Gluconorm G2 Tablet

• If you are allergic to metformin, glimepiride or any of the ingredients of Gluconorm G2 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, a recent incidence of heart attack and shock.
• If you are an alcoholic.

• Weight gain
• Low blood sugar levels
• Headache
• Sweating
• Nausea
• Vomiting
• Diarrhoea
• Stomach pain
• High blood pressure
• Irregular heart rhythm

Other General Warnings

• 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 a thyroid disorder.
• You are overweight (specific diet restrictions may be suggested).
• 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.

• Store Gluconorm G2 tablet at room temperature in a dry place protected from moisture.
• Keep out of the reach of children.

• Gluconorm G2 tablet is a diabetes medication. It is prescribed to treat type 2 diabetes mellitus. Take this medication exactly as prescribed by your doctor, in the exact dose and duration.
• It should be used exactly as prescribed by your doctor. You should not consume more than your doctor has prescribed. If you have kidney or liver disease, consult your doctor.
• Along with taking Gluconorm G2, you should make certain lifestyle changes, such as exercising regularly and avoiding smoking and drinking alcohol.
• A balanced diet with plenty of fruits and vegetables is also recommended for good blood sugar control.
• Some people may experience low blood glucose levels, flatulence, metallic taste, or diarrhoea while taking Gluconorm G2. If these side effects bother you or do not go away, consult your doctor.
• Inform your doctor if you are pregnant, planning a pregnancy, or breastfeeding before beginning this tablet, as well as your complete medical history.

Overdose

• Overdose of Gluconorm G2 tablet 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

• A missed dose may lead to high blood sugar levels, which includes symptoms like feeling thirsty, excessive urination, loss of appetite, drowsiness, a fruity smell from breath, etc.
• If you missed any dose of Gluconorm G2 tablet, take it as soon as you remember it.
• 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?

• This combination 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 (allows the cells of the body to use blood glucose more effectively, reducing blood sugar).

Interactions with other medicines

• 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, medicine to lower blood cholesterol (fibrates), medicine to treat depression (Fluoxetine), medicine 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-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 pill, Enalapril may affect your kidney functions if taken along with this medicine.
• Medicines used to treat thyroid can affect the way this medicine works.