GEMER PL 2MG TABLET

Uses and Benefits of GEMER PL 2MG TABLET (GLIMEPIRIDE 2MG + PIOGLITAZONE 7.5MG + METFORMIN 500MG)

This composition is used to treat type 2 diabetes mellitus in adults, usually when diet, exercise, and a single medicine are not enough to control blood sugar.

WHAT THIS MEDICINE IS USED FOR

• Controlling high blood sugar levels in type 2 diabetes
• Used along with diet and exercise for better sugar control
• Sometimes used when single-drug therapy has not worked well enough

HOW IT WORKS

• Glimepiride helps the pancreas release more insulin
• Pioglitazone makes the body's cells more sensitive to insulin
• Metformin reduces the amount of sugar made by the liver and improves insulin use by muscles
• Together they help lower blood glucose from multiple angles

WHAT IT IS NOT USED FOR

• Not used for type 1 diabetes
• Not used for diabetic ketoacidosis (a medical emergency)
• Not a treatment for weight loss
• Not meant for occasional or as-needed use; it is a regular daily therapy

Side Effects of GEMER PL 2MG TABLET (GLIMEPIRIDE 2MG + PIOGLITAZONE 7.5MG + METFORMIN 500MG)

COMMON SIDE EFFECTS

• Nausea or upset stomach
• Diarrhea
• Loss of appetite
• Metallic taste in mouth
• Mild weight gain

LESS COMMON SIDE EFFECTS

• Swelling in legs or ankles
• Headache
• Dizziness
• Low blood sugar (especially if meals are skipped)

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of severe low blood sugar: cold sweat, shaking, confusion, fainting
• Unusual tiredness, muscle pain, or difficulty breathing (possible sign of lactic acidosis)
• Yellowing of skin or eyes, dark urine (liver problem)
• Sudden weight gain, shortness of breath, or chest pain (possible heart or fluid problem)
• Severe allergic reaction: rash, swelling of face/throat, difficulty breathing
• Blood in urine or new bladder-related symptoms

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use GEMER PL 2MG TABLET (GLIMEPIRIDE 2MG + PIOGLITAZONE 7.5MG + METFORMIN 500MG)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily with the first main meal of the day
• Swallow the tablet whole with water; do not crush or chew unless advised
• Do not skip meals after taking this medicine, as it can cause low blood sugar
• Continue diet and exercise plan as advised by your doctor
• Do not stop the medicine suddenly without consulting your doctor

IF YOU MISS A DOSE

• Take it as soon as you remember, with food if possible
• If it is almost time for your next dose, skip the missed dose
• Do not take two doses together to make up for a missed one

STORAGE

• Store at room temperature, away from heat and direct sunlight
• Keep in original packaging, away from moisture
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for GEMER PL 2MG TABLET (GLIMEPIRIDE 2MG + PIOGLITAZONE 7.5MG + METFORMIN 500MG)

This medicine is available only with a valid doctor's prescription in India.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to glimepiride, pioglitazone, metformin, or similar drugs
• Have type 1 diabetes or diabetic ketoacidosis
• Have severe kidney or liver disease
• Have heart failure or a history of bladder cancer
• Are pregnant or breastfeeding, unless specifically advised by your doctor

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have any kidney, liver, or heart problems
• Have a history of low blood sugar episodes
• Are scheduled for surgery or an X-ray/scan involving contrast dye
• Drink alcohol regularly
• Have a history of bone fractures or osteoporosis

MEDICINES THAT CAN INTERACT

• Other diabetes medicines or insulin (risk of low blood sugar)
• Steroids and certain diuretics
• Blood pressure medicines
• Certain antibiotics and antifungals
• Alcohol (increases risk of low blood sugar and lactic acidosis)

FREQUENTLY ASKED QUESTIONS

Can I drink alcohol while taking this medicine?

It is best to avoid alcohol as it increases the risk of low blood sugar and other complications.

Will this medicine cause weight gain?

Some weight gain and fluid retention can occur; inform your doctor if it becomes noticeable.

Can I stop the medicine once my sugar is controlled?

• No, do not stop without consulting your doctor, as diabetes needs long-term management.
• Doctor ya pharmacist se salah lein.