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Glibenclamide / Glyburide

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Molecule Summary

Uses
Type 2 diabetes mellitus
Therapy
Anti-Diabetic
Side Effects
Headache, dizziness, nausea, low blood sugar level
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Molecule Description

Glibenclamide / Glyburide is an anti-diabetic medicine. It is used to treat type 2 diabetes mellitus. While taking this medicine you should be cautious of your diet and should also exercise regularly. Pregnant women and breastfeeding mothers must not use Glibenclamide / Glyburide. This medicine is not recommended for use in children and adolescents. It should be taken as directed by the doctor and in the correct doses and for the exact duration as prescribed. It should be taken just before or with food. Do not stop taking this medicine unless asked to do so by the doctor. Before using Glibenclamide / Glyburide, inform the doctor about your detailed medical history.

Uses

Glibenclamide / Glyburide is used for the treatment of type 2 diabetes mellitus.

Contraindications

When should one not use Glibenclamide / Glyburide

  • If you are allergic to Glibenclamide / Glyburide or any other ingredients of this medicine.
  • If you have severe problems with your liver or kidney.
  • If you have type 1 diabetes.
  • If you are in a diabetic coma.
  • If you are suffering from diabetic ketoacidosis (symptoms include fatigue, nausea, frequent urination and muscle stiffness).
  • If you are pregnant, think you may be or are breastfeeding.
  • If you are taking a medicine called bosentan to treat your high blood pressure.

Side effects

Common side effects of this drug are:

  • Headache
  • Dizziness
  • Nausea
  • Vomiting
  • Low blood sugar level

Precautions and Warnings

Pregnancy

Pregnancy

Glibenclamide / Glyburide must not be used during pregnancy. If you are pregnant or think you may be or are planning for a baby, you should consult your doctor before starting this medicine.

Breast Feeding

Breast Feeding

Glibenclamide / Glyburide may pass into breast milk, thus it should not be used while breastfeeding.

Driving

Driving

Glibenclamide / Glyburide is known to cause low blood sugar levels, which can impair your driving ability. Always keep sugar, juice or a bar of chocolate in your car with you while driving. In case you experience any of the symptoms of low blood glucose levels like dizziness, drowsiness, visual disturbances and sweating, stop driving immediately and have sugar/ juice. Do not consume sugar free products at such episodes.

Alcohol

Alcohol

It is unsafe to consume alcohol while on treatment with Glibenclamide / Glyburide. Alcohol lowers blood sugar which can be dangerous and can also alter the action of this medicine.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • You have problems with your heart, liver or kidneys
  • You have problems with your adrenal or pituitary glands
  • You are scheduled to have a surgery or operation
  • You develop fever or infection
  • You consume alcohol on regular basis
  • You have a blood enzyme deficiency (glucose-6-phosphate dehydrogenase deficiency).
  • You are above 60 years old
  • You should let the doctor, or the laboratory person know that you are using this medicine while going for a lab test, as this medicine may interfere with the lab tests.
  • Do not stop taking this medicine unless told to do so by your doctor.
  • Glibenclamide / Glyburide is not recommended for use in patients less than 18 years old.

Mode of Action

How Does It Work?

Glibenclamide / Glyburide works by stimulating the release of insulin from your pancreas, thus reducing your blood sugar levels.

Interactions

Interactions with other medicines

  • Some medicines can affect the way Glibenclamide / Glyburide works or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
  • Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interactions.
  • Especially, if you are taking medicines to treat your blood pressure, diabetes, heart problems, high cholesterol levels, mental health problems, cancer, thyroid problems, gout, tuberculosis, fits, infections, glaucoma, stomach ulcers, allergies, blood thinner medicines, prostate problems, pain and inflammation.
  • Other medicines like pentoxifylline, oestrogen, progestogen, laxatives should be used with caution along with Glibenclamide / Glyburide.
  • You should let the doctor or the laboratory person know that you are using Glibenclamide / Glyburide while going for a lab test, as this medicine may interfere with the lab tests.

Interactions with food items

Glibenclamide / Glyburide should be taken just before or with your meal to reduce its side effects.

Dosage

Overdose

  • An overdose of Glibenclamide / Glyburide may lead to low blood sugar levels (symptoms include nausea, vomiting, restlessness, shakiness, visual disturbances, sleepiness) and coma.
  • Immediately consume some sugar or sugar-containing drink.
  • Do not give the person any food or drink if the person is unconscious.
  • Seek medical attention in case you have consumed too much of this medicine.

Missed a Dose

In case you've missed taking any dose of Glibenclamide / Glyburide, take it as soon as you remember it. If it is almost time for the next dose, then skip the missed dose. Avoid taking a double dose of this medicine to compensate for the missed dose.

Frequently Asked Questions (FAQs)

Glibenclamide / Glyburide is used in the treatment of type 2 diabetes mellitus.

A diet high in fibre, low in fat with adequate protein, carbohydrates, vitamins and minerals. Diet should include boiled, steamed or baked food. Ensure moderate use of edible oils (groundnut oil, olive oil). Maintain the regular meal timings and try to have 2-3 healthy snacks between meals like soups and salads.

Avoid eating oily and fried food. Avoid cream soups, carrot juice, deep-fried vegetables, vegetable curries with excess oil. Avoid white bread, potato, noodles, corn flakes, biryani, naan, fried rice, etc. Avoid cheese, milkshakes, ice creams. Try to avoid pork, beef, soft drinks, sugarcane juice, sweetened health drinks and beverages. Avoid consuming alcohol and smoking.

Inform the doctor about your detailed medical & surgical history. Inform your doctor if you have heart, liver or kidney diseases. Inform your doctor if you are pregnant, breastfeeding or planning to have a baby. Glibenclamide / Glyburide may interact with other medicines, hence, inform your doctor if you are taking any other medicines including supplements or herbal products. Also, inform your doctor if you are stopping any medicine.

Glibenclamide / Glyburide should be taken just before or with your meal. Do not skip meals while taking this medicine. Take your dose at the same time each day for maximum results.

Headache, dizziness, nausea and low blood sugar level are a few common side effects of Glibenclamide / Glyburide. Low blood sugar can be serious, so seek medical help if symptoms are severe or do not improve. Also, not everyone experiences the same side effects.

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