Dounil M 5/500 mg 30 tablets

Glibenclamide / Metformin Hydrochloride 5 mg / 500 mg Tablets Why use Glibenclamide / Metformin Hydrochloride: Glibenclamide / Metformin Hydrochloride combination is used to lower blood sugar levels in type 2 diabetes (non-insulin dependent) as an addition to a healthy diet and exercise. Do not take Glibenclamide / Metformin Hydrochloride: If you have an allergy to Glibenclamide, Metformin, other sulfonylureas, sulfonamides, or any other ingredients of this medicine. If you have type 1 diabetes (insulin-dependent). If you have diabetic ketoacidosis (a serious complication where blood sugar levels are very high and you experience nausea, frequent urination, fatigue, and muscle weakness). If you have severe liver problems. If you have kidney problems. If you are dehydrated (lost a lot of water from your body due to prolonged or severe diarrhea, or if you have vomited several times in a row). If you have a severe infection, such as lung or kidney infection. If you have acute heart failure or recently had a heart attack, or have serious vascular problems or breathing difficulties. If you are taking a medication called Bupressan for high blood pressure. If you consume a lot of alcohol. Precautions and warnings: Tell your doctor about all your health conditions, including if you: Are recovering from an injury, surgery, fever, or other forms of stress. Have liver or kidney problems. Have a deficiency of an enzyme called Glucose-6-Phosphate Dehydrogenase (G6PD). Have a heart disease. You should stop taking this medicine for a period before major surgery. Talk to your doctor. This medicine may cause a rare but serious complication called lactic acidosis, especially if you have impaired kidney function. Signs of lactic acidosis include stomach pain, vomiting, muscle cramps, severe fatigue, difficulty breathing, low body temperature, and irregular heartbeat. This medicine can cause a decrease in blood sugar levels, especially if you miss a meal, exercise a lot, or drink alcohol. Signs of low blood sugar include nausea, hunger, shivering, dizziness, confusion, drowsiness, difficulty speaking, and sweating. You can take a sugar cube or some juice. Possible side effects: Stop using this product and seek immediate medical care if you develop a rash; itching; red, ulcerated, or peeling skin; chest or throat tightness; difficulty breathing, swallowing, or speaking; unusual hoarseness; swelling of the mouth, face, lips, tongue, or throat. The frequency of these side effects is unknown. Serious side effects: Allergic reactions Low blood sugar Liver problems Lactic acidosis Other medications and Glibenclamide / Metformin Hydrochloride: Tell your doctor about all medications you are taking. Glibenclamide / Metformin Hydrochloride interacts with many drugs including: Other medications used for diabetes Some blood pressure medications Birth control pills Medications for mood disorders Some antibiotics Steroid-free anti-inflammatory drugs Corticosteroids Anticoagulants like Warfarin Phenytoin Digoxin Some cholesterol-lowering drugs Some asthma medications like Salbutamol Imaging dyes used in X-rays How to take Glibenclamide / Metformin Hydrochloride: This medication is for adults only. Take this medication as prescribed by your doctor. Take this medication with food. The usual starting dose is Glibenclamide 1.25 – 2.5 mg / Metformin 500 – 1000 mg, given once or twice daily. How to store Glibenclamide / Metformin Hydrochloride: Store at room temperature between 20 to 25 degrees Celsius. Keep this medicine out of reach of children. Do not use this medicine after the expiration date printed on the package. Product details: Brand: Downil Quantity: 30 tablets Product form: Tablets Product type: Tablets