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Gliva Plus 40 mg/400 mg Tablet

Mova Pharmaceutical Pvt Ltd

Composition for Gliva Plus 40 mg/400 mg Tablet

Prescription Required

Primary uses of Gliva Plus 40 mg/400 mg Tablet

Potentiallyunsafewith
Alcohol
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Medicine Overview of Gliva Plus Tablet

Uses of Gliva Plus Tablet

Gliva Plus 40 mg/400 mg Tablet is used in the treatment of type 2 diabetes.

Gliva Plus Tablet side effects

Common

Side Effects of Gliva Plus are Hypoglycemia (low blood sugar level), Taste change, Nausea, Diarrhoea, Stomach pain, Headache, Upper respiratory tract infection.

How to use Gliva Plus Tablet

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. Gliva Plus 40 mg/400 mg Tablet is to be taken with food.
This medicine may cause stomach upset if taken empty stomach.

How Gliva Plus Tablet works

Gliva Plus 40 mg/400 mg Tablet is a combination of two antidiabetic medicines: Gliclazide and Metformin. Gliclazide 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.

In Depth Information on Gliva Plus Tablet

Expert advice for Gliva Plus Tablet

  • 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 Gliva Plus 40 mg/400 mg 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 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 Gliva Plus 40 mg/400 mg 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).
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Gliva Plus Tablet related warnings
Special precautions for Gliva Plus Tablet
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
Gliva Plus 40 mg/400 mg 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
Gliva Plus 40 mg/400 mg 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
Gliva Plus 40 mg/400 mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Gliva Plus 40 mg/400 mg Tablet may be needed. Please consult your doctor.
Use of Gliva Plus 40 mg/400 mg 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
Gliva Plus 40 mg/400 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Gliva Plus 40 mg/400 mg Tablet may be needed. Please consult your doctor.
Gliva Plus 40 mg/400 mg 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.

Patient Concerns

Questions Related to Gliva Plus
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
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
Two months back detected type 2 diabetes undergoing treatment of istamet 50/ 500 twice a day before detecting i was fit and fine but now when undergoing treatment i feel drowsy no freshness feel more week why so
Dr. Sanjay Bhatt
Diabetes Specialist
It may be psychological effect of diabetes you have. You no need to worry about.Take medicine regularly and try to keep sugar level in normal limits. Do exercise regularly.
I am surfing from type 2 diabetes age 39 taking glychek m 1/2 tab after meals now I am also suffering from loud sound gas problem what I do get rid of this
Dr. Sunil Sekhri
Diabetes Specialist
Avoid Gas forming foods e.g. beans, cabbage, onions, broccoli, sprouts, cauliflower, cucumbers, apples, raisins, bananas. Avoid Carbonated drinks, Cheese. Packed foods e.g. salad dressings, cereals , breads Use Spices e.g Cumins, Ajwain, Hing, Turmeric.
I have type 2 diabetes. Pls suggest any medicine. Is diabetic curable/ controlable with homeopathy. my blood sugar is 121(fast) and 220(pp).
Dr. Saurav Arora
Homeopathy
Dear Sir along with you regular medicines for diabetes you may take SYZ 1x tab (WSI), one tab twice daily for a month.
Is BGR34 is effective in type 2 diabetes? Kindly advice the quantity and time to use it.
Dr. Aanchal Maheshwari
Ayurveda
yes , it is effective. Dose depend upon value of sugar. should be taken before meal

User Submitted Feedback For Gliva Plus 40 mg/400 mg Tablet

Survey Participants: 2
Disclaimer
“The following are the results of on-going survey on 1mg.com for Gliva Plus 40 mg/400 mg Tablet. These results only indicate the perceptions of the website users. Please base your medical decisions only on the advice of a doctor or a registered medical professional.”

Frequently asked questions about Gliva Plus Tablet

Frequently asked questions about Gliva Plus Tablet

Q. Does Gliva plus expire?
Yes, Gliva plus does expire. The expiry date is written on the pack of the medicine and it refers to the last day of the month mentioned. Do not use Gliva plus after the expiry date.
Q. What is Gliva plus?
Gliva plus is a combination of two medicines: Gliclazide+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. Gliclazide 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 Gliva plus?
The use of Gliva plus 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 Gliva plus cause hypoglycemia?
Yes, the use of Glipizide+Metformin 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 glucose tablets, honey or fruit juice with you.
Q. Can the use of Gliva plus cause lactic acidosis?
Yes, the use of Gliva plus 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 Gliva plus and immediately consult your doctor.
Q. Can the use of Gliva plus lead to Vitamin B12 deficiency?
Yes, the use of Gliva plus 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. Are there any specific conditions in which Gliva plus should not to be taken?
The use of Gliva plus should be avoided in patients with known allergy to any of the component or excipients of this medicine, in patients with moderate to severe kidney disease and in patients with underlying metabolic acidosis including diabetic ketoacidosis.
Q. Is it safe to take alcohol while I am also taking Gliva plus?
No, it is not safe to take Gliva plus along with alcohol, as it may lower your low blood sugar levels (hypoglycemia) and can increase the chances of lactic acidosis.

Substitutes for Gliva Plus 40 mg/400 mg Tablet

Glycinorm-M 40 Tablet
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₹5.84/Tablet
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₹5.62/Tablet
67% costlier
Claformin 40 mg/400 mg Tablet
Orchid Chemicals & Pharmaceuticals Ltd
₹3.58/Tablet
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