Glimulin 2MF Forte Tablet SR


Overview

Uses of Glimulin-MF Tablet SR
Glimulin 2MF Forte Tablet SR is used in the treatment of type 2 diabetes.
Glimulin-MF Tablet SR side effects
Common
  • Hypoglycemia (low blood sugar level)
  • Taste change
  • Nausea
  • Diarrhoea
  • Stomach pain
  • Headache
  • Upper respiratory tract infection
How to use Glimulin-MF 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. Glimulin 2MF Forte Tablet SR is to be taken with food.
Glimulin 2MF Forte Tablet SR may cause stomach upset if taken empty stomach.
How Glimulin-MF Tablet SR works
Glimulin 2MF Forte Tablet SR 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.
Glimulin-MF 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
Glimulin 2MF Forte Tablet SR 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
Glimulin 2MF Forte Tablet SR 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
Glimulin 2MF Forte Tablet SR should be used with caution in patients with kidney disease. Dose adjustment of Glimulin 2MF Forte Tablet SR may be needed. Please consult your doctor.
Use of Glimulin 2MF Forte Tablet SR 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
Glimulin 2MF Forte Tablet SR should be used with caution in patients with liver disease. Dose adjustment of Glimulin 2MF Forte Tablet SR may be needed. Please consult your doctor.
Glimulin 2MF Forte Tablet SR 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.
Glimulin 2MF Forte Tablet SR
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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 Glimulin 2MF Forte Tablet SR.
  • 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 Glimulin 2MF Forte Tablet SR 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 Glimulin-MF

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I am diabetic since 17 yrs and hyper tensive since 11 yrs, using GLIMULIN MF FORTE in the morning, JANUMET 50/1000 in the afternoon, GLIMULIN MF in the night. CONCOR AM 5mg in the morning, TELMA 40 in the evening, GABAPIN NT 400 twice daily, ECOSPRIN AV 75 in the afternoon. But since last 3 months I have been facing episodes of severe gas trouble with bloating but no pain in the stomach. For this the doctor had suggested RIFAGUT 550 mg twice daily for 5 days, then after the reoccurrence in 1 month he again prescribed RIFAGUT 550mg for another 5 days along with VSL-3 once daily for 10 days after lunch, again there was an episode after 15 days FLUDAC 10 mg capsule was asked to be taken at the night. Now I had taken it for 4 days and yet yesterday night the same problem reoccured. I have observed that in all these episodes there is one thing common in my diet which is watermelon. I doubt that it's high fructose level is the culprit. After eating the gas trouble starts with in 3 hrs and the gas doesn't stop for another 3 hrs, during this I have to continuously force out the gas through mouth or else my stomach and chest keeps ballooning out and a false feeling of heart trouble is being felt by me due to which we had to undergo ECG which was normal. After browsing in the Internet I doubt that I am having fructose intolerance please suggest.
Dr. Jagruti Shah
Diabetes Specialist
Fructose intolerance can also give similar type of complaints to confirm you can reduce or diabetic continue fruits for may be week and observe. Some times you can be having low grade infection with gas forming bacteria which may require short course of antibiotic therapy followed by weekly maintainence therapy.Some times changing bacterial flora with the help of prebiotic preparation may helpSome vegetables like cabbage, excess of fibre intake especially in raw form also can give similar presentationMaintaining food diary will help you to find out food related problem. Some patients in addition of change in diabetes medicine may require investigations like endoscopy
High cholesterol and lipid. Also type 2 diabetes under control. Vegetarian. Pls advise on dite
Dr. Waseem Mirza
Sexologist
Per day calorie intake should be between 1,500-1,800 calories with a proportion of 60:20:20 between carbohydrates, fats and proteins, respectively, take Healthy fats from raw nuts, olive oil, fish oils, flax seeds etc, fresh Fruits and vegetables,whole grains, legumes and other high-fibre diet, avoid refined carbohydrate diet,if u eat non veg u can take fish, poultry egg white, pulses whereas avoid red meat, avoid saturated fats like ghee, butter, avoid sweet foods, take small but frequent meals, supplements containing omega 3 fatty acids like Multivite fm omega capsule Quit smoking, avoid too much alcohol intake, find ways to reduce stress like meditation, yoga, etc. Moderate exercise daily like a brisk walk for 1 km. hope it helps
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User Feedback


FAQs

Q. What are the storage condition for Glimulin-MF?
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 Glimulin-MF lead to lactic acidosis?
Yes, the use of Glimulin-MF 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 Glimulin-MF and immediately consult your doctor.
Q. What is Glimulin-MF?
Glimulin-MF 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 Glimulin-MF?
The use of Glimulin-MF 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 Glimulin-MF lead to Vitamin B12 deficiency?
Yes, the use of Glimulin-MF 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 Glimulin-MF cause hypoglycemia?
Yes, the use of Glimulin-MF 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 Glimulin-MF?
No, it is not safe to take Glimulin-MF 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 31st May 2018.
Manufacturer/Marketer Address
Glenmark Pharmaceuticals Limited, B/2, Mahalaxmi Chambers, 22, Bhulabhai Desai Road, Mumbai – 400 026.
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MRP
202.5
15 tablet sr in 1 strip
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