Gemer 1 Tablet ER

Gemer 1 Tablet is a combination of Glimepiride and Metformin. This is used to treat patients suffering from type 2 Diabetes. patients who can't control blood sugar levels through diet and exercise alone. Hence, this drug is used to enhance the positive effects of diet and exercise about blood sugar.

It is also used in combination with other anti-diabetic medicines. This is a type of sulfonylurea along with Biguanid. This combination of anti-diabetic medicine helps the pancreas in releasing insulin. Through which help in reducing the blood sugar level.

Before starting a course of the medication, there are certain precautions that need to be taken. Firstly, any form of allergy must be mentioned to the consulting doctor. Also, if you have any history of kidney or liver diseases, it should be mentioned to the doctor.

The common side effects arising due to the intake of Gemer are sweating, dizziness, headache, fatigue, weakness, etc. Generally, these side effects are mild and go away on their own after a few days. If it doesn’t then it’s important to seek medical care immediately.

• Type 2 Diabetes Mellitus

• Liver Disease

• Allergy

• Hypoglycemia

• Nausea

• Diarrhoea

• Stomach Pain

• Headache

• Upper Respiratory Tract Infection

• How long is the duration of effect?

  The medicine remains active in the body for 1 to 2 days after onset of action.

• What is the onset of action?

  The effect can be observed within 1 to 3 hours of administration.

• Are there any pregnancy warnings?

  This medicine is extremely unsafe to be used during pregnancy. Studies carried out on humans and animals have shown significant adverse effects on the fetus. Doctor consultation is recommended in such cases.

• Is it habit forming?

  No habit forming tendencies were reported

• Are there any breast-feeding warnings?

  This medicine is not recommended for women who are breastfeeding due to a risk of severe adverse effect to the infant.

• Is It safe with alcohol?

  It is found to be unsafe to consume alcohol while taking this medicine.

• Is it safe to drive while on this medicine?

  This medicine might affect the consciousness of the patient due to its affect on blood sugar that could be too high or too low. Thus patient must avoid driving while taking this medicine.

• Does this affect kidney function?

  Caution must be taken while using this medicine in patients with kidney disease. Adjustment of dose might be needed. Kindly consult your doctor before taking it.

• Does this affect liver function?

  Caution must be taken while using this medicine in patients with liver disease. Adjustment of dose might be needed. Kindly consult your doctor before taking it.

Below is the list of medicines, which have the same composition, strength and form as Gemer 1 Tablet ER , and hence can be used as its substitute.

• K Glim M 1 Tablet Sr

  Blue Cross Laboratories Ltd

• Ziglim M 1Mg/500Mg Tablet Sr

  FDC Ltd

• Glimital-M Tablet SR

  Talent India

• Glimiprex Mf 1Mg/500Mg Tablet Sr

  Aristo Pharmaceuticals Pvt Ltd

• Glimestar-M 1 Tablet Sr

  Mankind Pharma Ltd

• Glyciphage-G 1 Tablet Sr

  Franco-Indian Pharmaceuticals Pvt Ltd

• Euglim-M 1 Tablet ER

  Zydus Cadila

• Geminor M 1 Tablet Sr

  Macleods Pharmaceuticals Pvt Ltd

• Metgli 1 Mg/500 Mg Tablet Sr

  Ordain Health Care Global Pvt Ltd

• Glimisave M 1 Tablet Sr

  Eris Life Sciences Pvt Ltd

• Are there any missed dose instructions?

  The missed dose can be taken as soon as you remember. If it is time for the next dosage then the missed dose can be skipped.

• Are there any overdose instructions?

  It is recommended to discontinue the medication and contact your doctor immediately if an overdose is suspected.

Gemer Tablet lowers blood glucose by stimulating the release of insulin from pancreatic beta cells. Also, it decreases glucose production in the liver, decreases intestinal absorption of glucose, and improves insulin sensitivity by increasing bodies glucose uptake and utilization.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

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• Interaction with Alcohol

  Avoid using alcohol while taking this medicine. Symptoms such as prolonged weakness and muscle pain, lack of sleep, breathing difficulties after alcohol intake should be reported to the doctor immediately.

• Interaction with Medicine

  • Iodinated Contrast Media: Discontinue the usage of Gemer 1 Tablet ER at least 48 hours prior to the intake of Iodinated Contrast media. Inform the doctor about Gemer 1 Tablet ER use so that it can be temporarily discontinued.
  • Gatifloxacin: Report the usage of either of the medicine to the doctor. Use of Gemer 1 Tablet ER is not recommended along with Gatifloxacin and suitable alternates should be used instead.
  • Amlodipine: Report the use of either of the medication to the doctor as dose adjustment and safety monitoring may be required.
  • Aloe Vera: Consult your doctor for use of aloe vera while taking Gemer 1 Tablet ER. Suitable dose adjustments and safety monitoring may be required if the intended use is for a long duration.
  • Estradiol: Consult your doctor if you are planning to take Estradiol while taking Gemer 1 Tablet ER. Dose adjustment might be required in such cases. It is advised to consult your doctor before starting or stopping any medication while taking Gemer 1 Tablet ER.

• Interaction with Disease

  • Lactic Acidosis: You should report the incidence of conditions like kidney impairment, heart disease, severe diarrhea, septicemia to the doctor before taking Gemer 1 Tablet ER. Supervised dosing and monitoring of blood sugar levels might be required in such cases. Any signs and symptoms indicative of the above-mentioned conditions should be reported immediately.
  • Vitamin B12 Deficiency: Inform the doctor about incidences of anemia or Vitamin B12 deficiency so that suitable Vitamin supplements can be prescribed if needed.Vitamin B1 deficiency.

• Ques : What is Gemer 1 Tablet ER?

  Ans : Gemer is a medication which has Glimepiride and Metformin as active elements present in it. This medicine performs its action by increasing the amount of insulin released by the pancreas, reducing the amount of glucose and controls the amount of glucose in the blood.

• Ques : What are the uses of Gemer 1 Tablet ER?

  Ans : This medication is a medication, which is used for the treatment and prevention from conditions such as Treatment of type 2 diabetes mellitus Maturity-onset diabetes, Treating the type 2 diabetes mellitus, Polycystic ovary syndrome, etc.

• Ques : What are the Side Effects of Gemer 1 Tablet ER?

  Ans : Gemer 1 Tablet is a medication which has some commonly reported side effects such as: Hunger pangs, Weight gain, Deficiency of red blood cells, Abdominal pain, Abnormal blood counts, Diarrhea, Headache, Accidental injury, Flu syndrome, Nausea, Dizziness, Hypoglycemia, Allergic reactions, Impairment of liver function, etc.

• Ques : What are the instructions for storage and disposal Gemer 1 Tablet ER?

  Ans : Store this medication in a cool dry place and keep it in the original pack or container until it is time to take them. Store this medication out of sight and reach of children. Unused medicines should be disposed of in special ways to ensure that pets, children and other people cannot consume them.

• Ques : How long do I need to use Gemer 1 Tablet ER before I see improvement of my conditions?

  Ans : Gemer tablet is a medicine which takes 1 or 2 days before you see an improvement in your health conditions. It would be ideal if you note, it doesn't mean you will begin to notice such health improvement in a similar time span as different patients.

• Ques : What are the contraindications to Gemer 1 Tablet ER?

  Ans : Contraindication to Gemer tablet. In addition, this medication should not be used if you have the following conditions such as Acute myocardial infarction, Cardiovascular collapse, Diabetic ketoacidosis, Hypersensitivity, Hypersensitivity to sulfonamide derivatives, Hypersensitivity to this drug, Renal disease, and Septicemia.

• Ques : Is Gemer 1 Tablet ER safe to use when pregnant?

  Ans : This medication is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

• Ques : Will Gemer 1 Tablet ER be more effective if taken in more than the recommended dose?

  Ans : No, taking higher than the recommended dose of Gemer 1 Tablet ER can lead to increased chances of side effects such as Headache, Accidental injury, Flu syndrome, etc.

• Metformin- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 26 April 2019]. Available from:

  https://druginfo.nlm.nih.gov/drugportal/name/metformin

• Metformin: Important information you need to know- Drugs Bank [Internet]. drugsbanks.com. 2017 [Cited 26 April 2019]. Available from:

  https://www.drugsbanks.com/metformin/

• Glimepiride- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2019 [Cited 29 April 2019]. Available from:

  https://druginfo.nlm.nih.gov/drugportal/name/glimepiride

• Glimepiride- DrugBank [Internet]. Drugbank.ca. 2019 [Cited 16 May 2019]. Available from:

  https://www.drugbank.ca/drugs/DB00222