GEMINOR M4 TABLET

Uses and Benefits of GEMINOR M4 TABLET (GLIMEPRIDE 4 MG + METFORMIN 500 MG)

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

WHAT THIS MEDICINE IS USED FOR

• Controlling high blood sugar (hyperglycemia) in type 2 diabetes
• Used along with diet and exercise for better blood sugar control
• Sometimes used with other diabetes medicines as advised by the doctor

HOW IT WORKS

• Glimepiride stimulates the pancreas to release more insulin
• Metformin decreases glucose production by the liver
• Metformin also helps the body's cells use insulin more effectively
• Together they help lower blood sugar levels more effectively than either alone

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 on its own
• Not meant for occasional or as-needed use; it needs regular daily use for control

Side Effects of GEMINOR M4 TABLET (GLIMEPRIDE 4 MG + METFORMIN 500 MG)

COMMON SIDE EFFECTS

• Nausea or upset stomach
• Diarrhea
• Loss of appetite
• Metallic taste in mouth
• Mild low blood sugar (hunger, sweating, shakiness)

LESS COMMON SIDE EFFECTS

• Headache
• Dizziness
• Weight gain
• Skin rash or itching
• Vitamin B12 deficiency with long-term use

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Severe low blood sugar with confusion, seizures, or loss of consciousness
• Signs of lactic acidosis: unusual muscle pain, trouble breathing, severe tiredness, stomach pain
• Yellowing of skin or eyes (jaundice)
• Severe allergic reaction: swelling of face/lips/throat, difficulty breathing, severe rash
• Dark urine or unusual bleeding/bruising

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

How to Use GEMINOR M4 TABLET (GLIMEPRIDE 4 MG + METFORMIN 500 MG)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually with breakfast or 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, exercise, and lifestyle changes 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, but if it is almost time for the next dose, skip the missed one
• Do not take two doses together to make up for a missed one
• If you miss doses often, inform your doctor

STORAGE

• Store at room temperature, away from heat and direct sunlight
• Keep in a dry place, 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 GEMINOR M4 TABLET (GLIMEPRIDE 4 MG + METFORMIN 500 MG)

This is a prescription-only medicine in India and should be taken only under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Have type 1 diabetes or diabetic ketoacidosis
• Have severe kidney or liver disease
• Are allergic to glimepiride, metformin, or sulfonamide medicines
• Have severe infection, dehydration, or are about to undergo surgery or contrast imaging tests

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have any kidney, liver, or heart problems
• Are pregnant, planning pregnancy, or breastfeeding
• Drink alcohol regularly
• Have a history of low blood sugar episodes
• Are elderly or have poor nutrition

MEDICINES THAT CAN INTERACT

• Other diabetes medicines or insulin
• Steroids or diuretics (water pills)
• Certain antibiotics and antifungals
• Blood thinners like warfarin
• Contrast dye used in X-ray or CT scan procedures

FREQUENTLY ASKED QUESTIONS

Can I drink alcohol with this medicine?

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

Will this medicine cause weight gain?

Glimepiride may cause some weight gain, but metformin often balances this out; effects vary by person.

How long do I need to take this medicine?

• Diabetes is a long-term condition, so this medicine is usually needed long term as guided by your doctor.
• Doctor ya pharmacist se salah lein.