Gemer V 1/0.2/500 Mg Tablet (15 Tab)

GEMER V 1/0.2/500 MG TABLET

Name: Gemer V 1 Tablet

Composition: Each tablet contains a combination of three active ingredients:

• Glimepiride: 1 mg
• Voglibose: 0.2 mg
• Metformin: 500 mg

Uses: Gemer V 1 Tablet is primarily used for the management of Type 2 Diabetes Mellitus in adults. It is prescribed when diet and exercise alone, or therapy with other anti-diabetic medicines, are insufficient to achieve adequate blood sugar control. The medication helps to regulate blood glucose levels, reduce post-meal spikes, and improve overall glycemic control. It also helps to prevent serious complications of diabetes such as kidney damage, blindness, nerve problems, and heart attack or stroke.

Dosage and Administration:

• Gemer V 1 Tablet should be taken orally as directed by a doctor.
• Typically, the recommended frequency is twice daily.
• It is generally advised to take the tablet with a meal to minimize gastrointestinal side effects. However, some sources also state it should be taken on an empty stomach or immediately before meals. Adhere strictly to your doctor's instructions.
• Swallow the tablet whole with a glass of water; do not crush, chew, or break it.
• Consistent intake at the same time each day is crucial for optimal results.

Side Effects:

• Common Side Effects: Hypoglycaemia (low blood sugar), nausea, vomiting, diarrhoea, abdominal pain, flatulence, indigestion, headache, dizziness, taste changes, loss of appetite, and upper respiratory tract infections.
• Serious Side Effects: Lactic acidosis (a rare but serious condition, especially in patients with kidney or liver issues), and potential for vitamin B12 deficiency with long-term use.

Precautions:

• Inform your doctor about any allergies, kidney problems, or liver health concerns before starting this medicine.
• It is contraindicated in patients with Type 1 Diabetes Mellitus, diabetic ketoacidosis, severe kidney or liver disease, acute conditions like dehydration or severe infection, and acute or chronic cardiac failure.
• Avoid alcohol consumption as it can lead to undesirable effects and increase the risk of hypoglycemia.
• Monitor blood sugar levels regularly and carry a quick source of sugar (e.g., glucose tablets) to manage unexpected low blood sugar episodes.
• Pregnant and breastfeeding women should consult their doctor as it is generally not recommended during pregnancy and contraindicated during breastfeeding.
• Caution is advised in elderly patients, and liver function should be monitored regularly.
• Inform your doctor if you are undergoing a CT scan or MRI with contrast media, as the medicine may need to be stopped a few days prior.
• Interactions can occur with insulin, other sulfonylureas, salicylates, sulfonamide antibiotics, corticosteroids, sympathomimetics, oral contraceptives, water pills, rifampicin, phenytoin, and thyroid hormones.

Storage:

• Store at room temperature, below 30°C, in a cool and dry place.
• Keep out of sight and reach of children.
• Do not keep outdated medicine.

GEMER V 1/0.2/500 MG TABLET (15 TAB) by SUN PHARMA LABORATORIES LTD.: Frequently Asked Questions

What is Gemer V 1/0.2/500 MG Tablet used for?

Gemer V 1/0.2/500 MG Tablet is an anti-diabetic medicine primarily used to manage type 2 diabetes mellitus in adults. It is prescribed when diet, exercise, and single or dual anti-diabetic medications are not sufficient to adequately control blood sugar levels. This medication helps in regulating glucose metabolism and maintaining optimal blood sugar levels, thereby reducing the risk of serious complications such as kidney damage, eye damage, nerve problems, and cardiovascular issues like heart attack or stroke.

How does Gemer V 1/0.2/500 MG Tablet work?

Gemer V 1/0.2/500 MG Tablet is a combination of three active ingredients: Glimepiride (1mg), Metformin (500mg), and Voglibose (0.2mg).

• Glimepiride is a sulfonylurea that works by stimulating the pancreas to release more insulin. Insulin helps move glucose from the bloodstream into cells for energy.
• Metformin is a biguanide that lowers glucose production in the liver, reduces glucose absorption from the intestines, and enhances the body's sensitivity to insulin.
• Voglibose is an alpha-glucosidase inhibitor that slows down the breakdown of complex carbohydrates into simple sugars (like glucose) in the intestine, thereby reducing the sudden rise in blood sugar levels after meals. Together, these three components work synergistically to control blood sugar levels effectively.

What is the usual dosage for Gemer V 1/0.2/500 MG Tablet?

Gemer V 1/0.2/500 MG Tablet should be taken orally as directed by your doctor. It is typically recommended to take it with or immediately before meals. Your doctor will determine the appropriate dose, which may vary depending on your medical condition and response to treatment. It is crucial to take the medicine at the same time each day for optimal results and not to consume more than the prescribed dose.

What are the possible side effects of Gemer V 1/0.2/500 MG Tablet?

Common side effects include hypoglycemia (low blood glucose levels), nausea, vomiting, diarrhea, abdominal pain, loss of appetite, metallic taste, headache, and flatulence. Hypoglycemia is the most common side effect and can manifest as dizziness, sweating, hunger pangs, and shaking. Some individuals may also experience weight gain. If these side effects persist or worsen, it is important to consult your doctor.

Is Gemer V 1/0.2/500 MG Tablet safe during pregnancy or breastfeeding?

Gemer V 1/0.2/500 MG Tablet is generally not recommended during pregnancy and breastfeeding. During pregnancy, your doctor may advise switching to insulin therapy, which is considered safer. For breastfeeding women, the medicine may pass into breast milk and could harm the nursing child, so consulting a doctor for safer alternatives is crucial.

Can Gemer V 1/0.2/500 MG Tablet be taken with other medications?

Gemer V 1/0.2/500 MG Tablet can interact with other medications, potentially affecting blood glucose levels. It's important to inform your doctor about all medicines you are taking, including over-the-counter drugs and herbal supplements.

• Taking it with other anti-diabetic medicines (like insulin or other sulfonylureas) may increase the risk of hypoglycemia.
• Certain medications such as oral contraceptives, water pills (diuretics), corticosteroids, rifampicin, and some anti-epileptic medicines may affect its effectiveness or increase blood sugar levels.
• Blood thinners like phenprocoumon may also be affected.
• NSAIDs (e.g., ibuprofen) and MAOIs may increase the risk of hypoglycemia.

What precautions should be taken with Gemer V 1/0.2/500 MG Tablet?

• Hypoglycemia: Always carry a quick source of sugar (like glucose tablets or fruit juice) to manage unexpected low blood sugar episodes.
• Alcohol: Avoid alcohol consumption, as it can increase the risk of hypoglycemia and a serious condition called lactic acidosis.
• Kidney and Liver Disease: Use with caution if you have kidney or liver problems. It is not recommended for severe kidney or liver disease.
• Heart Conditions: Inform your doctor if you have a history of heart disease, as it may not be suitable in certain cases like heart failure.
• Other Conditions: Not recommended for type 1 diabetes mellitus, diabetic ketoacidosis, severe infection, severe trauma, or gastrointestinal obstruction.
• Surgery/Scans: Inform your doctor if you have an upcoming surgery or are advised for a CT scan or MRI with contrast media, as the medicine may need to be stopped a few days prior.
• Do not stop abruptly: Do not stop taking this medicine without consulting your doctor, as it can lead to increased blood sugar levels and potential complications.

What happens if a dose of Gemer V 1/0.2/500 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 make up for the missed one, as this can be harmful and does not improve effectiveness.

How should Gemer V 1/0.2/500 MG Tablet be stored?

Store Gemer V 1/0.2/500 MG Tablet in a cool and dry place, away from direct sunlight and moisture. Keep it out of sight and reach of children. The recommended storage temperature is below 30°C or between 10°C to 25°C. Do not keep outdated medicine.