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Glimepiride + Metformin + Sitagliptin

Uses of Glimepiride + Metformin + Sitagliptin

  • Glimepiride + Metformin + Sitagliptin is primarily used to manage type 2 diabetes in adults. This medicine falls under the class of anti-diabetic medications.

Side effects of Glimepiride + Metformin + Sitagliptin

  • Upper respiratory tract infection

  • Nasopharyngitis (common cold)

  • Diarrhoea

  • Headache

  • Hypoglycaemia (low blood sugar)

How Glimepiride + Metformin + Sitagliptin works

  • Glimepiride + Metformin + Sitagliptin is a three-component antidiabetic combination.

  • Glimepiride is a sulfonylurea. It stimulates the pancreas to produce more insulin, which helps control blood sugar levels.

  • Metformin is a biguanide. It reduces glucose production in the liver and increases sensitivity to insulin, which further helps lower blood sugar levels.

  • Sitagliptin is a DPP-4 inhibitor. It enhances the body's natural ability to lower blood sugar by increasing the levels of active incretin hormones which stimulate insulin release and reduce glucagon secretion in response to high blood sugar.

  • Together, these three components work in complementary ways to control blood sugar levels effectively in people with type 2 diabetes.

Certified content

Written By

docImg
Dr. Meenakshi MaruwadaMedical Content Writer & Strategist | 8 years

BDS, PGCAD, GMHE (IIM-B)

Reviewed By

Dr. Michelle Frank
Dr. Michelle FrankMedical Content Writer| 8 years

Doctor of Medicine

Expert Advice

Dosage Forms Available

  • Glimepiride + Metformin + Sitagliptin is available for oral use in the form of tablets.

Age and Dose Restrictions

  • This combination medicine is intended for use in adults. It is not recommended for children or adolescents.

Contraindications

  • Glimepiride + Metformin + Sitagliptin is contraindicated in patients with type 1 diabetes or diabetic ketoacidosis.

  • It is also contraindicated in patients with known allergy to any of the three active ingredients.

Other Medications to Avoid

  • Glimepiride + Metformin + Sitagliptin may interact with carbonic anhydrase inhibitors (such as acetazolamide and dichlorphenamide), strong CYP2C8 inhibitors (such as gemfibrozil), and medications that reduce metformin clearance (such as ranolazine, vandetanib, dolutegravir).

  • It is crucial to consult a doctor before starting any prescription or over-the-counter medications.

Overdose and Missed Dose

  • An overdose of this combination medicine may lead to symptoms such as hypoglycaemia, lactic acidosis, severe nausea, vomiting or diarrhoea. If you suspect an overdose, seek medical help immediately.

  • If you forget to take a dose of this medicine, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose and continue with your regular schedule. Do not double-dose to make up for a missed one.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience severe side effects or worsening symptoms, please consult your doctor.

  • Drinking plenty of water can help manage some gastrointestinal side effects, such as nausea and diarrhoea.

  • This medicine is known to cause hypoglycaemia. Regular monitoring of blood glucose levels can help prevent low blood sugar episodes.

Use in Driving and Operating Machinery

  • Glimepiride, metformin, and sitagliptin may cause dizziness or drowsiness. If you experience these side effects, avoid driving or operating heavy machinery.

Use in Pregnancy and Lactation

  • Consult your doctor before using this medicine if you are pregnant or breastfeeding. The safety of this medicine during pregnancy and lactation has not been established.

Caution in Other Conditions

  • Patients with kidney impairment, liver impairment or congestive heart failure should exercise caution when taking this medicine.

  • Regular monitoring of kidney function is recommended in these patients.

Special Dietary and Lifestyle Recommendations

  • Maintain a balanced diet to help manage blood sugar levels effectively. Limit intake of foods high in sugar and saturated fats.

  • Regular physical activity can help manage blood sugar levels and overall health. Aim for at least 150 minutes of moderate-intensity exercise a week.

  • Limit alcohol consumption as it can affect blood sugar control and increase the risk of lactic acidosis when taking this medicine.

  • Regularly monitor your blood sugar levels and share the results with your doctor. This can help your doctor determine how well the medicine is working.

Frequently asked questions

No, Glimepiride + Metformin + Sitagliptin is not a steroid. It is a combination medication used for the management of type 2 diabetes.

Glimepiride + Metformin + Sitagliptin does not typically affect sleep. However, individual side effects may vary, and any concerns should be discussed with your doctor.

The current research data does not indicate that Glimepiride + Metformin + Sitagliptin significantly affects fertility. If you have concerns about fertility, it is best to consult your doctor.

Glimepiride + Metformin + Sitagliptin is specifically indicated for the management of type 2 diabetes and should not be used for type 1 diabetes or diabetic ketoacidosis.

No, Glimepiride + Metformin + Sitagliptin is not known to cause dependency or withdrawal symptoms in patients who stop taking this medication.

Whilst certain lifestyle modifications such as regular exercise, maintaining a healthy diet, and weight management can help manage diabetes, they are not replacements for prescribed medication. Always consult your doctor before making any changes to your medication regimen.

Alcohol consumption may increase the risk of lactic acidosis and hypoglycemia when taking Glimepiride + Metformin + Sitagliptin. It is advisable to limit your alcohol intake and consult your doctor for more information.

Terms & Conditions


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