Gemer Ds 1mg Strip Of 10 Tablets

• If you are allergic to metformin, glimepiride, or any of the ingredients of Gemer DS 1 tablet.
• If you are allergic to other sulfonylureas or other sulfonamides. If you are not sure what these medicines are, please confirm with your doctor.
• If you have kidney or liver disorders.
• If you are undergoing dialysis.
• If you have type 1 diabetes.
• If you have diabetic ketoacidosis or diabetic pre-coma or coma.

• Nausea
• Diarrhoea
• Abdominal pain
• Headache
• Dizziness

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.
• You are experiencing pins-and-needles sensation, numbness, and weakness.
• You are going to have a diagnostic imaging test that involves the injection of iodine.
• You have dehydration due to diarrhea, vomiting, or limited fluid intake.
• You have suffered through trauma.
• You have to undergo surgery in the near future.
• You have kidney or liver problems.
• You have a thyroid disorder.
• You are overweight.

• Take this medicine as directed by the doctor.
• Swallow it as a whole with a glass of water.
• Do not cut, break or chew the medicine.
• Preferably take it with meals.
• It would be best if you take it at the same time every day for optimal results.
• Avoid consuming more than the dose prescribed by the doctor.

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

Overdose

• Overdose of Gemer DS 1 tablet may lead to severely low blood sugar levels and lactic acidosis. This can result in headaches, nausea, vomiting, sleep disturbances, restlessness, confusion, and dizziness.
• Contact your doctor immediately or visit the nearest hospital if you think you have taken too much of this medicine.

Missed a Dose

How Does It Work?

• Gemer DS 1 tablet contains a combination of glimepiride and metformin as active ingredients.
• Glimepiride lowers the blood sugar level by increasing the release of insulin hormone from the pancreas. Insulin helps to move 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 are known to increase the insulin sensitivity of the body which allows the cells of the body to use blood glucose more effectively, thereby reducing blood sugar.

Interactions with other medicines

• Some medicines can affect the way Gemer DS 1 tablet works or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
• Inform the doctor regarding the medicines, supplements, or herbals you take or might take to avoid possible interaction.
• You may have symptoms of low blood sugar if you are taking other medicines for diabetes like insulin, pioglitazone, medicines for high blood pressure (ACE inhibitors like captopril), steroids, chloramphenicol, fenfluramine, fenyramidol, medicines to lower blood cholesterol (fibrates), medicines to manage 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 taking oral contraceptives, acetazolamide, water pill, phenytoin, rifampicin, medicines for constipation, and medicines for thyroid disorders.
• Medicines like anti-allergics (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 pill, and enalapril may affect your kidney functions if taken along with this medicine.
• Medicines used to treat thyroid disorders can affect the way this medicine works.