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ACMEGLIM M2 FORTE Tablet 10's

Patanjali Pharma (15.9 km)

₹39

INTRODUCTION ACMEGLIM M2 FORTE TABLET is a combination of Glimepiride and Metformin which belongs to a group of medicines called Antidiabetic agents. ACMEGLIM M2 FORTE TABLET is used to manage type 2 diabetes mellitus when diet, exercise and the single agent does not result in adequate glycemi...

Category: Diabetes

INTRODUCTION

ACMEGLIM M2 FORTE TABLET is a combination of Glimepiride and Metformin which belongs to a group of medicines called Antidiabetic agents. ACMEGLIM M2 FORTE TABLET is used to manage type 2 diabetes mellitus when diet, exercise and the single agent does not result in adequate glycemic control. Type 2 diabetes is a medical condition in which the body does not make enough insulin, or the produced insulin does not work well. Symptoms include excessive urination, excessive thirst, hunger, fatigue, and blurred vision.

Glimepiride lowers blood sugar by causing the pancreas to produce more insulin and helps the body to use insulin efficiently. Metformin is a biguanide which effectively reduces the total amount of sugar released into the blood by the liver. Along treatment with ACMEGLIM M2 FORTE TABLET follow regular exercise and diet plan as advised by your doctor to achieve better results.

Before taking ACMEGLIM M2 FORTE TABLET inform your doctor if you have type 1 diabetes mellitus, diabetic ketoacidosis, severe liver or kidney disease, acute heart problems. Inform your doctor if you are pregnant or breastfeeding. It is not suitable for use in children and adolescents under 18 years of age. Avoid consumption of alcohol during treatment with ACMEGLIM M2 FORTE TABLET as it may increase or decrease the blood sugar lowering action of ACMEGLIM M2 FORTE TABLET and increases the risk of lactic acidosis. The most common side effects of taking ACMEGLIM M2 FORTE TABLET  are taste disturbance, nausea, diarrhea, stomach ache, and vomiting. Contact your doctor if any of the symptoms worsen.

USES OF ACMEGLIM M2 FORTE TABLET

  • Used to manage type 2 diabetes mellitus (when diet, exercise and the single agent does not result in adequate glycemic control)

HOW ACMEGLIM M2 FORTE TABLET WORKS

ACMEGLIM M2 FORTE TABLET controls blood glucose levels, where glimepiride works by increasing the amount of insulin released by the pancreas in order to lower the blood glucose. Metformin works by lowering glucose production in the liver, delaying glucose absorption from intestine, and increasing the body's sensitivity to insulin.

DIRECTIONS FOR USE

Take ACMEGLIM M2 FORTE TABLET as advised by your physician. Swallow ACMEGLIM M2 FORTE TABLET with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition. Do not stop taking ACMEGLIM M2 FORTE TABLET without informing your doctor.

SIDE EFFECTS OF ACMEGLIM M2 FORTE TABLET

COMMON

  • taste disturbance
  • nausea
  • diarrhea
  • vomiting
  • stomach pain
  • loss of appetite

RARE

  • low blood sugar levels (hypoglycemia)
  • signs of reduced number of red blood cells (skin pale and weakness or breathlessness), platelets (easy bleeding or bruising) or white blood cells (repeated infections)
  • decreased vitamin B12 levels
  • skin rashes, redness, itching and hives

Stop taking ACMEGLIM M2 FORTE TABLET and contact your doctor immediately if you experience any of the following side effects:

  • lactic acidosis
  • inflammation of the liver which may result in jaundice (yellowing of skin or eyes)
  • severe allergic reactions (such as skin rash, hives, and increased sensitivity to sun, inflammation of blood vessels which may develop into serious reactions with difficulty in breathing, fall in blood pressure and sometimes progressing to shock)
  • severe low blood sugar levels including loss of consciousness, seizures

HOW TO MANAGE SIDE EFFECTS

Diarrhea

Drink lots of fluids, such as water or fruit juices to keep yourself hydrated. Avoid taking any medicine on your own for treating diarrhea. Consult your doctor if the symptom did not improve.

Loss Of Appetite

Eat when you feel hungry. Eat smaller meals frequently than usual. Snack only when you're hungry. Consult your doctor if the symptom did not improve.

Nausea And Vomiting

Stick to simple meals. Avoid eating oily, fried, and spicy foods. Do not perform any strenuous activities immediately after eating. Consult your doctor if the symptom did not improve.

Stomach Pain

Rest and relax. Eat and drink slowly or try to have smaller and frequent meals. Keep a heat pad on your stomach. Consult your doctor if the symptom did not improve.

WARNING & PRECAUTIONS

PREGNANCY
Contraindicated

ACMEGLIM M2 FORTE TABLET should not be taken during pregnancy. Consult your doctor before taking ACMEGLIM M2 FORTE TABLET if you are planning to become pregnant.

BREASTFEEDING
Contraindicated

ACMEGLIM M2 FORTE TABLET should not be taken during breastfeeding as it may pass through breast milk. Consult your doctor before taking ACMEGLIM M2 FORTE TABLET for advice.

DRIVING AND USING MACHINES
Use with Caution

Do not drive or handle any machines if you experience low or high blood sugar levels (symptoms include dizziness, tiredness, shaking or trembling) or if you develop visual problems due to altered blood sugar levels.

ALCOHOL
Consult your doctor

Avoid consumption of alcohol during treatment with ACMEGLIM M2 FORTE TABLET as it may increase or decrease the blood sugar lowering action of ACMEGLIM M2 FORTE TABLET and increases the risk of lactic acidosis. Consult your doctor for advice before taking ACMEGLIM M2 FORTE TABLET.

KIDNEY
Consult your doctor

ACMEGLIM M2 FORTE TABLET is not recommended for use in patients with severe kidney disease and it should be used with caution in patients with kidney disease and your dose will be adjusted if needed depending upon kidney function. Consult your doctor before taking ACMEGLIM M2 FORTE TABLET.

LIVER
Consult your doctor

ACMEGLIM M2 FORTE TABLET is not recommended if you have severe liver disease and it should be used with caution in patients with liver disease and your dose will be adjusted if needed depending upon liver function. Consult your doctor before taking ACMEGLIM M2 FORTE TABLET.

ALLERGY
Contraindicated

Do not take ACMEGLIM M2 FORTE TABLET if you are allergic (hypersensitive) to Glimepiride or Metformin or other sulfonylureas (such as glipizide, glibenclamide) or sulfonamides (such as sulfamethoxazole).

HEART DISEASE
Contraindicated

ACMEGLIM M2 FORTE TABLET is not recommended for use in patients with acute heart problems or recently had a heart attack or have severe circulatory problems or breathing difficulties (signs of heart failure). Consult your doctor before taking ACMEGLIM M2 FORTE TABLET.

USE IN PEDIATRICS
Contraindicated

ACMEGLIM M2 FORTE TABLET is generally not recommended for use in children and adolescents (under 18 years of age). Consult child’s doctor for advice.

USE IN GERIATRICS
Consult your doctor

ACMEGLIM M2 FORTE TABLET is not recommended for use in elderly patients (aged 75 years or above) and it should be used with caution in elderly patients (aged 65 years or above), especially in patients with impaired kidney function. Your doctor may assess your kidney function more frequently during treatment with ACMEGLIM M2 FORTE TABLET. Consult your doctor before taking ACMEGLIM M2 FORTE TABLET.

OTHERS

ACMEGLIM M2 FORTE TABLET is not recommended for use, if you have:

  • type 1 diabetes mellitus
  • diabetic ketoacidosis
  • uncontrolled diabetes with nausea, vomiting, rapid weight loss, diarrhea, lactic acidosis (lactic acid build up in the bloodstream) or ketoacidosis (ketone bodies accumulate in the blood)
  • dehydration
  • severe infection (such as infection affecting lungs or kidneys)

Before taking ACMEGLIM M2 FORTE TABLET inform your doctor if you:

  • are recovering from injury, operation, infections with fever, or from other forms of stress
  • have glucose-6-phosphate dehydrogenase (G6PD) deficiency
  • have various factors which could increase the risk of low blood sugar levels (such as undernourishment, irregular mealtime, missed or delayed meal or period of fasting, change in diet, hormone-induced disorders)

INTERACTIONS

A. Drug-Drug interactions:

Before taking ACMEGLIM M2 FORTE TABLET inform to your doctor,  if you are taking any of these medicines:

  • Other sulphonylureas such as glibenclamide, insulin (used to lower blood sugar levels)
  • Anabolics (supports muscle build up)
  • Warfarin (used for blood clot)
  • Fenfluramine (used to manage weight)
  • Phenylbutazone, azopropazone, oxyphenbutazone (used for pain and inflammation)
  • Disopyramide (used for heart problems)
  • Fibrates such as fenofibrate, nicotinic acid, colesevelam (lowers high cholesterol level)
  • Angiotensin-converting enzyme (ACE) inhibitors such as captopril, lisinopril, diuretics such as furosemide, chlorthalidone, hydrochlorothiazide or diazoxide (used for blood pressure)
  • Fluoxetine, monoamine oxidase inhibitors such as isocarboxazid, selegiline and chlorpromazine (used to manage mental disorders)
  • Allopurinol, probenecid, sulfinpyrazone (used for gout)
  • Cyclophosphamide, ifosfamide, trofosfamide (used for cancer)
  • Tetracyclines (Ex. minocycline, doxycycline), chloramphenicol, fluconazole, miconazole, quinolones (Ex. moxifloxacin, ciprofloxacin), clarithromycin, rifampicin (used to manage bacterial and fungal infections)
  • Tritoqualine, glucocorticoids (Ex. beclomethasone, hydrocortisone) (used for nasal allergies)
  • Pentoxifylline in high doses of intravenous infusion (used to improve blood flow)
  • Sulfonamides such as sulfamethoxazole (used for urinary infections)
  • Medicines used for male sex hormone replacement therapy (Ex. testosterone) and medicines containing female sex hormones (Ex. oestrogens, progestogens)
  • Sympatholytics such as clonidine, methyldopa (used for high blood pressure, heart failure, or prostate symptoms)
  • Levothyroxine (used to stimulate thyroid gland)
  • Adrenaline and sympathomimetics such as phenylephrine, norepinephrine (used for life-threatening cardiac arrest and low blood pressure)
  • Laxatives such as bisacodyl (used to manage constipation)
  • Phenytoin (used for fits)
  • Glucagon (used for severely low blood sugar)
  • Barbiturates such as pentobarbital, amobarbital (helps in nervousness and sleep problems)
  • Acetazolamide (used for increased pressure in the eye)

Overdosage:

If you or anyone else take too much of ACMEGLIM M2 FORTE TABLET, contact your doctor immediately or go to a nearest hospital straight away. Overdosage symptoms of ACMEGLIM M2 FORTE TABLET includes risk of low blood sugar levels, and it may cause life-threatening lactic acidosis. Symptoms of lactic acidosis include vomiting, bellyache with muscle cramps, general feeling of not being well with severe tiredness, reduced body temperature, low heartbeat, and difficulty in breathing.

SYNOPSIS

Drug : Glimepiride, Metformin
Pharmacological Category : Sulfonylureas, Biguanides
Therapeutic Indication : Type 2 Diabetes mellitus
Dosage Forms : Tablet

MORE INFORMATION

  • Keep ACMEGLIM M2 FORTE TABLET out of reach of children
  • Store at temperature below 25°C

FAQs ABOUT ACMEGLIM M2 FORTE TABLET

Q: What is ACMEGLIM M2 FORTE TABLET used for?

A: ACMEGLIM M2 FORTE TABLET is used to manage type 2 diabetes mellitus when diet, exercise and the single agent alone does not result in adequate glycemic control. Along treatment with ACMEGLIM M2 FORTE TABLET follow regular exercise and diet plan as advised by your doctor to achieve better results.

Q: Can I drive or handle machines after taking ACMEGLIM M2 FORTE TABLET?

A: Do not drive or handle any machines if you experience low or high blood sugar levels (symptoms include dizziness, tiredness, shaking or trembling) or if you develop visual problems due to altered blood sugar levels. Consult your doctor before taking ACMEGLIM M2 FORTE TABLET.

Q: Can I consume alcohol while taking ACMEGLIM M2 FORTE TABLET?

A: Avoid consumption of alcohol during treatment with ACMEGLIM M2 FORTE TABLET, as it may increase or decrease the blood sugar lowering action of ACMEGLIM M2 FORTE TABLET and increases the risk of lactic acidosis. Consult your doctor for advice before taking ACMEGLIM M2 FORTE TABLET.

Q: Is ACMEGLIM M2 FORTE TABLET safe to use in patients with kidney problems?

A: ACMEGLIM M2 FORTE TABLET is not recommended for use in patients with severe kidney disease and it should be used with caution in patients with kidney disease and your dose will be adjusted if needed depending upon kidney function. Consult your doctor before taking ACMEGLIM M2 FORTE TABLET.

Q: What are the common side effects of ACMEGLIM M2 FORTE TABLET?

A: The most common side effects of taking ACMEGLIM M2 FORTE TABLET are taste disturbance, nausea, vomiting, diarrhea, loss of appetite, and stomach pain. Contact your doctor if any of the symptoms worsen.

REFERENCES

1. KD Tripathi MD. Hormones and related drugs. Essentials of medical pharmacology. Seventh edition. New Delhi, May 2013. Page – 274.

2. Rakesh Kumar Sahay, Vinod Mittal, G Raja Gopal, Sunil Kota, Ghanshyam Goyal, Mahesh Abhyankar, Santosh Revenkar. Glimepiride and Metformin Combinations in Diabetes Comorbidities and Complications: Real-World Evidence. September 2020. [Accessed on July 24th 2021] https://www.cureus.com/articles/37779-glimepiride-and-metformin-combinations-in-diabetes-comorbidities-and-complications-real-world-evidence

3. Sanofi. Efficacy and Safety Comparison of Metformin/Glimepiride Combination Versus Each Compound Alone in New Diagnosed Type 2 Diabetes Patients (RECOMMEND). NIH U.S. National Library of Medicine. ClinicalTrials.gov. [Revised in January 2015] [Accessed on July 24th 2021] https://clinicaltrials.gov/ct2/show/NCT01459809

4. Torrent pharmaceuticals Ltd. Azulix MF. Metformin Hydrochloride Prolonged Release and Glimepiride Tablets I.P. [Revised in July 2019] [Accessed on July 24th 2021] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2642.pdf

5. Sanofi-aventis group. Amaryl M. Glimepiride + Metformin. [Revised in May 2015] [Accessed on July 24th 2021] http://pharm.cals.am/pharm/data/drug_124396/1470300364248.pdf

USEFUL DIAGNOSTIC TESTS

  • Glucose-Fasting Blood
  • Glucose-Postprandial Blood
  • Glycosylated Hemoglobin

AUTHOR DETAILS

Written By Dr. Janet.C, Pharm.D
Last updated on 29 Dec 2023 | 02:43 PM(IST)

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