glimipiride 05 mg metformin sr 500 mg

Oct 31, 2022

Introduction

SEIZMET G 0.5 is an oral anti-diabetic medication that combines Glimepiride (0.5mg) and Metformin SR (500mg) to help manage Type 2 Diabetes Mellitus (T2DM) effectively. This combination therapy works by regulating blood sugar levels through two complementary mechanisms, ensuring better glycemic control in diabetic patients.

Glimepiride belongs to the sulfonylurea class, stimulating insulin secretion from the pancreas, while Metformin SR (Sustained Release) is a biguanide, which improves insulin sensitivity and reduces hepatic glucose production. This powerful duo is widely prescribed for individuals who require improved glycemic control beyond monotherapy.

Key Ingredients

  1. Glimepiride (0.5mg): A sulfonylurea that enhances insulin release from pancreatic beta cells.

  2. Metformin SR (500mg): A biguanide that lowers glucose production in the liver and improves insulin utilization.

Together, these components provide synergistic effects to control blood sugar levels efficiently.

Key Benefits of SEIZMET G 0.5

  1. Enhanced Glycemic Control: The dual mechanism helps lower blood sugar levels more effectively than individual drugs.

  2. Reduced Insulin Resistance: Metformin improves the body’s response to insulin, reducing glucose production.

  3. Beta-Cell Preservation: Glimepiride stimulates insulin secretion, preventing pancreatic beta-cell exhaustion.

  4. Weight Neutral or Minimal Weight Gain: Unlike other anti-diabetics, Metformin minimizes weight gain commonly associated with sulfonylureas.

  5. Lower Risk of Hypoglycemia: When used appropriately, this combination offers effective glycemic control with a balanced risk profile.

  6. Improved Cardiovascular Health: Metformin is known to have cardioprotective effects, lowering cholesterol and improving heart health.

  7. Convenience of a Single Tablet: Patients benefit from fewer pills, improving medication adherence and better diabetes management.

How SEIZMET G 0.5 Works

1. Mechanism of Glimepiride:

  • Acts on pancreatic beta cells to enhance insulin secretion.

  • Reduces blood glucose levels by increasing insulin action.

  • Works by closing ATP-sensitive potassium (KATP) channels, leading to insulin release.

2. Mechanism of Metformin SR:

  • Lowers glucose production in the liver (hepatic gluconeogenesis).

  • Increases peripheral glucose uptake and utilization.

  • Delays glucose absorption in the intestine.

  • Enhances insulin sensitivity without stimulating insulin secretion, reducing the risk of hypoglycemia.

Indications & Uses

SEIZMET G 0.5 is primarily used for:

  • Type 2 Diabetes Mellitus (T2DM): As a first-line treatment or in patients inadequately controlled with diet and exercise.

  • Combination Therapy: Often prescribed when monotherapy with Metformin or Glimepiride is insufficient.

  • Prevention of Diabetic Complications: Helps reduce the risk of neuropathy, nephropathy, retinopathy, and cardiovascular diseases.

Dosage & Administration

  • Usual Dosage: One tablet once or twice daily, as directed by a healthcare provider.

  • Best Time to Take: With or immediately after meals to reduce gastrointestinal side effects.

  • Dose Adjustments: Based on fasting blood glucose (FBG) and postprandial blood glucose (PPBG) levels.

  • Missed Dose: Take as soon as remembered unless close to the next scheduled dose.

  • Overdose Management: Seek medical attention in case of severe hypoglycemia (symptoms: dizziness, confusion, sweating, or seizures).

Side Effects

Common Side Effects:

  • Hypoglycemia (low blood sugar) – sweating, hunger, tremors.

  • Gastrointestinal discomfort – nausea, vomiting, diarrhea, bloating.

  • Mild weight gain (Glimepiride component).

Rare but Serious Side Effects:

  • Lactic Acidosis (Metformin toxicity): Risk increases in renal impairment.

  • Severe Hypoglycemia: More common if taken without food.

  • Allergic Reactions: Rash, swelling, or difficulty breathing.

  • Liver Dysfunction: Uncommon but requires monitoring in long-term use.

Precautions & Warnings

  1. Avoid Alcohol: Increases the risk of lactic acidosis and hypoglycemia.

  2. Kidney & Liver Patients: Dose adjustment required; avoid in severe renal failure (eGFR < 30 mL/min).

  3. Pregnancy & Lactation: Should be used only if the benefits outweigh the risks (consult a doctor).

  4. Elderly Patients: Increased risk of hypoglycemia; careful monitoring is essential.

  5. Surgical Procedures: Temporary discontinuation may be needed.

Drug Interactions

  1. Beta-Blockers (e.g., Metoprolol, Propranolol): Can mask symptoms of hypoglycemia.

  2. Diuretics (Thiazides, Furosemide): May decrease Metformin efficacy.

  3. NSAIDs (Ibuprofen, Diclofenac): Increase the risk of lactic acidosis.

  4. Corticosteroids (Prednisone): May increase blood sugar levels, requiring dose adjustments.

  5. Antibiotics (Fluoroquinolones): Can cause unpredictable glucose fluctuations.

Lifestyle & Dietary Recommendations

  • Balanced Diet: Focus on low-GI foods, whole grains, lean protein, and fiber-rich vegetables.

  • Regular Exercise: At least 150 minutes of moderate physical activity per week.

  • Hydration: Drink plenty of water to avoid dehydration, especially with Metformin.

  • Avoid Processed Sugars: Reduce intake of refined carbohydrates and high-sugar foods.

  • Routine Monitoring: Regular blood sugar checks, HbA1c tests, and kidney function assessments.

Price & Availability in India

  • Price Range: ₹80-₹200 per strip (10 tablets), varying by brand and pharmacy.

  • Availability: Widely available at local pharmacies and online medical stores.

Frequently Asked Questions (FAQs)

1. Can SEIZMET G 0.5 cause weight gain?

  • Mild weight gain is possible due to Glimepiride, but Metformin helps counteract excessive weight gain.

2. Is SEIZMET G 0.5 safe for long-term use?

  • Yes, under medical supervision with regular kidney and liver function monitoring.

3. Can I take SEIZMET G 0.5 with insulin?

  • Yes, but dosage adjustments are required to prevent hypoglycemia.

4. What should I do if I experience severe hypoglycemia?

  • Consume a fast-acting carbohydrate (glucose tablets, juice, or sugar) and seek medical help if symptoms persist.

5. Does this medicine affect heart health?

  • Metformin has cardioprotective benefits, but Glimepiride should be used cautiously in heart patients.

Conclusion

SEIZMET G 0.5 (Glimepiride 0.5mg + Metformin SR 500mg) is an effective anti-diabetic combination therapy offering dual benefits in managing Type 2 Diabetes Mellitus. With proper dosage adherence, lifestyle modifications, and routine monitoring, it significantly improves blood sugar control and reduces the risk of diabetes-related complications.

Always consult a healthcare professional before starting, stopping, or modifying your diabetes medication regimen.

About The Author

STERIS HEALTHCARE PVT LTD

Steris Healthcare Pvt Ltd, known as Sterispharma, was founded in February 2018 by a team of experienced professionals in the pharmaceutical industry. Headquartered in Navi Mumbai, the company holds certifications from WHO, GMP, and ISO, reflecting its dedication to maintaining high standards of quality and safety. Sterispharma’s mission is to provide affordable, high-quality medications across India, strictly adhering to WHO guidelines. With the convenience of an online pharmacy, customers can easily order medicines with home delivery options.

For further information 

Email: info@sterispharma.com / contact@sterispharma.com

Call/WhatsApp: 8209542042 , 8824175417

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