Gemer P 1 Mg Tablet (10 Tab)

GEMER P 1 MG TABLET

Gemer P 1 MG Tablet is an oral antidiabetic medication manufactured by SUN PHARMA LABORATORIES LTD., used for the management of type 2 diabetes mellitus. This medicine is typically prescribed when diet, exercise, and treatment with a single antidiabetic agent do not provide adequate blood sugar control.

Composition

Each Gemer P 1 MG Tablet contains a combination of three active ingredients:

• Glimepiride 1 mg: A sulfonylurea that stimulates the pancreas to release more insulin.
• Metformin Hydrochloride 500 mg (as extended-release): A biguanide that reduces glucose production in the liver, delays intestinal glucose absorption, and improves insulin sensitivity.
• Pioglitazone 15 mg: A thiazolidinedione that enhances the body's sensitivity to insulin.

Uses

Gemer P 1 MG Tablet is used to manage type 2 diabetes mellitus in adults. It helps control high blood sugar levels by improving insulin utilization and reducing glucose production.

Dosage and Administration

This medicine should be taken orally as directed by your doctor. It is generally recommended to swallow the tablet whole with a glass of water, preferably with food, to minimize stomach upset. Do not crush, chew, or break the tablet. The dosage and duration of therapy are determined by the physician based on the patient's age, body weight, and medical condition. Do not consume more than the prescribed quantity.

Side Effects

Common side effects may include:

• Hypoglycemia (low blood sugar levels)
• Nausea, stomach pain, diarrhea, loss of appetite, flatulence
• Headache, dizziness
• Weight gain, edema (swelling)
• Metallic taste
• Muscle pain, joint pain, back pain

Serious side effects, though rare, can include lactic acidosis (signs include cold hands/feet, dizziness, unusual muscle pain, trouble breathing) and symptoms of heart failure (unusual shortness of breath, rapid weight gain, swelling). Contact your doctor immediately if you experience these.

Precautions

Before taking Gemer P 1 MG Tablet, inform your doctor if you have liver, kidney, or heart problems. It is also important to disclose if you are pregnant, planning a pregnancy, or breastfeeding, as the safety during pregnancy is not well-established and it may pass into breast milk. Patients with type 1 diabetes mellitus, bladder cancer, severe heart failure, or lactic acidosis should not use this medicine. Alcohol consumption should be avoided as it may increase the risk of lactic acidosis. Caution is advised when driving or operating machinery if your blood sugar levels are too low or too high.

Storage

Store Gemer P 1 MG Tablet at room temperature, in a cool and dry place, protected from light and moisture. Keep it out of the reach of children and pets.

Here are the most frequently asked questions about GEMER P 1 MG TABLET, along with their concise answers.

What is GEMER P 1 MG TABLET used for?

GEMER P 1 MG TABLET is used to manage type 2 diabetes mellitus in adults. It is prescribed when diet and exercise alone, or other single/dual therapies, are not sufficient to control blood sugar levels.

How does GEMER P 1 MG TABLET work?

This medicine contains a combination of three active ingredients: Glimepiride, Metformin, and Pioglitazone. Glimepiride stimulates the pancreas to produce more insulin, Metformin reduces glucose production in the liver and decreases glucose absorption from the intestines, while Pioglitazone increases the body's sensitivity to insulin. Together, they help lower blood sugar levels.

What is the usual dosage for GEMER P 1 MG TABLET?

GEMER P 1 MG TABLET should be taken exactly as prescribed by your doctor. It is typically taken once daily with food to help avoid stomach upset. Your doctor will determine the appropriate dose based on your condition and response to the medication.

What are the possible side effects of GEMER P 1 MG TABLET?

Common side effects include low blood sugar (hypoglycemia), nausea, vomiting, diarrhea, stomach pain, headache, dizziness, weight gain, fluid retention (oedema), upper respiratory tract infections, metallic taste, muscle pain, and bone fractures. More serious side effects, though rare, can include lactic acidosis or symptoms of heart failure, which require immediate medical attention.

Is GEMER P 1 MG TABLET safe during pregnancy or breastfeeding?

GEMER P 1 MG TABLET is generally not recommended for use during pregnancy as it may harm the unborn baby. It is also advised against during breastfeeding, as it is not known if the medicine passes into breast milk and could potentially harm the infant. Always consult your doctor if you are pregnant, planning pregnancy, or breastfeeding.

Can GEMER P 1 MG TABLET be taken with other medications?

GEMER P 1 MG TABLET can interact with various medications, including certain NSAIDs (e.g., ibuprofen), cationic drugs (e.g., amiloride, digoxin), some antibiotics, antifungals, blood thinners, and other antidiabetic medicines, including insulin. It is crucial to inform your doctor about all prescription, over-the-counter medications, supplements, and herbal products you are currently taking to avoid potential interactions.

What precautions should be taken while on GEMER P 1 MG TABLET?

Avoid consuming alcohol while taking this medicine as it can increase the risk of low blood sugar and other serious complications like lactic acidosis. Exercise caution if you have kidney, liver, or heart problems. Regular monitoring of blood sugar levels is important, and you should always carry a quick source of sugar (like candy or juice) to manage potential hypoglycemia. This medicine is not suitable for type 1 diabetes or diabetic ketoacidosis.

What should I do if I miss a dose of GEMER P 1 MG TABLET?

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 a missed one, as this can lead to low blood sugar.

How should GEMER P 1 MG TABLET be stored?

Store GEMER P 1 MG TABLET at room temperature, generally below 30°C (86°F) or between 20-25°C (68-77°F). Keep the medicine protected from light and moisture, and always out of the reach of children and pets.

Does GEMER P 1 MG TABLET cause weight gain or Vitamin B12 deficiency?

Yes, weight gain can be a possible side effect of GEMER P 1 MG TABLET in some individuals. Additionally, long-term use of this medicine, due to its Metformin component, may lead to Vitamin B12 deficiency. Your doctor may monitor your Vitamin B12 levels if you are on prolonged therapy.