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Last updated on:
23 Nov 2018 | 04:32 PM (IST)
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Gliheart-M 2 Tablet


Overview

Uses of Gliheart-M Tablet SR

Gliheart-M 2 Tablet is used in the treatment of type 2 diabetes.

Gliheart-M Tablet SR side effects

Common
  • Hypoglycemia (low blood sugar level)
  • Taste change
  • Nausea
  • Diarrhea
  • Stomach pain
  • Headache
  • Upper respiratory tract infection

How to use Gliheart-M Tablet SR

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. Gliheart-M 2 Tablet is to be taken with food.
Gliheart-M 2 Tablet may cause stomach upset if taken empty stomach.

How Gliheart-M Tablet SR works

Gliheart-M 2 Tablet 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.

Gliheart-M Tablet SR 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
Gliheart-M 2 Tablet 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
Gliheart-M 2 Tablet 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
Gliheart-M 2 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Gliheart-M 2 Tablet may be needed. Please consult your doctor.
Use of Gliheart-M 2 Tablet 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
Gliheart-M 2 Tablet should be used with caution in patients with liver disease. Dose adjustment of Gliheart-M 2 Tablet may be needed. Please consult your doctor.
Gliheart-M 2 Tablet 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.
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Expert Advice

  • 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 Gliheart-M 2 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. 
  • Inform your doctor about your diabetes treatment if you are due to have surgery under a general anesthetic.
  • 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 if you have persistent nausea, vomiting, and stomach pain as Gliheart-M 2 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).

Patient Concerns

Questions Related to Gliheart-M

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I was diagnosed with type 2 diabetes in January and I m taking medicine. Now it's under control. Can you suggest me a meal plan that I can go for to control my weight and diabetes. Thank you
Dr. Shikha Mishra
Dietician
eat 6-7 meals per day, which consist fruits, nuts, buttermilk,egg, homecooked food. Drink 3-4 litters of water.Be active whole day for personalized diet chart write to me on shikhamishra.nutrition@gmail.com do minimum 45 min exercise everyday like yoga, cardio or weights
I have type 2 diabetes since 2 years. Since 6 months, my sugar level remains between 130-150. I take doctor prescribed Gluconorm tablet twice a day. Is it enough?
Dr. Sanjay Bhatt
Diabetes Specialist
I think you should follow diabatic diet chart which will help you to your sugar level in normal limit with tab. gluconorm
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FAQs

Q. What are the recommended storage conditions for Gliheart-M?

Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions 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 Gliheart-M lead to lactic acidosis?

Yes, the use of Gliheart-M 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 considered to be harmful for 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 Gliheart-M and consult your doctor immediately.

Q. What is Gliheart-M?

Gliheart-M is a combination of two medicines: Glimepiride and Metformin. This medicine is used in the treatment of type 2 diabetes mellitus (DM). It improves blood glucose levels in adults when taken along with proper diet and regular exercise. 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 Gliheart-M?

The use of Gliheart-M 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 effects like lactic acidosis. On long-term use it can also lead to Vitamin B12 deficiency.

Q. Can the use of Gliheart-M lead to Vitamin B12 deficiency?

Yes, the use of Gliheart-M can cause Vitamin B12 deficiency on long-term use. It interferes with the absorption of Vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can experience tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in maintaining balance (ataxia). To avoid such problems, some researchers suggest an intake of Vitamin B12 from outside sources at least once every year.

Q. Can the use of Gliheart-M cause hypoglycemia?

Yes, the use of Gliheart-M 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, over-exercise or take other antidiabetic medicine along with it. So, regular monitoring of the 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 Gliheart-M?

No, it is not safe to take Gliheart-M along with alcohol, as it may lower your blood sugar levels and lead to hypoglycemia. It can also increase the chances of lactic acidosis.
The medicine details are for information purpose only. Consult a doctor before taking any medicine.
Manufacturer/Marketer Address
Sales Office : No. 16/1394 (6), 1st Floor,JPN. 122, Mounted Police Road., Thiruvananthapuram, Kerala, 695014, India
One of the following licensed pharmacy from the nearest location will deliver Gliheart-M 2 Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your prescription and the availability of this medicine: HLP, PIC, MPC, SBI, APS, SNL, RUS, KHS, TPN, NCE, DIL, NSF, AGP, VUR, SGC, LMS, PRC, UVD, HLT, PSE, WPL, BJR, VHP, GGL, MAM, NAS, ZNT, RYL, RPI, GPP, SGN, SIO, BRC, AGT, ITF, OIP, ALC, MDO, MDH, MAX, ATH, RPP, MKT, BDI, LHP, AVC, HCP, KNH, WHR, RKS, SPF, MLC, LCC, ORH, RPA, SSI, BHC, BDN, BLE, BJP, NNP, DAO, SDM, CTP, PEN, H2H, FRM, PWN, LIP, NLC, RAC, PTP, USF, KCI, THP, BSG, EVP, CHP, SRS, HEX, KRR, MDN, GRP, VNS, GPT, VDH, PHC, ENV, ZEL, VTR, RHL, DPL, CLT, CCM, JBT, MDX, TOM, XPR, AVL, MTD, PRN, AAA, GHR, XMX, HPC, AHP, NVL, MAP, UHP, LHA, NRS, GBL, MOM, ADM, NAI, JSL, AAY, SHN, MAG, AVW, SHC, MIL, EAN, SYS, HNP, ADE, RGH, JLS, HIP, TPS, PRT, APT, BHM, PAP, NTB, NRC, GMA, BSL, DFP, AFT, HMP, GNC, O4O, SBN, SYN, SMN, NTL, SVH, CNE, SLS, EEC, DCS, HSP, HVS, QTM, RSS, TAP, NNH, GNH, FDM, JHC, NXG, LTL, AYN, WAD, NVY, DYG, UMP, RPM, KLC, PHP, ABP, ENP, VEM, TSS, SIP, SNB, VJS, SGH, BHA, CPK, KIM, NTN, SBL, DAD, KHC, ALY, SOF, LAG, BMR, IPP, PTO, NFP, 9MM, WMW, RBT, IPL, NLP, BHP, BFV, EWH, RJP, GVP, OBS, TYN, PPR, SGA, OHM, SHG, ATL, MBP, GEO, STO, SNH, SCP, KIS, ISI, LBO, DSH, GHC, MMF, RHW, RSA, EQN, PSF, AMM, QLF, NRP, NPH, JVN, GLD, KMC, PTI, SNG, GDA, NPS, PLL, RKN, RTL, HNF, PHN, BGS, ABL, GIE, AAR, SPR, 1MH, SMS, HOP, MLT, PRL, DPP, RPC, KHH, SDE, CSE, SCH, HWS, DHP, FGH, SWA, VSL, MRS, VOP, NXT, GBC, JLI, 2ML, RGR, RHS, IAD, MJT, CMD, BLP, HAT, BES, KHP, OWT, EMB, DZY, AND, IMC, BLS, WDE, WSI, NEO, YBF, NSL, SLN, MGL, OWN, GTF, WSH, BNT, IDB, MKE, ANP, SBA, KHD, SBC, OMV, PVP, BAP, AMR, SPS, JIV, SDS, ZVO, UPA, SPV, OWP, PMA, KAL, HNT, USM, VHC, SWP, PNQ, AVB, SVS, HMS, FTP, NGW, ZVP, DAT, CMC, CBE, FIP, CZT, SAH, HZF, GHP, ASP, NBG, VAF, AHH, HSM, STA, MIP, PNT, WHP, SVA, BMJ, HTV, RWP, HPP, ADF, TRP, GFL, SLC, KBC, ANT, PRE, VMH, EPS, JJE, BNC, RRP, VTH, OLT, PCA, AYU, KOS, GPL, ATP, WHL, THR, PLT, BHS, SHD, ELS, SRG, DRA, SPD, MTM, SYC, DLY, ERS, HSS, YAG, HTS, TSC, BBT, ESY, RWL, IAH, RTN, AGC, JJD, FRS, EPR, VSC, DVH, OWI, ROF, ARD, DHR, RDR, VHS, NDP, BSN, CRN, GTC, HNA, AXM, MBN, AMH, MDI, DGN, CAE, BBN, RMR, BTM, MSD, NSM, BTH, HBV, GBB, 4IT, PME, TNH, MMC, STS, BIO, DLP, SSR, MNS, RVC, SAF, DYL, HHH, NTS, BBS, RDH, HGI, ALP
MRP
57
10 tablet sr in 1 strip
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