Switglim M 2/1000 Mg Tablet (15 Tab)

SWITGLIM M 2/1000 MG TABLET

Name:

• Brand Name: SWITGLIM M 2/1000 MG TABLET
• Common Name: Glimepiride + Metformin Hydrochloride

Composition: Each tablet contains two active ingredients:

• Glimepiride: 2 mg
• Metformin Hydrochloride: 1000 mg

Uses: SWITGLIM M 2/1000 MG TABLET is prescribed for the management of type 2 diabetes mellitus in adults. It is used when diet, exercise, and single-agent therapy (either glimepiride or metformin alone) do not provide adequate glycemic control. This medication helps to lower both fasting and post-meal blood glucose levels.

Dosage and Administration: This medicine should be taken orally as prescribed by a doctor. The usual starting dose is one tablet once or twice daily, taken with meals to minimize gastrointestinal side effects. It is important to swallow the tablet whole and not crush, chew, or break it. Dosage may be adjusted by the doctor based on individual blood sugar levels and response to treatment.

Side Effects: Common Side Effects:

• Hypoglycemia (low blood sugar)
• Nausea, vomiting, diarrhea, abdominal pain
• Headache, dizziness
• Taste disturbances (metallic taste)

Serious Side Effects (Rare):

• Lactic acidosis (a build-up of lactic acid in the blood), characterized by symptoms like vomiting, bellyache with muscle cramps, severe tiredness, and difficulty breathing
• Inflammation of the liver, which may lead to jaundice (yellowing of skin or eyes)
• Severe allergic reactions (e.g., skin rash, hives, increased sensitivity to sun)
• Vitamin B12 deficiency (with long-term use)

Precautions:

• Contraindications: Not recommended for patients with type 1 diabetes mellitus, diabetic ketoacidosis, severe kidney or liver disease, heart disease, or known allergies to its components.
• Pregnancy and Breastfeeding: Contraindicated during pregnancy and breastfeeding as it may harm the unborn baby or pass into breast milk.
• Alcohol Consumption: Avoid excessive alcohol intake as it can increase the risk of hypoglycemia and lactic acidosis.
• Driving and Operating Machinery: Use with caution as it can cause low blood sugar levels, leading to drowsiness or confusion.
• Monitoring: Regular monitoring of blood sugar levels is crucial.

Storage: Store SWITGLIM M 2/1000 MG TABLET at room temperature, below 30°C. Protect the medicine from direct sunlight and moisture. Keep it in a secure place, out of the reach of children.

What is SWITGLIM M 2/1000 MG TABLET used for?

SWITGLIM M 2/1000 MG TABLET is primarily used to treat Type 2 Diabetes Mellitus in adults. It is prescribed when diet and exercise alone, or treatment with either Glimepiride or Metformin individually, are not sufficient to control blood sugar levels adequately. The medicine helps manage blood glucose levels and can reduce the risk of diabetes-related complications such as kidney damage, eye problems, and nerve issues.

How does SWITGLIM M 2/1000 MG TABLET work?

This medicine contains two active ingredients: Glimepiride and Metformin. Glimepiride works by stimulating the beta cells in the pancreas to release more insulin, which helps move sugar from the blood into the cells. Metformin works in several ways: it reduces the amount of glucose produced by the liver, decreases the absorption of glucose from food in the intestines, and enhances the body's sensitivity to insulin, allowing cells to use blood sugar more effectively. Together, these actions provide a dual approach to managing blood sugar.

What is the usual dosage for SWITGLIM M 2/1000 MG TABLET?

The dosage of SWITGLIM M 2/1000 MG TABLET should be individualized by a doctor based on the patient's response and tolerability. It is typically taken once daily with breakfast or the first main meal. Each tablet contains 2mg of Glimepiride and 1000mg of Metformin. The maximum recommended daily dose for this combination generally does not exceed 8mg of Glimepiride and 2000mg of Metformin.

What are the possible side effects of SWITGLIM M 2/1000 MG TABLET?

Common side effects may include stomach pain, nausea, diarrhea, vomiting, headache, a metallic taste, weakness, dizziness, and low blood sugar (hypoglycemia). Serious but rare side effects can include lactic acidosis, which is a medical emergency caused by the buildup of lactic acid in the blood and can be life-threatening. This risk is higher in individuals with kidney or liver problems, severe infections, or those who consume excessive alcohol. Long-term use may also lead to Vitamin B12 deficiency.

Is SWITGLIM M 2/1000 MG TABLET safe during pregnancy or breastfeeding?

SWITGLIM M 2/1000 MG TABLET is generally not recommended during pregnancy as it may harm the unborn baby. Your doctor may suggest safer alternatives like insulin or metformin alone if you are pregnant or planning a pregnancy. It is also advised to avoid breastfeeding while taking this medicine, as its components may pass into breast milk and potentially lower the baby's blood sugar levels.

Can SWITGLIM M 2/1000 MG TABLET be taken with other medications?

This medication can interact with other drugs. It is crucial to inform your doctor about all other medications, supplements, or herbal products you are currently taking. Co-administration with other antidiabetic agents (like insulin), ACE inhibitors, certain antibiotics, and miconazole can increase the risk of low blood sugar. Conversely, some medications such as oral contraceptives, phenytoin, and rifampicin may lead to high blood sugar. Non-steroidal anti-inflammatory drugs (NSAIDs) like diclofenac or ibuprofen, and certain diuretics ("water pills"), might affect kidney function, which is a concern with metformin.

What precautions should be taken while on SWITGLIM M 2/1000 MG TABLET?

Avoid consuming alcohol as it significantly increases the risk of lactic acidosis and low blood sugar. Regular monitoring of blood sugar levels is essential. Inform your doctor if you have kidney or liver disease, heart problems, severe infections, or are dehydrated. To prevent low blood sugar, eat regular, frequent meals and avoid prolonged fasting. Since this medicine may cause dizziness or decreased alertness, exercise caution when driving or operating machinery. Always carry a quick source of sugar, such as glucose tablets or fruit juice, to treat sudden episodes of low blood sugar.

What happens if a dose of SWITGLIM M 2/1000 MG TABLET is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to compensate for the missed one. Frequently missing doses can lead to uncontrolled blood sugar levels and potential complications.

How should SWITGLIM M 2/1000 MG TABLET be stored?

Store SWITGLIM M 2/1000 MG TABLET at room temperature in a dry place, away from direct sunlight and moisture. It should be kept out of sight and reach of children, and protected from freezing.