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Overview

Glimepiride

Prescription vs.OTC: Prescription by Doctor required

Glimepiride is a drug that is used on treating patients suffering from type 2 Diabetes, who cant control blood sugar levels through diet and exercise alone. Hence this drug is used to enhance the positive effects of diet and exercise with respect to blood sugar. It is also used in combination with other anti-diabetic medicines. It is a type of sulfonylurea anti diabetic medicine, that helps the pancreas in releasing insulin thus helping reduce the blood sugar level. It belongs to a class of drugs known as sulfonylureas.

Glimepiride is a drug that is used on treating patients suffering from type 2 Diabetes,who can?t control sugar levels through diet and exercise alone. Hence this drug is used to enhance the effects of diet and exercise. It is also used along with other anti-diabetic medicines. It is a type of sulfonylurea anti diabetic medicine which helps the pancreas in releasing insulin thus helping reduce the blood sugar level.It belongs to a class of drugs known as sulfonylureas. Glimepiride is available in oral tablet form.

Before starting a course of the medication, there are certain precautions that need to be taken. Firstly, any form of allergy must be mentioned to the the consulting doctor. Also, if you have any history of kidney or liver diseases, it should be mentioned to the doctor.

Glimepiride makes the skin much more sensitive to the sun. Hence, if you are using this medication, use sunscreen to avoid skin problems. Limit the intake of alcohol during medication. Also inform the doctor if you are currently using any prescribed drugs or diet supplement. This drug shouldn?t be used by pregnant women. If you had a surgery recently, it is advisable not to take this medicine. The starting dose for Glimepiride is a 1mg tablet once every day.

Glimepiride might cause certain side effects as well. The common side effects arising due to the intake of Glimepiride are: anxiety, irritability, sweating, dizziness, headache, fatigue, weakness etc. Generally these side effects are mild and go away on their own after a few days. If it doesn?t, then it?s important to seek medical care immediately. There might be some severe side effects too in rare cases. It might cause severe low blood sugar in some cases. It might also result in symptoms such as seizures, weakness, blurred vision etc. It can also cause allergic reactions like anaphylaxis which causes swelling of tongue or throat and causes difficulty in breathing. Some other side effects are stomach swelling, vomiting, nausea etc. Such severe side effects must be treated immediately.

Glimepiride should be stored at a temperature between 20 to 25 degree celcius. It should be kept away from heat, moisture and direct sunlight. Keep the drug away from the reach of the children and pets.

type Diabetes
Primary Hypercholesterolemia (high levels of cholesterol in the blood)
Glimepiride is used in the lowering of abnormally high levels of lipids in the blood.
Mixed Dyslipidemia
Glimepiride is used to reduce high levels of LDL cholesterol and triglycerides in the blood (main constituents of body fat in humans and other animals, as well as vegetable fat). It also increases the levels of high density cholesterol.
Hypertriglyceridemia
Glimepiride is used in the lowering of triglycerides in the blood.
Homozygous Familial Hypercholesterolemia
Glimepiride is also used in the management of blood cholesterol and lipid levels in cases where the condition is inherited.
Prevention of cardiovascular diseases
Glimepiride is used in the prevention of stroke and heart attack if you are at risk due to conditions like Diabetes, Hypertension, Coronary Heart Disease etc. It is also used in people who don't have an active disease but are exposed to multiple risk factors like smoking, age, family history of occurrence etc.
Glimepiride is not recommended if you have an active liver disease indicated by high levels of Transaminase levels in the body.
Glimepiride is not recommended if you have a known history of allergy to it.
In addition to its intended effect, Glimepiride may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Cough Major Less Common
Glimepiride can cause severe cough as a side effect. It should be promptly reported to the doctor
Difficulty in swallowing Major Less Common
Glimepiride can cause difficulty while swallowing food. It should be promptly reported to the doctor.
Diarrhea Major Common
Glimepiride can cause diarrhea along with stomach discomfort, nausea, and vomiting.
Impaired liver function Moderate Less Common
Glimepiride can cause an increase in serum Transaminase and other components indicating an impaired liver function.
Joint Pain Major Common
Glimepiride can cause pain in the joints.
Muscle pain Major Common
Glimepiride can cause pain in muscles along with cramps and twitches.
Running Nose Moderate Common
Glimepiride can cause running nose and difficulty in breathing.
Difficulty in breathing Moderate Common
Insomnia Minor Rare
Glimepiride can cause lack of sleep in some patients.
How long is the duration of effect?
The medicine remains active in the body for 3 to 4 days after onset of action.
What is the onset of action?
The effect can be observed within 3 to 5 days of administration.
Are there any pregnancy warnings?
This medicine is not recommended for women who are or may become pregnant.
Is it habit forming?
No habit forming tendencies were reported
Are there any breast-feeding warnings?
This medicine is not recommended for women who are breastfeeding due to a risk of severe adverse effect to the infant.
Are there any missed dose instructions?
The missed dose can be taken as soon as you remember. If it is time for the next dosage then the missed dose can be skipped.
Are there any overdose instructions?
It is recommended to discontinue the medication and contact your doctor immediately if an overdose is suspected.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Liver Disease Major
Glimepiride should be given with extreme caution if you have an active liver disease. The dosage has to be suitably adjusted and clinical monitoring of liver function is necessary. The medicine should be discontinued if the liver function is abnormal even after reducing the dosage.
Rhabdomyolysis Major
Any incidence of a muscle disorder either active or historic should be reported to the doctor. The dosage needs to be very carefully adjusted in such cases. Clinical monitoring may be required in some cases. Any symptoms like muscle pain, weakness should be reported especially if it is accompanied by fever and unease.
Cognitive Impairment Moderate
Glimepiride should be given with caution if you have any symptoms of memory loss, forgetfulness or confusion. The effects tend to go away once the use of statin is discontinued.
Diabetes Moderate
The doctor should be informed if you suffer from Diabetes. Glimepiride should be taken with caution and close monitoring is required in such cases.
Interaction with Alcohol
Alcohol
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Grapefruit Juice Moderate
Consumption of grapefruit juice should be avoided while you are on Glimepiride. Signs and symptoms like muscle pain and weakness, fever, and chills, swelling of joints, skin rash, nausea, vomiting should be reported to the doctor.
Interaction with Medicine
Clarithromycin Major
The liver may be damaged if these medicines are taken together. Consult your doctor before taking Glimepiride with a medicine containing Clarithromycin. Report the historic use of either of the drugs to your doctor without fail. The doctor can make suitable adjustments to the dosage with close monitoring of lipid levels and liver function.
Atazanavir Major
The liver may be damaged if these medicines are taken together. Report the usage of either of the medicine to the doctor so that suitable adjustment in dosage and constant monitoring of liver function can be done.
Cyclosporine Major
The liver may be damaged if these medicines are taken together. Report the usage of either of the medicine to the doctor so that suitable adjustment in dosage and constant monitoring of liver function can be done.
Erythromycin Major
The liver may be damaged if these medicines are taken together. Report the usage of either of the medicine to the doctor so that suitable adjustment in dosage and constant monitoring of liver function can be done.
Azithromycin Moderate
The liver may be damaged if these medicines are taken together. Report the usage of either of the medicine to the doctor so that suitable adjustment in dosage can be done. Safety parameters need to be monitored at regular intervals. Any symptoms like muscle pain, weakness and dark colored urine should be reported immediately.

Popular Questions & Answers

I take glimepiride 1 mg before half an hour of taking lunch & take Metformin 1000 mg immediate after taking lunch since last 3 years. Please advice that if I choose to take combo pack of glimepiride 1 mg & Metformin 1000 mg from now then what will be the name of this combo pack medicines & at which time of taking lunch before or after it should be taken regularly. Thanks.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
I take glimepiride 1 mg before half an hour of taking lunch & take Metformin 1000 mg immediate after taking lunch sin...
Thanks for the query. You can take the combination of Glimepiride and Metformin instead of taking those drugs separately. It is better to take it half an hour before food. Thanks.

Respected sir, I am suffering from type 2 diabetes suggest me ways to control, I am using gemer 0.5 mg as prescribed by my family doctor, but I want to know other precautions and daily measures to control.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Respected sir,
I am suffering from type 2 diabetes suggest me ways to control, I am using gemer 0.5 mg as prescribed ...
Mr. lybrate-user, Thanks for the query. There is no mention about blood glucose levels, so no idea whether diabetes is well controlled or not with 0.5 mg Glimepiride, When treatment is adequate fasting glucose should be < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Usual precautions are: Avoid sweets, deep fried foods, junk foods, pastries, bakery items, foods made from maida and colas. Refrain from alcohol & smoking. Increase the intake of green leafy vegetables, salads and fruits. Always use whole grain flour for roti and chapati. Exercise regularly for over 1 hour a day and maintain normal weight. If you have any doubts please come back. Thanks.

My age is 38 years I am using tablet telvas h since 3 months now my bp is 80/120 can I discontinue or reduce dose, I am taking Metformin 500 mg, Glimepiride 1 mg since 2 months, now my Sugar levels are 75/112 shall I stop now?

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Endocrinologist, Mumbai
My age is 38 years I am using tablet telvas h since 3 months now my bp is 80/120 can I discontinue or reduce dose, I ...
I would suggest you not to stop the medicines. Reduction of the dose can definitely be attempted, however let the doctor decide on it. Stopping meds altogether will cause both blood pressure and sugar to shoot up.
5 people found this helpful

I am a hypertensive & diabetic. I take glimepiride 2 mg + Metformin 500 mg combination for sugar but nowadays this above mentioned combination doesn't work for me. After taking above tablet my Fasting is 200 and PP is 350. Kindly help me and prescribe a better medicine combination for me. Thanks in advance. Regards.

MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
I am a hypertensive & diabetic. I take glimepiride 2 mg + Metformin 500 mg combination for sugar but nowadays this ab...
You can take homeopathic medicine Gymnema sylvestre Q, 10 drops twice a day in a cup of water for a month, and then report thereafter for further treatment. Besides this, constitutional medicine is to be prescribed for permanent cure, for which a detailed case record is to be done. So for treatment in homeopathy, book an online appointment with us.

Popular Health Tips

Avoid The Ban Medicines To Be Safe

BHMS
Homeopath, Singrauli
Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium &amp; 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine &amp; inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus
151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

54 people found this helpful

diabetic double risk of parkinsonism

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
diabetic double risk  of parkinsonism
Diabetes more than doubles the risk of developing Parkinson's disease while metformin therapy protects against that risk, according to research published in the publication Parkinsonism and Related Disorders.

Parkinson's disease is a disorder of the brain that leads to tremors and difficulty with walking, movement and coordination. It most often develops in people age 50 or older and is one of the most common nervous system disorders of the elderly, according to the National Institutes of Health. There is no known cure.

The major 12-year study in Taiwan found that while diabetes increases the risk of Parkinson's 2.2 fold, including metformin in the therapy negates that risk.

?An exciting aspect of the finding is that metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism. This means it may also be considered a relevant therapy for the prevention of dementia as well,? said Mark Wahlqvist, professor at the National Health Research Institutes in Taiwan and lead author of the study.

Metformin is the first-line medication for patients with type 2 diabetes. This affordable and commonly prescribed oral drug lowers blood glucose levels by decreasing the amount of glucose produced by the liver and enhancing insulin action. It's a type of biguanide drug used since the 1950s with a relatively safe record.

Researchers also found that use of sulfonylurea drugs, a common treatment for diabetes, further increases the risk by about 57 percent.

Sylfonylureas are a category of oral medications that stimulate the beta cells of the pancreas to release more insulin, according to the American Diabetes Association. Sylfonylurea drugs have been in use since the 1950s and include glipizide, glyburide, glimepiride and chlorpropamide.

Researchers theorize that metformin may re-set the regulation of energy metabolism in the brain cells. They suspect that exercise and diet may have the same energy regulating effect.

The study does not examine the mechanism behind metformin's protective effect on the brain. Researchers say that additional research is needed in this area.

Past research has shown that metformin reduces cardiovascular mortality and several cancers, including those of the large bowel, liver and pancreas.
30 people found this helpful

14 things You Should Know About Sex

CCT (UK) General Psychiatry, MD-Psychiatry, MBBS Bachelor of Medicine and Bachelor of Surgery
Psychiatrist, Delhi
14 things You Should Know About Sex

14 things you should know about sex

There are so many stories around sex, it’s hard to know what to believe. Find out the facts - it's the best way to make sure you have safer sex.

Can you get pregnant the first time you have sex? can you get pregnant if a boy withdraws (pulls out) before he comes? can you get pregnant if you have sex during your period? can you get pregnant if you have sex standing up? can you get pregnant from oral sex? does alcohol make you better in bed? can you use clingfilm as a condom? will a boy's balls explode if he doesn't have sex? can you wash condoms and use them again? can you get pregnant if you have sex only once? do you always get symptoms if you have an sti? can women who have sex with women get stis? do all gay men have anal sex? does starting her periods mean a girl is ready to have sex? can I get help and information on sex if I need it?

 1: can you get pregnant the first time you have sex?

Yes, pregnancy is possible even if it is the first time a girl has had sex. The truth is, if a boy and a girl have sex and don’t use contraception, she can get pregnant, whether it’s her first time or she has had sex lots of times.

A boy can get a girl pregnant the first time he has sex with her. If you’re female and have sex, you can get pregnant as soon as you start ovulating (releasing eggs). This happens before you have your first period. Read more about periods and the menstrual cycle.

Using contraception protects against pregnancy. Using condoms as well also protects against sexually transmitted infections (stis). Before you have sex, talk to your partner about contraception, and make sure you’ve got some. Find out about getting contraception and tips on using condoms.

2: can you get pregnant if a boy withdraws (pulls out) before he comes?

Yes, you can. There's a myth that a girl can’t get pregnant if a boy withdraws his penis before he ejaculates (comes). The truth is, pulling out the penis won’t stop a girl from getting pregnant.

Before a boy ejaculates, there's sperm in the pre-ejaculatory fluid (pre-come), which leaks out when he gets excited. It only takes one sperm to get a girl pregnant. Pre-come can contain stis, so withdrawing the penis won't prevent you from getting an infection.

If a boy says he’ll take care to withdraw before he ejaculates, don’t believe him. Nobody can stop themselves from leaking sperm before they come. Always use a condom to protect yourself against stis, and also use other contraception to prevent unwanted pregnancy.

3: can you get pregnant if you have sex during your period?

Yes, a girl can get pregnant during her period. The truth is, she can get pregnant at any time of the month if she has sex without contraception.

Sperm can survive for several days after sex, so even if you do it during your period, sperm can stay in the body long enough to get you pregnant.

4: can you get pregnant if you have sex standing up?

Yes, a girl can become pregnant in any position that she has sex. It is a myth that a girl can’t get pregnant if she has sex standing up, sitting down, or if she jumps up and down afterwards. The truth is, there’s no such thing as a" safe" position if you’re having sex without a condom or another form of contraception.

There are also no" safe" places to have sex, including the bath or shower. Pregnancy can happen whatever position you do it in, and wherever you do it. All that's needed is for a sperm to meet an egg.

5: can you get pregnant from oral sex?

No, you can't get pregnant following oral sex. The truth is, a girl can’t get pregnant this way, even if she swallows sperm. But you can catch stis through oral sex, including gonorrhoea, chlamydia and herpes. It’s safer to use a condom on a penis if you have oral sex. 

6: does alcohol make you better in bed?

No, alcohol does not make you better in bed. The truth is, when you’re drunk it’s hard to make smart decisions. Alcohol can make you take risks, such as having sex before you’re ready, or having sex with someone you don't like. Drinking won't make the experience better. You’re more likely to regret having sex if you do it when you’re drunk. Find out more about sex and alcohol.

7: can you use clingfilm as a condom? 

No, you cannot use clingfilm, or a plastic bag or a crisp packet instead of a condom. Only a condom can protect against stis.

8: will a boy's balls explode if he doesn't have sex?

No, this is not true. Not having sex doesn't harm boys or girls, and a boy’s balls will not explode.

Boys and men produce sperm all the time. If they don’t ejaculate, the sperm is absorbed into their body. Ejaculation can happen if they masturbate or have a wet dream. They don’t have to have sex. Find out about boys' bodies.

9: can you wash condoms and use them again?

No, condoms should only be used once. Don't believe anyone who says that you can wash condoms and use them again. If you've used a condom, throw it away and use a new one if you have sex again.

This is true for male condoms and female condoms. Condoms need to be changed after 30 minutes of sex because friction can weaken the condom, making it more likely to break or fail. Get tips on using condoms.

10: can you get pregnant if you have sex only once?

Yes, it is possible to get pregnant even if you only have sex once. You may have heard the myth that you have to have sex lots of times to get pregnant. The truth is, all it takes is for one sperm to meet an egg. To avoid pregnancy, always use contraception, and use a condom to protect against stis.

11: do you always get symptoms if you have an sti?

No, you might not know if you have an sti due to signs such as it hurting when you pee, or noticing a discharge, unusual smell or soreness. 

Many people don't notice signs of infection, so you won't always know if you're infected. You can't tell by looking at someone whether they've got an sti. If you're worried that you've caught an sti, visit your gp or local sexual health clinic. Check-ups and tests for stis are free and confidential, including for under-16s. Find sexual health services near you.

12: can women who have sex with women get stis?

Yes, women who sleep with women can get or pass on stis. If a woman has an sti, the infection can be passed on through vaginal fluid (including fluid on shared sex toys), blood or close bodily contact. 

Always use a new condom on shared sex toys. If a woman is also having sex with a man, using contraception and condoms will help to prevent stis and unintended pregnancy.

13: do all gay men have anal sex? 

No, this isn't true. Anal sex, like any sexual activity, is a matter of preference. Some people choose to do it as part of their sex life and some don’t, whether they're gay, straight, lesbian or bisexual.

According to the third national survey of sexual attitudes and lifestyles (published in 2013), 18.5% of men and 17% of women in the 16-24 age group had had anal sex in the previous year. Whatever kind of sex you have, use a condom to protect yourself and your partner against stis. However, having sex isn't the only way to show your feelings for someone.

14: does starting her periods mean a girl is ready to have sex?

No, this isn't true. Starting your periods means that you're growing up, and that you could get pregnant if you were to have sex. It doesn’t mean that you're ready to have sex, or that you should be sexually active.

People feel ready to have sex at different times. It’s a personal decision. Most young people in england wait until they're 16 or older before they start having sex. Find out more about periods and the menstrual cycle.

8 people found this helpful

What Shall U Expect Out of Back Pain?

MPT, BPT
Physiotherapist, Noida
What Shall U Expect Out of Back Pain?

THE LONG AND THE SHORT OF IT WHAT SHOULD I EXPECT?

Realistically speaking, if you have suffered from back pain in the past, the chances are that you will suffer from it again. Up to 80% of people who have had back pain will get it again within a year. 

The trick is to learn how to handle and stay in control of your back pain, either by anticipating and preventing it, or by learning to live with it. Remember, in the vast majority of cases, back pain lasts for less than 2 weeks.

WILL IT GO AWAY ON ITS OWN?

In all probability, your back pain will sort itself out. 

If it doesn’t then there are a number of things you can try that may relieve your pain. Although a complete cure may be difficult to achieve, you should be able to live with your back pain without it restricting your life style significantly. Most importantly, you should not allow pain to control the way in which you live your life.

BECOMING AN EXPERT PATIEN

Back pain is a long-term condition that usually recurs throughout life. . 

FIVE STEPS TO GETTING THE MOST OUT OF YOUR HEALTH SERVICE

1.      Maintain a good relationship with your GP and the other members of your team.

2.      Keep your team informed of any changes you notice in your symptoms.

3.      Keep your team informed of all the treatments you are taking.

4.      Agree with your team on your personal management targets.

5.      Know what to expect and when you need to ask for help.

GETTING THE MOST OUT OF YOUR HEALTH SERVICE 

If you have had one episode of back pain, the chances are that you will experience another at some point later in your life.

Back pain can be a long-term condition and it needs to be treated on a case-by-case basis. Maintaining a good relationship with your GP, or any other member of your pain management team, is fundamental to managing your back pain effectively. 

These people will be able to explain to you why you are in pain,teach you how best to manage your pain or to avoid it in the first place, and help to relieve your pain by physical manipulation, drug treatment, or in the most severe cases, surgery.

It is important that you remain in regular contact with a member of your pain management team, keeping them informed of any improvement or deterioration in your pain control. 

Remember if one management approach fails to work, there are many others that can be tired.Visiting your doctor can sometimes be a confusing or daunting prospect. You may find that the consultation flies by and when your doctor asks if you have any questions, your mind goes blank. Writing down a list of questions before the consultations, may help you to get the most out of your appointment.

Know the Expert for Your Back Pain!

MPT, BPT
Physiotherapist, Noida
Know the Expert for Your Back Pain!

THE PHYSICAL TREATMENT OF BACK PAIN

Physiotherapy, osteopathy and chiropractic treatment can all help to relieve back pain. All of these techniques involve manipulating parts of the backbone and some can involve exercise, massage and ultrasound therapy.All must be carried out by a suitably qualified professional. 

By correcting any underlying mechanical disturbances in the musculoskeletal system, manipulation can effectively relieve the pain and distress of back pain and minimize the need for drug treatment and the risks associated with this. However,manipulation is not recommended in some people, including pregnant women and people with osteoarthritis of the neck or osteoporosis of the spine. If manipulation is inappropriate for you then your GP will let you know.

It is important that you choose a physiotherapist, osteopath or chiropractor who is suitably qualified. There are a number of regulatory bodies in place to help you do this. By choosing  a therapist who is registered ,you are automatically ensuring that you receive the best standard of care. 

The first time you visit a therapist they will take a full medical history and ask you about your general health, lifestyle, and emotional state and family history. This may take an hour or so. Subsequent consultations will usually last about half an hour.

PHYSIOTHERAPY

Physiotherapy uses physical means (such as massage,exercise, heat or electricity) to maintain and restore your physical and mental well-being. It is an active rather than a passive treatment and is usually concerned with keeping your joints and muscles moving. As well as relieving back pain, physiotherapy can also be used to treat a large number of other common ailments like muscle sprains, sports injuries, incontinence,osteoporosis, depression and asthma. 

Physiotherapy is heavily based on the basic principles of medical science, and is therefore generally regarded as a conventional rather than a complementary kind of therapy. 

Physiotherapist working in all areas of the , private healthcare, industry and education, and physiotherapy is the fourth largest healthcare profession in the country.