Gemer 1 Tablet

• If you are allergic to metformin, glimepiride or any of the ingredients of Gemer 1 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 or had a heart or lung failure, recent incidence of heart attack and shock.
• If you are an alcoholic.

• Nausea
• Vomiting
• Diarrhoea
• Stomach pain
• Loss of taste sensation

Other General Warnings

• You experience extreme hunger, headache, nausea, vomiting, sleepiness, restlessness, aggression, reduced alertness, confusion, shakiness or dizziness. These could be signs of low blood sugar. If you have any of these, immediately have sugar or sweet juice. Inform your doctor as you may need a change in your medicine's dose.
• You are experiencing pins-and-needles sensation, numbness and weakness.
• You are going to have a diagnostic imaging test that involves an 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 thyroid disorders.
• You are overweight (specific diet restrictions may be suggested).

• Store Gemer 1 tablets at room temperature in a cool and dry place.
• Protect it from light and moisture.
• Keep it out of the reach of children and pets.

• Gemer 1 tablet is a medication that helps manage type 2 diabetes mellitus. It contains a combination of glimepiride and metformin as active ingredients and is known for its anti-diabetic properties.
• Take this medicine in the exact dose and duration prescribed by the doctor. Do not change the dosage or frequency of use without consulting your doctor.
• Along with taking Gemer 1 tablet, it is essential that you do certain lifestyle modifications like exercising for 30 minutes daily, maintaining a healthy weight, managing stress, getting enough sleep, and avoiding smoking and drinking alcohol.
• To maintain control of your blood sugar levels, it is also advised to eat a balanced diet that includes fruits and vegetables.
• Regularly monitor your blood sugar levels as directed by your doctor and report any changes.
• Before starting Gemer 1 tablet, inform your doctor if you are pregnant, planning a pregnancy or breastfeeding and about your detailed medical history.
• To make sure that this tablet works effectively, it is important to take it at the same time every day and not to miss a dose. If you miss a dose, take it as soon as you remember. Take your next dose at the regular time if it is almost time for your next dose.
• If you experience headache, stomach pain, sleepiness or nausea/vomiting while taking Gemer 1 tablet, it's important to inform your doctor. These effects may affect some individuals and if they persist, it's important to seek medical advice.

Overdose

Missed a Dose

How Does It Work?

• Gemer 1 tablet is known to control blood sugar to a greater extent than metformin or glimepiride alone. Glimiperide lowers the blood sugar level by increasing the 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

• If you are currently taking medications for diabetes, high blood pressure, cholesterol, depression, blood clotting, or antibiotics such as Insulin, Pioglitazone, ACE inhibitors like Captopril, Steroids, Chloramphenicol, Fenfluramine, fibrates, Fluoxetine, Coumarins, Cyclophosphamide, Miconazole, Probenecid, Clarithromycin, Doxycycline, or Ofloxacin, you may experience symptoms of low blood sugar.
• You may have symptoms of high blood sugar if you are taking Oral contraceptives, Acetazolamide, Water pills, Phenytoin, Rifampicin, medicines for constipation, Phenytoin, Rifampicin and medicines for thyroid disorders.
• Medicines like an anti-allergic (ranitidine), clonidine, reserpine and medicines used to treat high blood pressure like atenolol can alter the way this medicine works and may block your body's response to low blood sugar. This can lead to dangerously low levels of blood sugar.
• Medicines like Diclofenac, Ibuprofen, Water pills, and Enalapril may affect your kidney functions if taken along with this medicine.
• Medicines used to treat thyroid can affect the way this medicine works.
• Discuss with your doctor about any other medicines, herbal preparations and supplements you are taking currently to avoid any possible interactions.

Interactions with food items