Gemer 2mg Strip Of 10 Tablets

• If you are allergic to Metformin, Glimepiride or other ingredients of the Gemer 2 Tablet.
• If you are pregnant or are breastfeeding.
• If you have kidney failure or liver failure.
• If you have 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 heart or lung failure, the recent incidence of heart attack and shock.
• If you are an alcoholic.

• Weight gain
• Headache
• Sweating
• Nausea
• Vomiting
• Diarrhoea
• Stomach pain
• Low blood sugar levels

Other General Warnings

• You suffer from 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, have sugar or sweet juice. Inform the doctor as you may need a change in the medicine's dose.
• You develop pins-and-needles sensation, numbness and weakness.
• You are undergoing a diagnostic imaging test that involves an injection of iodine.
• You have dehydration due to diarrhoea, vomiting or limited fluid intake.
• You have suffered from trauma.
• You are undergoing surgery.
• You have kidney and liver problems.
• You have a thyroid disorder.
• You are overweight (specific diet restriction may be suggested).

• Store Gemer tablets at room temperature in a dry place.
• Protect it from direct sunlight and moisture.
• Keep it away from children and pets.

• To achieve better blood sugar control, it is essential to make lifestyle changes alongside taking the medication. These include exercising regularly, avoiding smoking and alcohol, and maintaining a balanced diet rich in fruits and vegetables.
• Some individuals may experience side effects such as low blood sugar levels, flatulence, a metallic taste, or diarrhoea. If these effects persist or become bothersome, consult your doctor.
• Avoid exceeding the prescribed dose and follow your doctor’s instructions carefully for safe and effective treatment.

Overdose

Missed a Dose

How Does It Work?

• Gemer 2 tablet helps to control blood sugar to a greater extent than metformin or glimepiride alone.
• Glimepiride lowers the blood sugar level increases the release of insulin hormone from the pancreas.
• Insulin supplies sugar (glucose) from the blood into the cells.
• Metformin decreases the absorption in the intestine and the production of sugar by the liver.
• Both of these components increases the insulin sensitivity of the body (which allows the cells of the body to use blood glucose more, reducing blood sugar).

Interactions with other medicines

• You may have symptoms of low blood sugar if you are using other medicines for diabetes like Insulin, Pioglitazone, medicines for high blood pressure (ACE inhibitors like Captopril), Steroids, Chloramphenicol, Fenfluramine, medicine to lower blood cholesterol (fibrates), medicines to treat depression (Fluoxetine), medicines to treat blood clotting like Coumarins, Cyclophosphamide, Miconazole, Probenecid, antibiotics like Clarithromycin, Doxycycline, Ofloxacin, etc.
• You may have symptoms of high blood sugar if you are using oral contraceptives, Acetazolamide, water pills, Phenytoin, Rifampicin, medicines for constipation, Phenytoin, Rifampicin and medicines for thyroid disorders.
• Medicines like anti-allergic (ranitidine), clonidine, reserpine and medicines used to treat high blood pressure like atenolol alter the way this medicine works and blocks the body's response to low blood sugar. This leads to low levels of blood sugar.
• Medicines like Diclofenac, Ibuprofen, Water pills, Enalapril may affect kidney functions if taken along with this medicine.
• Medicines used to treat thyroid affect the way this medicine works.
• Inform the doctor regarding other medicines, herbal preparations and supplements you take to avoid possible interactions.

Interactions with food items