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Glimepiride (2mg) + Metformin (500mg) + Pioglitazone (15mg)
Storage- Keep it in cool and dry place below 30°C
Consume Type- Oral
Gemer P 2 Tablet is a combination medicine of three antidiabetic drugs, namely Glimepiride, Metformin and Pioglitazone that help to control blood sugar levels. This medicine is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus. It helps in proper utilisation of insulin, thereby lowering the blood sugar levels.
Glimepiride works by stimulating beta cells in the pancreas that produce insulin. Thus, insulin helps to remove sugar from the blood. Metformin works by reducing the sugar production by cells in the liver and delays sugar absorption from the intestines. Also, it increases the sensitivity of muscle cells to insulin which enables these cells to remove sugar more effectively from the blood. Pioglitazone works by increasing the sensitivity of liver, muscle and fat cells to insulin and enables cells to remove glucose from blood more effectively. Thereby, Gemer P2 Tablet helps to control blood sugar levels.
- Antidiabetic- Type 2 diabetes
Directions for use
- It should be taken as directed by your doctor and in the prescribed quantity.
- Swallow it as a whole with a glass of water with food. Do not cut, break or chew the medicine.
- It would be best if you take it at a fixed time for optimal results.
- Keep it away from the reach of children
- Do not use expired medicine.
- Tell the doctor about the medicines, supplements, or herbals you are currently taking or might take to avoid possible interaction.
- If you have missed any dose, take it as soon as you remember. If it is time for the next dose, skip the missed dose and continue your regular dosing schedule.
- You should continue to exercise regularly, eat a healthy diet, and take your other diabetes medicines along with Gemer-P2 Tablet.
- Take it with food to lower your chance of having an upset stomach.
- Monitor your blood sugar level regularly while you are taking this medicine.
- It can cause hypoglycemia (low blood sugar level) when used with other antidiabetic medicines, alcohol or if you delay or miss a meal.
- Inform your doctor about your diabetes treatment if you are due to have surgery under a general anesthetic.
- Tell your doctor immediately if you experience any deep or rapid breathing or if you have persistent nausea, vomiting, and stomach pain as Gemer-P2 Tablet may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood.
- Your doctor may check your liver function regularly. Inform your doctor if you develop symptoms such as abdominal pain, loss of appetite, or yellowing of the eyes or skin (jaundice).
- Avoid alcohol and try to quit smoking
It is not necessary for everyone to experience the side effects. In case of any discomfort, consult your doctor.
- Hypoglycemia (low blood glucose level)
1. Can the use of Gemer-P2 Tablet lead to lactic acidosis?
Answer-Yes, the use of this medicine can lead to lactic acidosis. It is a medical
emergency which is caused by increased levels of lactic acid in the blood. Symptoms of
lactic acidosis may include muscle pain or weakness, dizziness, tiredness, feeling of
cold in arms and legs, difficulty in breathing, nausea, vomiting, stomach pain or slow
heart rate. If you have these symptoms, stop taking the medicine and consult your
2. What should I avoid being a diabetic patient?
Answer- Do not shop when you are hungry. You could be tempted to buy oily and fried
food. Avoid overeating. Avoid maida, white bread, potato, noodles, corn flakes, poori,
biryani, naan, fried rice, etc. Stop having having fried food and curries with excess oil.
3. What is hypoglycemia? Can Gemer-P2 Tablet cause hypoglycemia?
Answer- Hypoglycemia refers to low blood sugar levels. Gemer-P2 can cause
hypoglycemia. The symptoms of hypoglycemia include nausea, headache, irritability,
hunger, sweating, dizziness, fast heart rate, and feeling anxious or shaky.
Hypoglycemia can occur if you miss or delay your food, drink alcohol, over-exercise, or
take other anti diabetic medicine along with this medicine. If you experience any of the
symptoms of hypoglycemia, inform your health care professional who may then adjust
the dose of the medicine to better suit your needs.
4. Can Gemer-P2 Tablet cause stomach upset?
Answer- Yes, the medicine can cause a minor upset of the stomach. However, do not
stop taking it. Discuss with your doctor in case of severe stomach upset.
5. When should I have check up of HbA1c (Hemoglobin A1C)?
Answer- If you have been affected by diabetes, you should have a test of HbA1c once
in three months.