Shringlim M2 Tab

SHRINGLIM M2 TAB, manufactured by Shreeda Pharmaceuticals, is a medication primarily used in the management of Type 2 Diabetes Mellitus.

Name

• Common Name: Shringlim M2 Tablet PR (Prolonged Release)
• Brand Name: SHRINGLIM M2 TAB by SHREEDA PHARMACEUTICALS DIV

Composition

SHRINGLIM M2 Tablet PR is a combination of two antidiabetic medicines:

• Glimepiride: Typically 2 mg. It belongs to the sulfonylurea class, which works by increasing the amount of insulin released by the pancreas, thereby lowering blood glucose levels.
• Metformin Hydrochloride: Typically 500 mg. Metformin is a biguanide that lowers glucose production in the liver, delays glucose absorption from the intestines, and improves the body's sensitivity to insulin.

Uses

SHRINGLIM M2 Tablet PR is prescribed for the treatment of Type 2 Diabetes Mellitus in adults. It helps to improve blood glucose levels when used alongside a proper diet and regular exercise. It is also indicated to help prevent diabetes-related complications such as kidney damage, eye damage, nerve problems, and loss of limbs.

Dosage and Administration

• SHRINGLIM M2 Tablet PR is typically taken once a day with food.
• The tablet should be swallowed whole and not crushed or chewed.
• Dosage is individualized based on effectiveness and tolerance, as determined by a healthcare professional.
• It is crucial to continue taking the medicine as prescribed, even if blood sugar levels are controlled, to avoid complications.

Side Effects

Common Side Effects:

• Hypoglycemia (low blood sugar levels), symptoms of which include sweating, dizziness, headache, and shaking.
• Altered taste, nausea, stomach pain, diarrhea, and headache.
• Some individuals may experience weight gain.

Serious but Rare Side Effects:

• Lactic acidosis: This is a serious condition characterized by muscle pain or weakness, dizziness, fatigue, feeling cold in extremities, difficulty breathing, vomiting, and stomach pain.
• Vitamin B12 deficiency (with long-term use).

Precautions

• Contraindications: Do not take SHRINGLIM M2 Tablet PR if you have Type 1 Diabetes Mellitus, diabetic ketoacidosis, or severe kidney or liver disease. It is also contraindicated in cases of severe infections or major trauma.
• Alcohol Consumption: Avoid consuming alcohol as it increases the risk of hypoglycemia and lactic acidosis.
• Pregnancy and Breastfeeding: Not recommended for pregnant or breastfeeding women as it may harm the fetus or be excreted in breast milk. Consult a doctor if pregnant or planning to become pregnant.
• Medical Conditions: Inform your doctor if you have heart disease or circulation problems.
• Monitoring: Regular monitoring of blood sugar levels is essential. Your doctor may also advise blood tests to monitor blood cell counts and liver function.
• Hypoglycemia Management: Always carry a fast-acting source of glucose (e.g., sugary food or fruit juice) to manage episodes of low blood sugar.

Storage

Store SHRINGLIM M2 Tablet PR below 25°C or at room temperature in a cool, dry place, away from direct sunlight. Keep out of sight and reach of children.

Here are some frequently asked questions about SHRINGLIM M2 TAB:

What is SHRINGLIM M2 TAB used for?

SHRINGLIM M2 TAB is a combination medicine used in adults to treat Type 2 diabetes mellitus. It helps improve blood glucose levels when taken alongside a proper diet and regular exercise. It also helps manage blood glucose levels and prevents diabetes-related complications such as kidney damage, eye problems, and nerve issues.

How does SHRINGLIM M2 TAB work?

SHRINGLIM M2 TAB contains two active ingredients: Glimepiride and Metformin. Glimepiride is a sulfonylurea that increases the amount of insulin released by the pancreas, thereby lowering blood glucose levels. Metformin is a biguanide that works by reducing glucose production in the liver, delaying glucose absorption from the intestines, and increasing the body's sensitivity to insulin.

What is the usual dosage?

SHRINGLIM M2 TAB is usually taken once a day with food. It is important to take it regularly at the same time each day for the best benefit. Your doctor will determine the appropriate dose for you, which may be adjusted based on your blood sugar levels and how the medicine is working. The tablets should be swallowed whole and not crushed or chewed.

What are the possible side effects?

Common side effects of SHRINGLIM M2 TAB include hypoglycemia (low blood sugar), altered taste, nausea, stomach pain, diarrhea, and headache. More serious but rare side effects can include lactic acidosis (an excess of lactic acid in the blood) and, with long-term use, vitamin B12 deficiency.

Is it safe during pregnancy or breastfeeding?

SHRINGLIM M2 TAB is generally considered unsafe to use during pregnancy as it may harm the unborn baby. It is also unsafe to use during breastfeeding, as data suggests the drug may cause toxicity to the baby. Always consult your doctor if you are pregnant, planning pregnancy, or breastfeeding.

Can it be taken with other medications?

Taking SHRINGLIM M2 TAB with alcohol is unsafe as it can significantly increase the risk of low blood sugar levels (hypoglycemia) and lactic acidosis. It can also interact with certain other medications, including some other diabetes drugs (like insulin, glyburide, glipizide), rifampin, digoxin, and phenytoin. Always inform your doctor about all other medications, supplements, and herbal products you are taking to avoid potential interactions.

What precautions should be taken?

You should regularly monitor your blood sugar levels while taking this medicine. Always carry a fast-acting source of glucose (like sugary food or fruit juice) to manage potential low blood sugar (hypoglycemia). Do not take SHRINGLIM M2 TAB if you have Type 1 diabetes mellitus, diabetic ketoacidosis, or severe kidney or liver disease. Inform your doctor if you have heart disease or are scheduled for surgery. Long-term use may require monitoring of vitamin B12 levels.

What happens if a dose is missed?

If you miss a dose of SHRINGLIM M2 TAB, take it as soon as you remember. However, if it's already close to the 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.

How should it be stored?

SHRINGLIM M2 TAB should be stored below 25°C or at room temperature, in a dry place, and out of the sight and reach of children.