Amaryl M 1mg Tablet

• If you are allergic to metformin, glimepiride or any of the ingredient of Amaryl M1 tablet.
• If you have serious kidney failure or liver failure.
• If you have any metabolic acidosis (too much acid in the body fluids) like lactic acidosis, diabetic ketoacidosis or diabetic pre-coma.
• If you have dehydration, severe infections, shock and injections containing iodine.
• If you have had heart or lung failure, recent incidence of heart attack and shock.
• If you are alcoholic.

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

Other General Warnings

• You are feeling extremely hungry, experiencing headaches, nausea, vomiting, sleepiness, restlessness, aggression, reduced alertness, confusion, shakiness, or dizziness, and it may be a sign of low blood sugar. It is important to consume sugar or sweet juice immediately. It is recommended that you inform your doctor, as you may need a change in your medication dosage.
• You are experiencing pins-and-needles sensation, numbness and weakness.
• You will undergo a diagnostic imaging test that involves the injection of iodine.
• You have dehydration due to diarrhoea, vomiting or limited fluid intake.
• You have suffered through trauma.
• You have to undergo surgery in the near future.
• You have serious kidney and liver problems.
• You have a thyroid disorder.
• You are overweight (specific diet restrictions may be suggested).

• Store at room temperature in a dry place. Protect it from moisture.
• Keep out of the reach of children and pets.

• Along with taking the Amaryl M1 tablet, it is essential that you make certain lifestyle modifications, such as exercising regularly and avoiding smoking and drinking alcohol.
• It is also advisable to maintain a balanced diet with adequate fruits and vegetables for good control of your blood sugar levels.
• Before starting the Amaryl M1 tablet, inform your doctor if you are pregnant, planning a pregnancy, or breastfeeding, and provide your detailed medical history.
• Headache, stomach pain, restlessness, and nausea or vomiting may occur in some individuals using this medicine. Inform your doctor if these effects bother you or do not go away.
• Talk to your doctor if you have kidney or liver disease.

Overdose

• Overdose of this medicine may lead to severe hypoglycemia and lactic acidosis (Excessive lactic acid build-up) & (low blood sugar)
• This can result in headache, nausea, vomiting, sleep disturbances, restlessness, impaired alertness and reactions, depression, confusion, dizziness etc.
• If you experience these, immediately take glucose or juice or sugar-containing products (Sugar candy)
• Contact your doctor immediately or visit the nearest hospital as you may require close monitoring for the next few hours.

Missed a Dose

• Missed dose may lead to high blood sugar levels, which includes symptoms like feeling thirsty, excessive urination, loss of appetite, drowsiness, fruity smell from breath etc.
• If you missed any dose of medicine, take it as soon as you remember
• If it's time for your next dose, then skip the missed dose and continue with your regular dose schedule
• Do not take a double dose of medicine to compensate for the missed one.

How Does It Work?

Interactions with other medicines

• Sometimes Amaryl M1 tablet may affect the way other medicines work, and other medicines may affect how Amaryl M1 tablet works if taken at the same time.
• Always inform your doctor about all the medicine you are taking, that includes all prescribed or non-prescribed herbal medicines, dietary supplements as well as other treatments you are taking for any disorder.
• Especially if you are on certain medications like painkillers, medicines for heart diseases, muscle pain, brain-related disorders, antacids like ranitidine, anti-coagulants such as warfarin, medicine to lower blood cholesterol (fibrates), medicines for a thyroid disorder, antihypertensive medicines etc.
• Other medicines that should be used with caution are antibiotics like Clarithromycin, oral contraceptives, anti-epileptic medicines like phenytoin, medicines for constipation, water pills etc.
• You may have symptoms of low blood sugar if you are already taking other medicines for diabetes like Insulin, Pioglitazone. Caution is advised.

Interactions with food items