Gemer Forte 2 Tablet ER


Overview

Uses of Gemer Tablet ER
Gemer Forte 2 Tablet ER is used in the treatment of type 2 diabetes.
Gemer Tablet ER side effects
Common
  • Hypoglycemia (low blood sugar level)
  • Taste change
  • Nausea
  • Diarrhoea
  • Stomach pain
  • Headache
  • Upper respiratory tract infection
How to use Gemer Tablet ER
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Gemer Forte 2 Tablet ER is to be taken with food.
Gemer Forte 2 Tablet ER may cause stomach upset if taken empty stomach.
How Gemer Tablet ER works
Gemer Forte 2 Tablet ER is a combination of two antidiabetic medicines: Glimepiride and Metformin. Glimepiride is a sulfonylurea which works by increasing the amount of insulin released by the pancreas in order to lower the blood glucose. Metformin is a biguanide which works by lowering glucose production in the liver, delaying glucose absorption from intestines and increasing the body's sensitivity to insulin.
Gemer Tablet ER related warnings
Alcohol
CAUTION
Taking metformin with alcohol can cause lactic acidosis and you may experience malaise, respiratory distress, slow or irregular heartbeat, sleepiness, stomach upset, or other unusual symptoms.
Pregnancy
WEIGH RISKS VS BENEFITS
Gemer Forte 2 Tablet ER may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Lactation
Gemer Forte 2 Tablet ER is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
Driving
Your ability to drive may be affected if your blood sugar is low or high. If this happens, do not drive.
Kidney
CAUTION
Gemer Forte 2 Tablet ER should be used with caution in patients with kidney disease. Dose adjustment of Gemer Forte 2 Tablet ER may be needed. Please consult your doctor.
Use of Gemer Forte 2 Tablet ER is, however, not recommended in patients with severe kidney disease. Regular monitoring of kidney function test is advisable while you are taking this medicine.
Liver
CAUTION
Gemer Forte 2 Tablet ER should be used with caution in patients with liver disease. Dose adjustment of Gemer Forte 2 Tablet ER may be needed. Please consult your doctor.
Gemer Forte 2 Tablet ER is generally started with low dose in patients with mild to moderate liver disease and its use is not recommended in patients with severe liver disease.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Gemer Forte 2 Tablet ER
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Expert Advice

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  • You have been prescribed this combination medicine as it can control blood sugar better than metformin alone.
  • You should continue to exercise regularly, eat a healthy diet, and take your other diabetes medicines along with Gemer Forte 2 Tablet ER.
  • 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. 
  • Inform your doctor about your diabetes treatment if you are due to have surgery under a general anaesthetic.
  • It can cause hypoglycemia (low blood sugar level) when used with other antidiabetic medicines, alcohol or if you delay or miss a meal. 
  • Tell your doctor immediately if you experience any deep or rapid breathing, or persistent nausea, vomiting, and stomach pain as Gemer Forte 2 Tablet ER 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).

Patient Concerns

Questions Related to Gemer

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As Doctor Advised me to take Gemer PL 2 Tablet but Now this tablet was banned Now sugar level is high I consulted with doctor advised as to take Gemer 2mg but its not good before eating Sugar level is 217 after eating sugar level is 293 So which tablet i take another than Gemer PL 2 and Gemer 2
Dr. Jagruti Shah
Diabetes Specialist
I f by increasing/changing dose of Gemer you are not getting good control then probably time has come to change your treatment on the basis of your proper BSF/PP, liver,kidney ,heart,Hba1c reports.
As Doctor Advised me to take Gemer PL 2 Tablet but Now this tablet was banned Now sugar level is high I consulted with doctor advised as to take Gemer 2mg but its not good before eating Sugar level is 217 after eating sugar level is 293 So which tablet i take another than Gemer PL 2 and Gemer 2
Dr. Jagruti Shah
Diabetes Specialist
If your diet and exercise is adequate and if increasing dose of gamer or quiescent brand did not help you then in that you need to change the medicine of other group.kindly let me know other details like your Cbc, Hba1c, Tsh,s.creat,heart status, so that I can advise regarding change of medicine.If you wish you can consult me
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User Feedback


FAQs

Q. What are the storage condition for Gemer?
Keep this medicine in the container or pack it came in, tightly closed. Store it as mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children, and other people.
Q. Can the use of Gemer lead to lactic acidosis?
Yes, the use of Gemer can lead to lactic acidosis. It is a medical emergency which is caused by increased levels of lactic acid in the blood. It is also known as MALA (Metformin associated lactic acidosis). It is a rare side effect associated with the use of metformin and therefore, it is contraindicated in patients with underlying kidney disease, old age patients or who take large amounts of alcohol. 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 Gemer and immediately consult your doctor.
Q. What is Gemer?
Gemer is a combination of two medicines: Glimepiride+Metformin. This medicine is used in the treatment of type 2 diabetes mellitus (DM) along with diet and exercise to improve blood glucose levels in adults. Glimepiride lowers the blood glucose levels by increasing the release of insulin from the pancreas. Metformin works by lowering the glucose production in the liver and improving insulin sensitivity. This combination is not indicated for the treatment of Type 1 DM.
Q. What are the possible side effects of Gemer?
The use of Gemer is associated with common side effects like hypoglycemia (low blood sugar level), altered taste, nausea, stomach pain, diarrhea, headache and upper respiratory tract infection. Its use can also lead to serious, but rare side effect lactic acidosis. On long term use it can also lead to Vitamin B12 deficiency.
Q. Can the use of Gemer lead to Vitamin B12 deficiency?
Yes, the use of Gemer can cause vitamin B12 deficiency on long-term use as it interferes with absorption of vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can have tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in making balance (ataxia). To avoid such problems, some researchers suggest an intake of vitamin B12 from outside at least once every year.
Q. Can the use of Gemer cause hypoglycemia?
Yes, the use of Gemer can cause hypoglycemia (low blood sugar level). Symptoms of hypoglycemia include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate and feeling anxious or shaky. It happens more often if you miss or delay your food, drink alcohol, do more than routine exercise or take other antidiabetic medicine along with. So, regular monitoring of blood sugar level is important. Always keep a quick source of sugar like glucose tablets, honey or fruit juice with you.
Q. Is it safe to take alcohol while I am also taking Gemer?
No, it is not safe to take Gemer along with alcohol, as it may lower your low blood sugar levels (hypoglycemia) and can increase the chances of lactic acidosis.
Information last updated by Dr. Varun Gupta, MD Pharmacology on 9th Oct 2018.
Manufacturer/Marketer Address
90, Delhi - Jaipur Road, Sector 32, Gurugram, Haryana 122001
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10 tablet er in 1 strip
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