dependent diabetes patients. Patients treated for 5 to 8 years with diet with a fixed dose of either tolbutamide (a sulfonylurea) or phenformin (a biguanide) had a cardiovascular death risk nearly 2.5 times that of patients treated with diet alone, resulting in the cessation of both therapies in the research. Regardless of how these findings are interpreted, doctors and patients should be aware of the possibility.

How to manage the interaction:
The use of oral hypoglycemic agents may be associated with an increased risk of heart problems. Let the doctor know if you have heart problems.
GLIMEPIRIDE-2MG+METFORMIN-1000MGUnspecified kidney failure
Severe
How does the disease interact with Glucoryl-M 2 Forte Tablet:
Sulfonylureas are metabolised in the liver and eliminated in the urine and faeces as metabolites (some of which have pharmacologic activity). Patients with poor liver and/or renal function who are treated with sulfonylureas may be exposed to increased serum drug concentrations, increasing the risk of severe hypoglycemia episodes. In the context of hepatic impairment, gluconeogenic ability may be reduced, adding to the risk. Sulfonylurea therapy should be used with caution in people who have liver or kidney illness. It is possible that lower dosages and longer intervals between dosage adjustments will be required. If hypoglycemia occurs during treatment, it may be prolonged in these patients due to slower medication metabolism and/or excretion.

How to manage the interaction:
In patients with kidney problems, severe hypoglycemic episodes may occur. Therapy should be administered cautiously in patients with renal disease.
GLIMEPIRIDE-2MG+METFORMIN-1000MGOther disorders of adrenal gland
Moderate
How does the disease interact with Glucoryl-M 2 Forte Tablet:
Hypoglycemia is a common side effect of insulin and/or oral hypoglycemic medications. Patients who are debilitated or malnourished, those with defective counterregulatory mechanisms (e.g., autonomic neuropathy and adrenal or pituitary insufficiency), and those receiving beta-adrenergic blocking agents should exercise caution when using these drugs.

How to manage the interaction:
Care should be taken in patients who may be particularly susceptible to the development of hypoglycemic episodes during treatment.
GLIMEPIRIDE-2MG+METFORMIN-1000MGAnaemia due to enzyme disorders
Moderate
How does the disease interact with Glucoryl-M 2 Forte Tablet:
In patients with glucose 6-phosphate dehydrogenase (G6PD) impairment, sulfonylureas can cause hemolytic anaemia. In individuals with G6PD deficiency, these medicines should be administered with caution, and a non-sulfonylurea option should be considered. Postmarketing reports of hemolytic anaemia in patients receiving these medications who did not have known G6PD deficiency have been received.

How to manage the interaction:
Therapy should be used with caution in patients with glucose 6-phosphate dehydrogenase (G6PD) deficiency. The use of a non-sulfonylurea alternative should be considered.
GLIMEPIRIDE-2MG+METFORMIN-1000MGOther disorders of fluid, electrolyte and acid-base balance
Moderate
How does the disease interact with Glucoryl-M 2 Forte Tablet:
Treatment with sulfonylureas may cause hyponatremia in individuals who are taking other drugs or have medical disorders that cause hyponatremia, or it may stimulate the secretion of antidiuretic hormone. Certain sulfonylureas have been linked to the syndrome of inappropriate antidiuretic hormone (SIADH) secretion, and these medications may enhance the peripheral (antidiuretic) action of ADH and/or increase ADH release. Caution should be exercised when treating individuals who have hyponatremia or are at increased risk of developing hyponatremia, such as the elderly, those using diuretics, or those who are volume-depleted.

How to manage the interaction:
Caution should be used when treating patients with low sodium or at greater risk of developing low sodium such as elderly patients, patients taking diuretics or those who are volume-depleted.

FAQs

Glucoryl-M 2 Forte Tablet contains two antidiabetic drugs, namely: Glimepiride and Metformin. Glimepiride works by stimulating cells in the pancreas that produce insulin which helps to remove sugar from the blood. Metformin PR is a prolonged-release formulation that releases the drug in smaller portions over a longer duration of time. Metformin works by reducing the sugar production by cells in the liver and delays sugar absorption from the intestines. Also, it increases the sensitivity of muscle cells to insulin which enables these cells to remove sugar more effectively from the blood.

You are not recommended to take Glucoryl-M 2 Forte Tablet with phenytoin as it may reduce the effect of Glucoryl-M 2 Forte Tablet and increase blood sugar levels. However, please consult a doctor before using Glucoryl-M 2 Forte Tablet with other medicines.

Glucoryl-M 2 Forte Tablet may increase the risk of low blood sugar levels especially with alcohol intake, exercise more than usual, delay or miss snacks or meal. However, if you experience any signs of low blood pressure such as dizziness, nausea, light-headedness, dehydration or fainting, please consult a doctor.

In type 1 diabetes, the body doesn’t produce insulin as the islet cells (insulin-producing cells) in the pancreas are destroyed completed. In type 2 diabetes, though islet cells are working, the body doesn’t respond to insulin as the body becomes resistant to insulin.

You are not recommended to stop taking Glucoryl-M 2 Forte Tablet on your own as discontinuing Glucoryl-M 2 Forte Tablet suddenly may cause recurring symptoms or worsen the condition. However, if you experience any difficulty while taking Glucoryl-M 2 Forte Tablet , please consult your doctor so that alternative medicine may be prescribed.

Drug-Drug Interactions Checker List

  • RIFAMPICIN
  • TRIMETHOPRIM
  • VERAPAMIL
  • CIMETIDINE
  • DOLUTEGRAVIR
  • RANOLAZINE
  • VANDETANIB
  • CRIZOTINIB
  • OLAPARIB
  • FLUCONAZOLE
  • MICONAZOLE
  • ACETAZOLAMIDE
  • INSULIN
  • PHENYTOIN

Special Advise

Regular blood tests are recommended while taking Glucoryl-M 2 Forte Tablet to monitor blood sugar levels.

Disease/Condition Glossary

Type 2 diabetes: It is a chronic (long-lasting) condition that keeps the body away from properly utilizing insulin. Hence, people affected with type 2 diabetes either do not produce enough insulin, or there is resistance to the action of insulin. Middle-aged or older are most likely to suffer from type 2 diabetes, so it is also known as adult-onset diabetes. Symptoms of type 2 diabetes include frequent urination at night, increased thirst, slow wound healing, increased hunger, fatigue, and blurred vision. In some cases, there may be weight gain, while in rare cases, weight loss may be observed. The complication of type 2 diabetes also includes nerve problems, kidney problems, damaged retina of eyes or blindness, loss of limbs, sexual dysfunction, and increase chance of heart attack or stroke.

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