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Gmp M 2 Tablet

Manufacturer: Aretaeus Pharmaceuticals
Medicine composition: Glimepiride, Metformin
Prescription vs.OTC: Prescription by Doctor required

Gmp M 2 Tablet 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.

Gmp M 2 Tablet 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. Gmp M 2 Tablet 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.

Gmp M 2 Tablet 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 Gmp M 2 Tablet is a 1mg tablet once every day.

Gmp M 2 Tablet might cause certain side effects as well. The common side effects arising due to the intake of Gmp M 2 Tablet 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.

Gmp M 2 Tablet 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.

Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Diabetologist before using this medicine.

Primary Hypercholesterolemia (high levels of cholesterol in the blood)

Gmp M 2 Tablet is used in the lowering of abnormally high levels of lipids in the blood.

Mixed Dyslipidemia

Gmp M 2 Tablet 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

Gmp M 2 Tablet is used in the lowering of triglycerides in the blood.

Homozygous Familial Hypercholesterolemia

Gmp M 2 Tablet is also used in the management of blood cholesterol and lipid levels in cases where the condition is inherited.

Prevention of cardiovascular diseases

Gmp M 2 Tablet 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.
Gmp M 2 Tablet is not recommended if you have an active liver disease indicated by high levels of Transaminase levels in the body.
Gmp M 2 Tablet is not recommended if you have a known history of allergy to it.
In addition to its intended effect, Gmp M 2 Tablet 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
Gmp M 2 Tablet can cause severe cough as a side effect. It should be promptly reported to the doctor

Difficulty in swallowing

Major Less Common
Gmp M 2 Tablet can cause difficulty while swallowing food. It should be promptly reported to the doctor.

Diarrhea

Major Common
Gmp M 2 Tablet can cause diarrhea along with stomach discomfort, nausea, and vomiting.

Impaired liver function

Moderate Less Common
Gmp M 2 Tablet can cause an increase in serum Transaminase and other components indicating an impaired liver function.

Joint pain

Major Common
Gmp M 2 Tablet can cause pain in the joints.

Muscle pain

Major Common
Gmp M 2 Tablet can cause pain in muscles along with cramps and twitches.

Running Nose

Moderate Common
Gmp M 2 Tablet can cause running nose and difficulty in breathing.

Difficulty in breathing

Moderate Common

Insomnia

Minor Rare
Gmp M 2 Tablet 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.
Below is the list of medicines, which have the same composition, strength and form as Gmp M 2 Tablet , and hence can be used as its substitute.
Akumentis Healthcare Ltd
Oaknet Life Sciences Private Limited
Signova Pharma Pvt Ltd
Lincoln Pharmaceuticals Ltd
Hegde and Hegde Pharmaceutical LLP
Pulse Pharmaceuticals
Pulse Pharmaceuticals
MSN Laboratories
Alde Medi Impex Ltd
Avin Pharma
Jubilant Life Sciences
Heal All Pharmaceuticals (P) Ltd.
Fourrts India Laboratories Pvt Ltd
Wallace Pharmaceuticals Pvt Ltd
Avis Lifecare Pvt Ltd
Tas Med India Pvt Ltd
Elinor Pharmaceuticals Pvt Ltd
Invision Medi Sciences Pvt Ltd
Primus Pharmaceuticals
Aristo Pharmaceuticals Pvt Ltd
Lloyd Healthcare Pvt Ltd
Aprica Pharmaceuticals Pvt Ltd
Elbrit LIfe Sciences
Medichem Pharmceuticals Ltd
Hygen Healthcare Pvt Ltd
Sinsan Pharmaceuticals
La Renon Healthcare Pvt Ltd
Indiabulls pharmaceutical ltd
RPG Life Sciences Ltd
Abbott India Ltd
Shreya Life Sciences Pvt Ltd
Indoco Remedies Ltd
Abbott India Ltd
East West Pharma
Psychotropics India Ltd
DR Best pharmaceuticals Pvt Ltd
Elder Pharmaceuticals Ltd
Unison Pharmaceuticals Pvt Ltd
Macsys LifeSciences
Sresan Pharmaceuticals
Ind Swift Laboratories Ltd
Morepen Laboratories Ltd
Stallion Laboratories Pvt Ltd
Med Manor Organics Pvt Ltd
Scott Edil Pharmacia Ltd
Talent Healthcare
Vinayak Care Solution Pvt Ltd
Tycoon Pharmaceuticals Pvt Ltd
Shine Pharmaceuticals Ltd
Stallion Laboratories Pvt Ltd
Overseas Healthcare Pvt Ltd
Tusker Pharma Pvt Ltd
Wonset Healthcare Pvt. Ltd.
M D C Pharmaceuticals P Ltd
Cadomed Pharmaceuticals Pvt Ltd
Khandelwal Laboratories Pvt Ltd
Neuron Pharma Pvt Ltd
Life Care Pharmaceuticals Pvt Ltd
Genesis Biotech Inc
Walton Healthcare Pvt. Ltd
Kinesis Pharmaceuticals Pvt Ltd
Arrient Healthcare Pvt Ltd
Cadila Pharmaceuticals Ltd
Organic Laboratories
Akesiss Pharma Pvt Ltd
Olcare Laboratories
Cachet Pharmaceuticals Pvt Ltd
Mitoch Pharma Pvt Ltd
Cognitive Life Sciences Ltd
Icon Life Sciences
Symbiotic Drugs
Medicure Life Sciences India Pvt Ltd
Aagam Life Sciences Pvt Ltd
Vidakem Lifesciences Pvt Ltd
Primus Remedies Pvt Ltd
Orris Pharmaceuticals
Icon Life Sciences
Shrinivas Gujarat Laboratories Pvt Ltd
West-Coast Pharmaceutical Works Ltd
Dr Reddy s Laboratories Ltd
Zoticus Pharmaceuticals
Elder Pharmaceuticals Ltd
Carise Pharmaceuticals Pvt Ltd
Jagsonpal Pharmaceuticals Ltd
Instanz Life Sciences Pvt Ltd
Econ Healthcare Pvt Ltd
Zydus Cadila
Koye Pharmaceuticals Pvt ltd
Fidelity Lifesciences Pvt Ltd
Strides shasun Ltd
Salud Care India Pvt Ltd
Centaur Pharmaceuticals Pvt Ltd
Zenvita Healthcare Pvt Ltd
Shreya Life Sciences Pvt Ltd

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

Gmp M 2 Tablet lowers the blood glucose by stimulating the release of insulin from pancreatic beta cells.
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
Gmp M 2 Tablet 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
Gmp M 2 Tablet 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. Gmp M 2 Tablet 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 Gmp M 2 Tablet. 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 Gmp M 2 Tablet 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.

Ques: What is Gmp M 2 Tablet?

Ans: Glimepiride is a salt which performs its action by increasing the amount of insulin released by the pancreas in order to lower the blood glucose. Glimepiride is used to treat conditions such as Type II Diabetes Mellitus.

Ques: What are the uses of Gmp M 2 Tablet?

Ans: Glimepiride is a medication, which is used for the treatment and prevention from conditions such as Type II Diabetes Mellitus. The patient should inform the doctor about any ongoing medications and treatment before using Glimepiride to avoid undesirable effects.

Ques: What are the Side Effects of Gmp M 2 Tablet?

Ans: Glimepiride is a medication which has some commonly reported side effects. These side effects may or may not occur always and some of them are rare but severe. This is not a complete list and if you experience any of the below-mentioned side effects, contact your doctor immediately. Here are some side effects of Glimepiride which are as follows: Hypoglycemia, Dizziness, Headache, Nausea, Asthenia, Flu like symptoms, Allergic skin reaction, Elevated liver enzymes, Anemia, Jaundice, and Weight gain. It is a list of possible side-effects which may occur due to the constituting ingredients of Glimepiride.

Ques: What are the instructions for storage and disposal Gmp M 2 Tablet?

Ans: Glimepiride should be kept in a cool dry place and in its original pack. Make sure this medication remains unreachable to children and pets. The patient should consult a doctor for its further uses and side effects and should inform the doctor about any ongoing medications and treatment before using to avoid undesirable effects. It is a prescribed medication.
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I have taken a body building ayurvedic medicine which has no certification or GMP certificate. And after taking one year I know that the medicine contains steroids. So I stopped it. Now I have side effects of mild hepatomegaly and mild swollen lymph node and sometimes heart short breath. Tell me How can I flush out the steroid from my body by any ayurvedic herb. How many month the steroid stay in my body after stopped taking it.

Diploma in Clinical Nutrition, Certified Diabetes Educator, Diploma in Sport & Exercise Nutrition, Diploma in Human Nutrition, Lifestyle Medicine, BSC IN LIFE SCIENCES
Dietitian/Nutritionist, Bangalore
I have taken a body building ayurvedic medicine which has no certification or GMP certificate. And after taking one y...
Some Ayurvedic drugs have natural steroids also. GMP certification is for allopathic medicines. Looks like you have already seen some physician. If you tell an allopath about Ayurvedic drug, he is not going to accept it. If your are already taking allopathic meds, then continue with it. Once you are through with this course, you should look for any other treatment. You have not mentioned for which issue you took Ayurvedic meds. Liver enlargement could be due to many reasons and wrong lifestyle also. On diet front, you should avoid all packed and processed foods. Reduce white sugar and sugar containing foods like biscuits, bread, jam, cake. Consume 2-3 whole fruits in the morning and a plate full of salad in afternoon before regular meals. If you take alcohol, do not take more than once a month. You will see improvement.
1 person found this helpful

Can we scrub lemon on our face except for the place we have vitiligo n can we use face pack?

Practising Unani Physician
Unani Specialist, Coimbatore
Dear patient The scrub of lemon to the face is not solve your vittligo. The vitiligo may. Causes un balance of vatha, pitta and kapha. We have lot of gmp certified medicines.

I am suffering from from epilepsy since from childhood. Medicine taken levipil 500 mg twice daily and Lonazep 2 once at night. Any permanent solution can you advice. Please let me know. Thank you.

Practising Unani Physician
Unani Specialist, Coimbatore
Dear lyb user As per records we have done permanent solutions for epilepsy. Please check MRI scan sculp. Send Cbc and reports at earlist. We have GMP certified natural medicine. Please visit our hospital.

I am suffering from gerd and hiatus hernia please tell me what to do I am very worried I also have grade b esophagus ulcer I this is life threatening or not.

B.A.M.S
Ayurveda,
I treat this condition with medicines prepared by me. I prepare it at my gmp certified company. you can have it without fear of peservatives. I suggest medicated ghee named pilodigin , fermented liquid of aloe Vera , tab and hingu powder. I will courier medicine if interested.

Hi Im a 21 year old girl from India and I had a normal weight around 55kgs then around 3 years ago I went to kuwait n put on 10 kgs which made my weight 65kgs since then Im trying to reduce but I can't

D.Sc (Bio-engg.), P.G. Diploma in Diet and Nutrition
Dietitian/Nutritionist, Kalyani
Dear Patient - Replace carbohydrate by fiber and plant based protein food - Use Omega-3 fatty acid with EPA & DHA - Drink Aloe Vera Juice at empty stomach - Use GMP certified good quality Dietary supplements for Vitamins & Minerals - 45 min. Walk every day ensuring sweat - Take around 4 liter water per day - Beside that consult your house physician for any other disease. God Bless you Regards
1 person found this helpful

Popular Health Tips

Homoeopathy- The Holistic Solution For Complete Well Being!

BHMS, PG Hom London
Homeopath, Mumbai
Homoeopathy- The Holistic Solution For Complete Well Being!

Definition of health

The most commonly quoted definition of health is that formalized by the world health organization (who) over half a century ago; “a complete state of physical, mental and social well-being, and not merely the absence of disease or infirmity.” 

Mental and social health

When we talk of health we generally think of physical health and rarely about mental health and social health.Health is just understood absence of any physical ailments

Mental health

Good mental health is the ability to respond to the many varied experiences of life with flexibility and a sense of purpose. For e. G: grief, disappointment, ambitions unfulfilled, loss of near ones, loss of position, financial loss, jealousy, revenge, reserved displeasure

Mental health has been defined as a state of balance between the individual & the surrounding world, a state of harmony between oneself and others, a co existence between the realities of self and that of other people and that of the environment 

Social health

Social health is component which has something to do with interacting with others such as socializing with friends, relatives, and others in a desirable way; having friends of all ages ; and accepting responsibility for others

Social determinants of health are elements in the environment in which you live, learn, and play that shape your long term physical, mental, emotional health and well being.

Introduction to homoeopathy

Homeopathy is an international system with holistic concepts of treatment. The system is practiced in over 85 countries especially in europe, latin america, united states and asia. Homeopathic remedies are made from plant, animal products, minerals or certain inert materials.

The manufacturing of homeopathic medicines is recognized and regulated by drugs and cosmetic act, 1940 and the drugs and cosmetic rule, 1945. The medicines are manufactured by established pharmaceutical companies under strict good manufacturing practices (gmp) notified by the government. Homeopathy is recognised as one of the national system of medicine through the homeopathy central council act, 1973.
 Homeopaths understand that the body, mind and emotions are not independent and distinct, but are fully integrated in health, diseases and treatment. Based on this holistic perspective, homeopaths uses remedies prepared from natural sources that fit a patient's physical, mental, and social aspects to stimulate body’s own healing powers.

Homoeopathy is the most modern and most scientific treatment method.
Necessity is said to be the mother of invention. So there were a lot of treatment not possible with allopathic medicines which then lead to the discovery of homoeopathy which can cure diseases permanently and without side effects.

The general public has tremendous faith towards homeopathy for the treatment of acute and chronic health problems. Disease prevention and health promotion are its other strength. Homeopathic medicines have a positive and long lasting effect on allergic rhinitis, asthma, back pains, migraines, allergies, lifestyle disorders. Homeopath treat conditions ranging from headaches, fevers, stress, arthritis, maternal and pediatric problems, eczema and so on.

Homeopathic medicines are used as a standalone treatment or as an adjunct with medicines of other systems for a variety of clinical conditions like diabetes, hypercholestrol, thyroid, depression. The main approach is diagnosis based on complete history of the disease in the patient as well as on an understanding of the patient’s temperament, personality, lifestyle and food habits.

No side effects, safety of the medicines, easy to administer even to infants and economic considerations are the major attraction towards homeopathy. The individualized treatment options especially for long term diseases are adding popularity of homeopathy.

Erectile dysfunction

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mohali
Erectile dysfunction

Erectile dysfunction

Alternative names
Impotence; ed
Erectile dysfunction

Erectile dysfunction (ed), formerly called impotence, can affect men of all ages although it is much more common among older men. It is normal for healthy men of all ages to occasionally experience erectile dysfunction. However, if the problem becomes chronic, it can have adverse effects on relationships, emotional health, and self-esteem. Erectile dysfunction may also be a symptom of an underlying health condition. If erectile dysfunction becomes an on-going problem, it is important to talk to your doctor.

Causes of erectile dysfunction

Physical causes are the main reasons for erectile dysfunction. They include heart disease, high blood pressure, diabetes, neurological disease, medication side effects, and other health conditions.
Psychological causes of erectile dysfunction include anxiety, depression, stress, and problems in relationships.
Lifestyle factors that increase the risk for erectile dysfunction include smoking, alcohol use, and other substance abuse.
Introduction

Erectile dysfunction (formerly called impotence) is the inability to achieve or maintain an erection sufficiently rigid for sexual intercourse. Sexual drive and the ability to have an orgasm are not necessarily affected. Because all men have erection problems from time to time, doctors diagnose erectile dysfunction if a man fails to maintain an erection satisfactory for intercourse on at least 25% of attempts.

Erectile dysfunction is not new in either medicine or human experience, but it is not easily or openly discussed. Cultural expectations of male sexuality inhibit many men from seeking help for a disorder that can usually benefit from medical treatment.

The penis and erectile function

The structure of the penis. The penis is composed of the following structures:

Two parallel columns of spongy tissue called the corpus cavernosa, or erectile bodies.
A central spongy chamber called the corpus spongiosum, which contains the urethra, the tube that carries urine from the bladder through the penis.
These structures are made up of erectile tissue. Erectile tissue is rich in tiny pools of blood vessels called cavernous sinuses. Each of these vessels is surrounded by smooth muscles and supported by elastic fibrous tissue composed of a protein called collagen.

Erectile function and nitric oxide. The penis is either flaccid or erect depending on the state of arousal. In the flaccid, or unerect, penis, the following normally occurs:

Small arteries leading to the cavernous sinuses contract, reducing the inflow of blood.
The smooth muscles regulating the many tiny blood vessels also stay contracted, limiting the amount of blood that can collect in the penis.
During arousal, the following occurs:

The man's central nervous system stimulates the release of a number of chemicals, including nitric oxide, which is essential for producing and maintaining an erection.
Nitric oxide stimulates the production of cyclic GMP, a chemical that relaxes the smooth muscles in the penis. This allows blood to flow into the tiny pool-like cavernous sinuses, flooding the penis.
This increased blood flow nearly doubles the diameter of the spongy chambers.
The veins surrounding the chambers are squeezed almost completely shut by this pressure.
The veins are unable to drain blood out of the penis and so the penis becomes rigid and erect.
After ejaculation or climax, cyclic GMP is broken down by an enzyme called phosphodiesterase-5 (pde5), causing the penis to become flaccid (unerect) again.
Important substances for erectile health

A proper balance of certain chemicals, gases, and other substances is critical for erectile health.

Collagen. The protein collagen is the major component in structural tissue in the body, including in the penis. Excessive amounts, however, form scar tissue, which can impair erectile function.

Oxygen. Oxygen-rich blood is one of the most important components for erectile health. Oxygen levels vary widely from reduced levels in the flaccid state to very high in the erect state. During sleep, a man can normally have three to five erections per night, bringing oxygen-rich blood to the penis. The primary cause of oxygen deprivation is ischemia -- the blockage of blood vessels. The same blood flow-reducing conditions that lead to heart disease, such as atherosclerosis, may also contribute to erectile dysfunction.

Testosterone and other hormones. Normal levels of hormones, especially testosterone, are essential for erectile function, though their exact role is not clear.

Causes

Over the past decades, the medical perspective on the causes of erectile dysfunction has shifted. Common belief used to attribute almost all cases of ed to psychological factors. Now doctors believe that up to 85% of ed cases are caused by medical or physical problems. Only 15% are completely psychologically based. Sometimes, erectile dysfunction is due to a combination of physical and psychological causes.

A number of medical conditions share a common problem with erectile dysfunction -- the impaired ability of blood vessels to open and allow normal blood flow.

Heart disease, atherosclerosis, and high blood pressure

Heart disease, atherosclerosis, high blood pressure, and high cholesterol levels are major risk factors for erectile dysfunction. In fact, erectile problems may be a warning sign of these conditions in men at risk for atherosclerosis. Men who experience ed have a greater risk for angina, heart attack, or stroke.

Erectile dysfunction is a very common problem in men with high blood pressure. Many of the drugs used to treat hypertension (such as calcium channel blockers and beta-blockers) may also cause ed.

Diabetes

Diabetes is a major risk factor for erectile dysfunction. Blood vessel and nerve damage are both common complications of diabetes. When the blood vessels or nerves of the penis are involved, erectile dysfunction can result. Diabetes is also associated with heart disease and chronic kidney disease, other risk factors for ed.

Obesity

Obesity increases the risk for diabetes, heart disease, and erectile dysfunction.

Metabolic syndrome

Metabolic syndrome -- a cluster of conditions that includes obesity and abdominal fat, unhealthy cholesterol and triglyceride levels, high blood pressure, and insulin resistance -- is also a risk factor for erectile dysfunction in men older than 50 years.

Benign prostatic hyperplasia

Although benign prostatic hyperplasia (BPH or 'enlarged prostate') does not cause erectile dysfunction, surgical and drug treatments for the condition can increase the risk for erectile dysfunction.

Neurologic conditions

Diseases that affect the central nervous system can cause erectile dysfunction. These conditions include Parkinson's disease, multiple sclerosis, and stroke.

Endocrinologic and hormonal conditions


Low levels of the male hormone testosterone can be a contributing factor to erectile dysfunction in men who have other risk factors. (low testosterone as the sole cause of erectile dysfunction affects only about 5% of men. In general, low testosterone levels are more likely to reduce sexual desire than to cause ed.) abnormalities of the pituitary gland that cause high levels of the hormone prolactin are also associated with erectile dysfunction. Other hormonal and endocrinologic causes of erectile dysfunction include thyroid and adrenal gland problems.

Physical trauma and injury

Spinal cord injury and pelvic trauma, such as a pelvic fracture, can cause nerve damage that results in ed. Other conditions that can injure the spine and cause erectile dysfunction include spinal cord tumors, spina bifida, and a history of polio.

Surgery

Surgery for prostate diseases. Radical prostatectomy for prostate cancer often causes loss of sexual function but nerve-sparing surgical procedures reduce the risk of ed. (radiation treatments for prostate cancer also cause erectile dysfunction.) surgical treatments for BPH can also cause ed, but this complication is relatively uncommon.

Surgery for colon and rectal cancers. Surgical and radiation treatments for colorectal cancers can cause ed in some patients. In general, colostomy does not usually affect sexual function. However, wide rectal surgery can cause short-term or long-term sexual dysfunction.

Fistula surgery. Surgery to repair anal fistulas can affect the muscles that control the rectum (external anal sphincter muscles), sometimes causing ed. (repair of these muscles may restore erectile function.)

Orthopedic surgery. Erectile dysfunction can sometimes result from orthopedic surgery that affects pelvic nerves.

Note: vasectomy does not cause erectile dysfunction.

Medications

Many medications increase the risk for erectile dysfunction. They include:

High blood pressure medications, particularly diuretics, beta-blockers, and calcium channel blockers.
Heart or cholesterol medications such as digoxin, gemfibrozil, or clofibrate.
Finasteride (Proscar, generic) and dutasteride (Avodart), which are used to treat benign prostatic hyperplasia (BPH). A lower-dose form of finasteride (Propecia), which is used to treat male pattern baldness, may also cause ed. Erectile dysfunction may persist even after these medications are stopped.
Psychotropic medication used to treat depression and bipolar disorder such as selective serotonin-reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors, and lithium. Certain types of antipsychotic medication, such as phenothiazines (like Compazine) and butyrophenones (like haloperidol), can also cause erectile dysfunction.
Gastroesophagelal reflux disorder (gerd) medications, used to reduce stomach acids, such as rantidine (Zantac) and cimetidine (Tagamet).
Hormone drugs such as estrogens, corticosteroids, and 5-alpha reductase inhibitors.
Chemotherapy drugs such as methotrexate.
Psychological causes

Anxiety. Anxiety has both emotional and physical consequences that can affect erectile function. It is among the most frequently cited contributors to psychological ed.

Stress. Even simple stress can affect sexual dysfunction.

Depression. Depression can reduce sexual desire and is associated with erectile dysfunction.

Relationship problems. Troubles in relationships often have a direct impact on sexual functioning.

Risk factors

Age

For most men, erectile dysfunction is primarily associated with older age. Nevertheless, ed is not inevitable with age. Severe erectile dysfunction often has more to do with age-related disease than age itself. In particular, older men are more likely to have heart disease, diabetes, and high blood pressure than younger men. Such conditions and some of their treatments are causes of erectile dysfunction.

Lifestyle factors

Smoking. Smoking contributes to the development of erectile dysfunction, mainly because it increases the effects of other blood vessel disorders, including high blood pressure and atherosclerosis.

Alcohol use. Heavy drinking can cause erectile dysfunction. Alcohol depresses the central nervous system and impairs sexual function.

Drug abuse. Illicit drugs such as heroin, cocaine, methamphetamines, and marijuana can affect sexual function.

Weight and sedentary lifestyle. Obesity is a risk factor for erectile dysfunction. Lack of exercise and a sedentary lifestyle can lead to obesity and other health problems associated with erectile dysfunction.

Diagnosis

The doctor typically interviews the patient about various physical and psychological factors and performs a physical exam.

Medical history

The doctor will ask about:

Past and present medical conditions, surgeries, and medications
Any history of psychological problems, including stress, anxiety, or depression
Lifestyle factors such as alcohol, drug, and dietary supplement use
In addition, the doctor will ask about your sexual history, which may include:

When problems with sexual function began
The frequency, quality, and duration of any erections, including erections that occur during sleep or on awakening in the morning
The specific circumstances when erectile dysfunction occurs
Details of sexual technique
Whether problems exist in the current relationship
If appropriate, the doctor may also interview the sexual partner.

Physical examination

The doctor will perform a physical exam, including examination of the genital area and a digital rectal examination (the doctor inserts a gloved and lubricated finger into the patient's rectum) to check for prostate abnormalities. It is important to check blood pressure and to evaluate circulation by checking pulses in the legs.

Laboratory tests

Because erectile dysfunction and atherosclerosis are often linked, it is important to check cholesterol levels. Similarly, the doctor may order tests for blood sugar (glucose) levels to check if diabetes is a factor. In some cases, blood tests may be used to measure testosterone levels to determine if there are hormone problems. The doctor may also screen for thyroid and adrenal gland dysfunction. For more sophisticated tests, the doctor may refer the patient to a urologist.

Treatment

Many physical and psychological situations can cause erectile dysfunction, and brief periods of ed are normal. Every man experiences erectile dysfunction from time to time. Nevertheless, if the problem is persistent, men should seek professional help, particularly since erectile dysfunction is usually treatable and may also be a symptom of an underlying health problem. It is important to treat any medical condition that may be causing erectile dysfunction.

15 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.
56 people found this helpful

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 & 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 & 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.

228 people found this helpful

Hypoglycemia - Signs & Symptoms You Should Not Ignore!

Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
Hypoglycemia - Signs & Symptoms You Should Not Ignore!

Hypoglycemia is the disease of low sugar level in blood. It primarily occurs when the sugar level is below 4 mmol/L (72mg/dL).

What is hypoglycaemia?
It is the decrease in the blood sugar amount to a certain level. If the disease is identified at an early stage, then the treatment can make the person free of the disease quickly. It affects people having diabetes as well as arthritis, increased blood pressure, high cholesterol and many others.

Early signs of the disease

  1. Weakness
  2. Hungry
  3. Blurred vision
  4. Increased heart rate
  5. Increased sweating
  6. Extreme levels of tiredness
  7. Pale face
  8. Bewilderment
  9. Convulsions
  10. Coma in the last stage
  11. Anxiety
  12. Headaches
  13. Problems with sleeping

Who are the people risk of having this disease?
People who take this three medications have a higher risk of having the disease:

Diabetes medications pose a more significant threat to patients of having hypoglycaemia.

Causes of the disease:

  1. Exercise
  2. Delayed meals
  3. Alcohol drinking
  4. High dose of insulin
  5. Tremendous levels of stress
  6. Deficiency of enzymes
  7. Not balanced hormonal levels

Treatment:

  1. At first, the patient must take a blood test to catch up with the levels of blood sugar
  2. Intake of 15-20 kg of carbohydrates is necessary every day. You can get a stabilized carbohydrate content from a bread slice, a banana and a bar made of cereal.
  3. Drink sugar-filled drinks such as Pepsi, etc. Glucose tablets and juice ease the disease rapidly. The patient can also eat sweets in this case. Take a balanced level of sugar content drinks such as 160 ml of cola or lemonade or 200 ml of fruit juice.

Natural treatment through diet:

  1. Liquorice roots: Cut the roots and boil it. Drink the water every day for controlled sugar level.
  2. Apple- It has magnesium and chromium which regulates the sugar level
  3. Wild yam
  4. Tomatoes
  5. Sunflower seeds
  6. Pumpkin seeds
  7. Gentian Root
  8. Barley

If a person is attacked by seizures. It’s not possible to give such medications at that time. At that time a pillow or cushion should be placed below the patients head. The seizure goes away in about 5 min. if holds up more time. The person needs to get admitted to a hospital.

Hypoglycemia doesn’t have its adverse side effects if captured at an early stage. The person gets recovered with the above-stated home medications. Although slow realization of the disease can take the person to the stage of a comma. The disease engulfs body’s maximum energy and few essential body functions also get hampered. But it is treatable with regular natural medications. People having diabetes receives the highest threat of the disease. The sugar levels have to be maintained for proper body working. If the person’s blood sugar level is not right, he/she may have the tendency to get hypoglycaemia and hyperglycemia. Having both this disease is the root of having diabetes. It would make the body weak, and the person will crave for more sugar. It will also weaken the nerve cells and tissues of the brain. Weight will be lost gradually which is a terrible sign. Therefore don’t be late if you are having this above-stated signs go to the doctor and have the proper diagnosis of the disease.

3067 people found this helpful
Table of Content
About Gmp M 2 Tablet
When is Gmp M 2 Tablet prescribed?
What are the contraindications of Gmp M 2 Tablet ?
What are the side effects of Gmp M 2 Tablet ?
Key highlights of Gmp M 2 Tablet
What are the substitutes for Gmp M 2 Tablet ?
What are the dosage instructions?
Where is the Gmp M 2 Tablet approved?
How does medicine works?
What are the interactions for Gmp M 2 Tablet ?
Gmp M 2 Tablet Frequently Asked Questions (FAQs):