Glimawin Tablets (Glimepiride)

Adult dose

Take once daily by mouth. Administer prior to breakfast or just before the first meal. The initial dose should start at 1 mg of Glimepiride and may be increased by 1 mg at 1 to 2-week intervals. Generally, no additional effects are observed beyond doses of 4 mg, but in some cases, doses may be increased to 6 mg or 8 mg. In combination therapy, administer 8 mg at the first meal daily along with insulin.

This medication should not be used in patients with insulin-dependent diabetes, diabetic ketoacidosis, or diabetic coma. Additionally, it should not be administered to those who are allergic to this medication or sulfonylureas. Experience with this medication in patients with severely impaired liver or kidney function is lacking, and insulin therapy is recommended instead. Women who are pregnant or may become pregnant, as well as nursing mothers, should not take this medication. In cases of severe infection, preoperative or postoperative conditions, or severe trauma, it is advisable to switch to insulin therapy. Patients with gastrointestinal disturbances such as diarrhea or vomiting should be cautious, as irregular absorption of the medication could increase the risk of hypoglycemia. This medication contains lactose, so it should not be taken by patients with lactose intolerance or galactose metabolism disorders. During the first week of taking this medication, there is an increased risk of hypoglycemia, so blood sugar levels should be meticulously monitored. Special attention should be paid to elderly patients, those with poor nutritional status or irregular meal patterns, cases where muscle exercise and carbohydrate intake do not match, and any changes in eating patterns. Patients who frequently consume alcohol or have impaired kidney or liver function, or those who have taken an overdose of this medication are at a greater risk of hypoglycemia and should be closely monitored. Patients with endocrine disorders such as thyroid or adrenal dysfunction may also be affected in their hypoglycemia control. If this medication is combined with other drugs, there may be interactions, so it is important to inform your doctor or pharmacist. This medication lowers blood sugar levels, so hypoglycemic symptoms may arise. Symptoms of hypoglycemia include headaches, severe hunger, nausea, fatigue, anxiety, confusion, dizziness, drowsiness, and decreased consciousness, potentially leading to coma in severe cases. If hypoglycemia occurs, immediate intake of sugar is necessary to relieve symptoms, and if symptoms are severe, treatment at a hospital is required. Additionally, while taking this medication, transient visual disturbances, gastrointestinal symptoms, liver dysfunction, blood abnormalities, and allergic reactions may occur, so any abnormal symptoms should be reported to a doctor immediately. This medication should be taken regularly in combination with dietary and exercise therapy, and it is crucial to continuously monitor blood sugar control. If hypoglycemia occurs, sugar should be ingested immediately, and it is advisable to always carry sugar. In stressful situations such as surgery, infection, or trauma, blood sugar control may become difficult, necessitating a switch to insulin therapy. If other diseases arise during treatment or if lifestyle habits change, dosages should be adjusted in consultation with a physician. This medication may interact with other drugs and can affect blood sugar control depending on the medications taken concurrently. Particular caution should be exercised when combined with specific antibiotics, antifungals, anticoagulants, beta-blockers, and steroids. Additionally, alcohol consumption may affect the efficacy of this medication, so caution is advised. Pregnant or breastfeeding women should not take this medication as it may be harmful to the fetus or newborn, and it is recommended to switch to insulin therapy or discontinue breastfeeding if necessary. This medication is not to be used in children under 18 years of age, as its safety and efficacy have not been established. In elderly patients, renal function may be decreased, so dosing should be carefully adjusted. In cases of overdose, severe hypoglycemia may occur, requiring immediate treatment at a hospital, and in emergency situations, administration of glucose should be performed to rapidly increase blood sugar levels. This medication should be kept out of reach of children and should be stored in its original container sealed safely.

Serious side effects

Hives, severe swelling (edema), difficulty breathing, jaundice, liver dysfunction, severe allergic reactions, anaphylaxis, angioedema, Stevens-Johnson syndrome, severe blood abnormalities (including thrombocytopenic purpura), hemolytic anemia, coma due to severe hypoglycemia, stroke-like symptoms, severe neurological symptoms (convulsions, confusion, paralysis, etc.)

Mild side effects

• Headaches
• severe hunger
• nausea
• vomiting
• fatigue
• sleep disturbances
• anxiety
• aggression
• decreased concentration
• decreased agility or activity

This medication should be stored in a tightly closed container to protect it from air and moisture. It is important to maintain room temperature between 1 degree and 30 degrees when storing.

Appearance

Green rectangular tablet

Package unit

Bottle - 30 tablets/bottle, Bottle - 100 tablets/bottle, Bottle - 300 tablets/bottle