taken one tablet per day, the dose may be increased to 3-4 tablets divided
dose/day as recommended by the physician, as following :
intake per day at breakfast if the dosage is 1 tablet daily.
intake per day at breakfast and at dinner if the dosage is 2 or 4 tablets daily.
intake per day at breakfast, at lunch and at dinner if the dosage 3 tablets
contraindicated in :
Hypersensitivity to sulfonylurea or biguanid.
dependent type I.
diabetes control with ketoacidosis.
Hypoglycemia due to not eating carbohydrate enough, prolong exercise or certain
adrenal and pituitary disorders.
with caution in :
and hepatic impairment.
failure or recent myocardial infarction.
infection (respiratory tract infection & urinary tract infection).
radiological examine with iodinated contrast material for 2 days.
effects is changed if concomitantly administered with
corticosteroids, MAOI, calcium channel blockers, diuretics, oral contraceptives,
side effects like :
Hypoglycemia (tremor, blurred vision, sweating, palpitation).
nausea, vomiting, diarrhea.
reactions (urticaria, itching).
to the patients :
Swallow the tablets as whole with a drink of water.
the tablets with food at regular interval.
your doctor about other medicines you are taking including non prescription
your doctor about any other diseases you have and the side effects appear
- If you
forget to take the next dose at the usual time don't double the dose.
your doctor for regular checks, learn how to monitor blood or urine sugars and
ketones regularly , don't skip meals. If you are exercising much more than usual
you may need extra snacks to avoid hypoglycemic side effects. If you have mild
symptoms of low blood sugar, eat or drink sugars, it is important for you and
your family to recognize of hypo & hyperglycemia to reach your glycemic control
and to avoid their serious side effects.
in pregnancy and lactation.
recommended for use in pregnancy and lactation woman.