GEMERSITA IR 50/1000 Tablets

Uses and Benefits of GEMERSITA IR 50/1000 Tablets (Glimepiride 1mg + Pioglitazone 7.5mg + Metformin 500mg)

This composition is used to manage high blood sugar levels in adults with type 2 diabetes mellitus.

WHAT THIS MEDICINE IS USED FOR

• Controlling blood sugar levels in type 2 diabetes
• Used when diet, exercise and a single diabetes medicine are not enough to control sugar levels
• Helps reduce long-term complications of diabetes such as damage to eyes, kidneys and nerves

HOW IT WORKS

• Glimepiride helps the pancreas release more insulin
• Pioglitazone helps the body's cells use insulin more effectively
• Metformin reduces sugar production by the liver and improves insulin sensitivity
• Together they lower blood sugar through three different mechanisms

WHAT IT IS NOT USED FOR

• Not used for type 1 diabetes
• Not used for diabetic ketoacidosis
• Not a treatment for weight loss
• Not meant for occasional or as-needed use for sugar spikes

Side Effects of GEMERSITA IR 50/1000 Tablets (Glimepiride 1mg + Pioglitazone 7.5mg + Metformin 500mg)

COMMON SIDE EFFECTS

• Nausea or stomach upset
• Diarrhoea
• Low blood sugar (hypoglycemia)
• Weight gain
• Mild swelling of feet or ankles

LESS COMMON SIDE EFFECTS

• Headache
• Dizziness
• Metallic taste in mouth
• Loss of appetite

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Severe low blood sugar with confusion, sweating, or fainting
• Signs of liver problems such as yellowing of skin/eyes, dark urine
• Unexplained muscle pain, weakness, or breathing trouble (signs of lactic acidosis)
• Sudden weight gain, breathlessness, or swelling suggesting heart problems
• Vision changes or eye pain
• Signs of bladder cancer such as blood in urine (rare, long-term use)

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

How to Use GEMERSITA IR 50/1000 Tablets (Glimepiride 1mg + Pioglitazone 7.5mg + Metformin 500mg)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily with the first main meal
• Swallow the tablet whole with water; do not crush or chew
• Do not skip meals after taking this medicine as it can cause low blood sugar
• Continue taking it regularly even if you feel well
• Do not change the dose on your own

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for your next dose, skip the missed one
• Do not take two doses together to make up for a missed one
• If you often forget doses, ask your doctor about reminders or dosing adjustments

STORAGE

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

Safety Information and Precautions for GEMERSITA IR 50/1000 Tablets (Glimepiride 1mg + Pioglitazone 7.5mg + Metformin 500mg)

This is a prescription-only medicine in India and should be used only under a doctor's supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Have type 1 diabetes or diabetic ketoacidosis
• Have severe kidney or liver disease
• Have heart failure or a history of heart failure
• Have active bladder cancer
• Are pregnant or breastfeeding without doctor's approval
• Are allergic to any of the three components

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have any kidney, liver, or heart condition
• Drink alcohol regularly
• Are scheduled for surgery or an X-ray with contrast dye
• Have a history of bladder cancer or low bone density
• Are elderly, as risk of low blood sugar is higher

MEDICINES THAT CAN INTERACT

• Other diabetes medicines or insulin
• Steroids and certain blood pressure medicines
• Alcohol, which increases risk of low blood sugar and lactic acidosis
• Certain antibiotics and pain relievers (NSAIDs)
• Contrast dye used in scans, which can affect kidney function

FREQUENTLY ASKED QUESTIONS

Can I stop this medicine once my sugar is normal?

No, stopping suddenly can cause sugar levels to rise again; only your doctor should adjust or stop treatment.

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 is possible, especially due to the pioglitazone component; discuss diet and exercise with your doctor.
• Doctor ya pharmacist se salah lein.