What Is Diamicron MR Gliclazide Tablets, And Whats Its Uses Dosage Side Effects?
Diamicron Tablets (20 MG, 30 MG, 60 MG, 80MG) contains a very useful drug known as Gliclazide which is a sulfonyl urea compound. So, Diamicron Tablets a medicine that reduces blood sugar levels and an oral antidiabetic medicine belonging to the sulfonylurea group. Meanwhile, it used for certain from of diabetes (type 2 diabetes mellitus ) in adults. When diet, exercise and weight loss alone do not have an adequate effects on keeping blood sugar at the correct levels.
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Diamicron MR Tablets Dosage
Most importantly, the doctor or the pharmacist will decide the exact (20 MG, 30 MG, 60 MG, 80 MG) Tablets Dosage according to an individual patient condition. Meanwhile, The dose is determined by the doctor, depending on your blood and possibly urine sugar levels. However, change in external factors (weight reduction , change in life style , stress ) or improvements in the blood sugar control may require changed gliclazode doses.
Meanwhile, recommended daily Diamicron MR Tablets Dose is half to two caps(maximum 120 mg ) in a single intake at breakfast time. However, this depends on the response to treatment. Furthermore, the tab can be divided into equal doses.
Uses In Urdu Hindi
Furthermore, take Diamicron (20 MG, 30 MG, 60 MG, 80 MG) Tablets with a glass of water at breakfast time (and preferably at the same time each day). Swallow your half tab or whole tab in one piece. On the other hand, Do not chew or crush it. Moreover, patient must always eat a meal after taking your dose
On the other hand, If a combined therapy of Diamicron MR capsules with metformin, an alpha glucosidase inhibitor, a thiazolidinedione, a dipeptidyl peptidase 4 inhibitor, a GLP 1 receptor agonist is initiated. However, your doctor will determine the proper dose of each medicine individually for you.
If you notice that your blood sugar levels are high although you are taking the medicine as prescribed, you should urgently contact your doctor or pharmacist.
Overdosage Symptoms And Treatment
If you take more Diamicron MR Tablets than you should or If you take too many capsules, contact your doctor or immediately go to the nearest hospital.
The signs of overdose are those of low blood sugar (hypoglycaemia). Meanwhile, the symptoms can helped by taking sugar (4 to 6 lumps) or sugary drinks straight away, following by a substantial snack or meal. However, If the patients is unconscious, immediately inform a doctor and call the emergency services. The same should be done if somebody (for instance a child ) has taken the product unintentionally. Consequently, unconscious patients must not given food or drink.
If You Forget To Take It
If it important to take your medicine every day as regular treatment works better. However , if you forget to take a dose of Diamicron tab , take the next doae at the usual time. Most importantly, you must remember that patient must not take double dose to make up for a forgotten dose.
If You Stop Taking The Medicine
As the treatment for diabetes is usually life long , you should discuss with your doctor before stopping this medicine. Meanwhile, stopping could cause high blood sugar (hyperglycaemia) which increase the risk of developing complications of diabetes.
Diamicron MR Warnings And Precautions
Firstly, you should observe the treatment plan prescribed by your doctor to achieve proper blood sugar levels. This means, apart from regular medicine intake, to observe the dietary regimen, have physical exercise and, where necessary, reduce weight.
Secondly, during Glicalzide Tablets treatment regular monitoring of your blood (and possibly urine ) sugar levels and also your glycated haemoglobin (HbA1 c ) is necessary .
Furthermore, in the first few weeks of treatment the risk of having reduced blood sugar levels (hypoglycaemia) may increased. So particularly close medical monitoring necessary.
Low blood sugar (Hypoglycaemia) may occur ;
- if you take meals irrrgularly or skip meals altogether , if you are fasting,
- if you are mainourished,
- You change your diet,
- if you increase your physical active and carbohydrate intake dose not match this increase,
- if you drink alcoholic drinks, specially in combination after skip the meals,
- You take other medicines or natural remedies at the same time,
- if you take too much high doses of gliclazide Tablets
- if you suffer from particular hormone induced disorder (functional disorder of the thyroid gland , of the pituitary gland or adrenal cortex).
- Your kidney function or liver function severely decreased.
If You have Low Blood Sugar You May Have The Following Symptoms
- Haedache
- Intense hunger
- Nausea
- Vomiting
- Weariness
- Sleep disorder
- Restlessness
- Aggressiveness
- Poor concentration
- Reduced alertness and reaction time
- Depression
- Confusion
- Speech or visual disorder
- Tremor
- Sensory disturbances
- Dizziness
- Helplessness
- Sweating
- Clammy skin
- Anxiety
- Fast or irregular heart beat
- High blood pressure
- Sudden strong pain in the chest that may radiate in into nearby areas (angina pectoris) .
Therefore, if blood sugar levels continue to drop you may suffer from considerable confusion (derlirum), develop conclusion, loss self control, your breathing may be shallow and your heart beat slowed down, you may become unconscious.
Symptoms Of Low Blood Sugar Will Vanish
In most cause the symptoms of low blood sugar vanish very quickly when you consume some form of sugar (for instance glucose capsules , sugar cubes, sweet juice ,sweetened tea). So you should therefore always carry some form of sugar with you (glucose capsules , sugar cubes). Remember that artificial sweeteners are not effective. Please contact your doctor or the nearest hospital if taking sugar dose not help or if the symptoms recur.
Symptoms of low blood sugar may be absent, less obvious or develop very slowly or you are not aware in time that your blood sugar levels has dropped. Meanwhile, this may happen if you are an elderly patients taking certain medicines (for instance, those acting on the central nervous system and beta blockers). If you are in stress situations (accidents , surgical operations , fever etc.) your doctor may temporarily switch you to insulin therapy.
Symptoms of high blood sugar (hyperglycaemia) may occur when glicazide has not yet sufficiently reduced the blood sugar, when you have no complied with the treatment plan prescribed by your doctor , if you take St johns Wort (Hypericum perforatum) preparations medicine and Diamicron 60 mg tablet ) or in special stress situations. Consequently, these may include thirst, frequent urination, dry mouth, dry itchy skin, infection and reduced performance. Furthermore, If these symptoms occur , your must contact your doctor or pharmacist.
Diamcron tablet is not recommended for use in children due to a lack of data.
Other medicine and this product, Tell blood sugar lowering effect of gliclazide may be strengthened and signs of low blood sugar levels may occur when one of the following medicine is taken. Other medications used to treat high blood sugar ( oral antidiabretics , receptor agonists or insulin), antibiotics (sulfonamides, clarithromycin), drugs to treat high blood pressure or heart failure (beta blockers , ACE inhibitors such as captopril, or enalapril) , medications to treat fungal infections (miconazole , fluconazole), medicine to treat ulcer in the stomach or duodenum (H2 receptor antagonists ,
- Medications to treat depression (monoamine oxidase inhibitors ) ,
- painkiller or antirheumatics (phenylbutazone , ibuprofen, )
- Drug containing alcohol .
The blood glucose lowering effect of gliclazide may be weakened and raised sugar levels may occur when one of the following product is taken;
-
drug to treat disorder of the central nervous system (chlorpromazine)
-
medication reducing inflammation (corticosterosids),
-
medicine to treat asthma or sued during labour (intravenous salbutamol, ritodrine and terbubtaline, )
-
drug to treat breast disorder ,heavy menstrual bleeding and endometriosis danazol
-
St johns Wort Hypericum perforatum preparation.
Blood glucose disturbance (low blood sugar and high blood sugar ) can occur when a medicine belonging to a class of antibiotics called fluroquinolonas is taken at the same time than Diamicron 60 mg , especially in elderly patients.
On the other hand, it may increase the effects of medicine which reduce blood clotting (Warfarin).
Diamicron MR Tablets Drug Interactions
Consult your doctor before you start taking another medicine product . If you go into hospital tell the medicine staff you are taking this medication.
Diamicron MR Tablets Use In Pregnancy And Breastfeeding
Diamicron MR tablet not recommended for use during pregnancy.
If you are pregnant , think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine.
You must not take it while you are breastfeeding.
Effect On Driving Vehicles And Using Machines
Your ability to concentrate or react may be impaired if your blood sugar is too low (hypoglycaemia), or too high (hyperglycaemia) or if you develop visual problems as a result of such conditions. Bear in mind that you could endanger yourself or other ( for instance when driving a car or using maschines).
Please ask your doctor whether you can drive a car if you ;
If you have frequent episodes of low blood sugar (hypoglycemia), have few or no warning signals of low blood sugar (hypoglycemia).
Diamicron (20 mg 30 mg 60 mg 80 mg) caplets contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.
Contraindications
Do not take the it If you are allergic to gilclazide or any of the other ingredients of this product. Or to other medicine of the same group (sulfonylurea) , or to other related medicines (hypoglycaemic sulfonamides)
- if you have insulin deperdent diabetes (type 1) ;
- if you have ketone bodies and sugar in your urine (this may mean you have diabetic keto acidosis , a diabetic pre coma ;
- You have severe kidney or liver diasease;
- if you have taking medicines to treat fungal infection (miconazole) other products and this medication
- if you are breastfeeding .
Diamicron MR Tablets Side Effects
Like all medicine , this sometimes can cause side effects, although not everybody gets them.
The most commonly observed side effects is low blood sugar (hypoglycaemia). For symptoms and sings see Warnings and precautions. If left untreated , these symptoms could progress to drowsiness, loss of consciousness or possibly coma. If an episode of low blood sugar severe or prolonged , even if temporarily controlled by eating sugar, you should seek immediate medicine attention.
Liver Disorder
There have been isolated reported of abnormal liver function, which can cause yellow skin and eyes. If you get this, see your doctor immediately. The symptoms generally disapper if the capsules use is stopped , Your doctor will decide whether to stop your treatment.
Skin Disorder
Skin reactions such as rash, redness, itching , hives, angioedema (rapid swelling of tissues such as eyelids, face , lips, mouth, tongue or throat that may result in breathing difficulty) have been reported . The rash may progress to widespread blistering or peeling of the skin. Exceptionally, sings of severe hypersensitivity reactions (DRESS) have been reported.; initially as flu like symptoms and a rash on the face then an exended rash with a high temperature.
Blood Disorder
Decrease in the number of cells in the blood (e.g platelets, red and white blood cells) which may cause paleness, prolonged bleeding , bruising , sore throat and fever have been reported. These symptoms usually vanish when the treatment disconytinued.
Digestive Disorder
Abdominal pain, nausea, vomiting , indigestion , diarrhoea, and constipation. These effects reduced when use it with a meal as recommended.
Eye Disorder
Your vision may affected for a short time especially at the start of treatment. This effects is due to changes in blood sugar levels.
As for other sulfonylureas, the following adverse events have observed; cases of severe changes in the number of blood cells and allergic inflammation of the wall of blood vessels, reduction in blood sodium (hyponatremia), symptoms of liver impairment (for instance jaundice ) which in most cases disappeared after withdrawal of the sulfonylurea, but may lead to life threatening liver failure in isolated cases. Reporting of side effects
If you get any side effects , talk to your doctor or pharmacist.
Storage Instructions
You must not use the medicines after the expiry date which always stated on the carton of the every medicine. Most importantly, always keep on a place which is out of the reach of you children. Furthermore, store the Diamicron MR capsules on a cool and dry place as well as protect it from direct sun light and heat.
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Diamicron MR Tablets (20 MG, 30 MG, 60 MG, 80 MG) Price Details
- Price In Pakistan: Rs. 306 PKR
- Price In India: 275 INR
- Price In USA: 3 USD