Glimepiride+Voglibose+Metformin

When should one not use Glimepiride+Voglibose+Metformin

• If you are allergic to this medicine or any of the ingredients of Glimepiride+Voglibose+Metformin.
• If you are pregnant or breastfeeding.
• If you have severe kidney or liver problems.
• If you have any metabolic acidosis (too much acid in the body fluids), such as lactic acidosis, diabetic ketoacidosis or diabetic pre-coma.
• If you have shock or acute heart failure.
• If you are an alcoholic.
• If you have a history of severe infection pre- or post-surgery.
• If you have a stomach or intestinal obstruction.

Common side effects of this drug are:

• Low blood sugar levels
• Nausea, vomiting, diarrhoea, loss of appetite, and stomach ache are common symptoms that appear at the beginning of treatment and settle gradually.
• Altered taste
• Bloating
• Flatulence

Other General Warnings

• You have been advised to do a CT scan or MRI with contrast media, then inform the hospital that you are on Glimepiride+Voglibose+Metformin. Your doctor will advise you to stop the medicine a few days before the investigation.
• You experience diarrhoea, vomiting, dehydration or less fluid intake.
• Prolonged fasting should be avoided. Never miss your meals.
• You are taking other medicines for diabetes, caution is needed, as a fall in blood glucose can occur.
• You are taking any antihypertensive medicines, painkillers or water pills.
• You have an upcoming surgery, the doctor may adjust the dose or replace the medicine for a few days.
• You have pre-existing medical conditions such as intestinal diseases like Roemheld syndrome (epigastric pressure in the gastrointestinal tract), severe hernia, obstruction or ulcers in the intestine, etc.
• You have a kidney or liver disorder, thyroid disorder, or G6PD deficiency.
• Monitoring of vitamin B12 is recommended if you are on long-term treatment with Glimepiride+Voglibose+Metformin.

How Does It Work?

Interactions with other medicines

• Glimepiride+Voglibose+Metformin may interact with other medicines if taken at the same time. Always inform your doctor about all the medicines you are taking, including all prescribed or non-prescribed herbal medicines, dietary supplements as well and other treatments you are taking for any disorder.
• In particular, if you are taking medicines for brain and heart-related disorders, tuberculosis, acidity, fungal infections, painkillers, antihypertensive medicines, etc.
• You may have symptoms of high blood sugar if you are taking oral contraceptives, water pills, rifampicin (anti-tuberculosis medicine), medicines for constipation, phenytoin (anti-epileptic medicine), and medicines for thyroid disorders.
• Glimepiride+Voglibose+Metformin may alter the way blood thinners work like phenprocoumon.
• Other medicines, like oral contraceptives, other anti-diabetics, etc, can affect blood glucose levels. Therefore, concomitant use should be undertaken with caution.

Overdose

Missed a Dose