Gemer 0.5mg Strip Of 10 Tablets

• If you are allergic to metformin, glimepiride or any of the ingredient of Gemer Tablet.
• If you are pregnant or breastfeeding.
• 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, the recent incidence of heart attack and shock.
• If you are an alcoholic.

• Weight gain, low blood sugar level which can cause headache, sweating, nausea, wet skin, anxiety and restlessness
• Vomiting, nausea, diarrhoea, stomach pain, loss of taste sensation, metallic taste and stomach discomfort (pressure and fullness)
• High blood pressure, irregular heart rhythm, chest pain (arrhythmias)
• Rash, itching
• Temporary visual disturbances
• Difficulty in breathing, decrease in vitamin B12 levels

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

Overdose

• Overdose of Gemer Tablet may lead to severe hypoglycemia (low blood sugar) and lactic acidosis (excessive lactic acid build-up).
• 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

• A missed dose may lead to high blood sugar levels, which includes symptoms like feeling thirsty, excessive urination, loss of appetite, drowsiness, the 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?

• Gemer Tablet is known to control blood sugar to a greater extent than metformin or glimepiride alone Glimiperide lowers the blood sugar level increasing release of insulin hormone from the pancreas.
• Insulin moves sugar (glucose) from the blood into the cells.
• Metformin decreases the absorption in the intestine and production of sugar by the liver.
• Both of these components are known to increase the insulin sensitivity of the body (which allows the cells of the body to use blood glucose more effectively, reducing blood sugar).

Interactions with other medicines

• Sometimes Gemer Tablet may affect the way other medicines work, and other medicines may affect how Gemer 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 treatment if you are taking for a...

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• Especially if you are on certain medications like painkillers, medicines for heart diseases, muscle pain, brain-related disorder, antacids like ranitidine, anti-coagulants such as warfarin, medicine t...

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• 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.