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Home > Novapride 4 MG Tablet > Health Feed

Novapride 4 MG Tablet Health Feed

Asked for female, 53 years old from Kolkata

Hi, I'm 55 years female from kolkata. I'm a diabetic (take Glycomet GP1 FORTE (GLIMEPIRIDE 1 mg + METFORMIN 1000 mg) twice & 10 iu insulin overnight ,fasting 80, PP 254 measured yesterday) & pancreatic (taking Panlipase 25000 after food thrice every day for last 5 years) patient. For the last 1 year, I'm feeling pain in fingers of both hands and in shoulder joints. Pain is unbearable at times. In afternoon often we see middle fingers of the hands get deformed. Visited a doctor. And he told this is a rheumatic arthritis. He gave Wysolone 10 mg for 45 days followed by wysolone 5 mg for 30 days. HCQ (Hydroxychloroquine) 300 mg, ARAVA (Leflunomide) 20 mg, INJ. Folitrax 20 mg once on sundays. Folvite 5 mg mondays to saturdays. Wysolone is now completely stopped. When I take wysolone there is no pain in fingers. Here is the test reports at a glance, Uric Acid 3.69 (range 2.6-6.0), RF 7.15 (<14), CRP 3.02 (<5) vit D (25 oh D) 36.12 (30 -100. AntiCCP Anti Body 5.61 (<20). CBC, Haemoglobin 11.8 gm/dl (range 12.5 - 15.3), MCHC (Mean corpuscular Hemoglobin concentration) 32.9 (range 33.4-35.5),Total RBC 4.0 million cells/cu mm (range 4.5-5.1), lymphocytes 52% (range 20-40) basophil 00 (range 01-02), ESR 16 (range <30) SGPT 13.8 U/L (range <35, Lipase 32.5 U/L (range 30-300), CRP 1.20 (range <10), amylase 78.2 (range 30 -110) Test was done in SERUM, Kolkata in 15th june 2017. Many doctors are telling me that this is rheumatic arthritis, But after 6 months of taking medicines for the same pain the still there, only fingers does not get deformed in afternoon. Please tell me is the diagnosis is right? Am I on right treatment? Or there is any other problem? Is there any bad action for taking panlipase 25000 for last 5 years? One more question for RA CRP & RF should be positive, but for my case it is negative, so how can it be RA?

Dr. Ambadi Kumar94%(9988 ratings)

MD, Fellowship in Intergrative Medicine,...read more

Integrated Medicine Specialist•Kochi

RA is a autoimmune disease which is related to diet which needs to be radically changed for reversal of disease. Rheumatologist Drs in India only know to give pills for any illness .They do not know that there is natural treatment available because nutrition is not taught in the medical curriculum.
They do not think outside the box.
Change your diet and reduce the medicines.
I think you were getting too many drugs for RA .Were they all given at the same time or at different periods.<...more

208 people found this helpful

Asked for female, 52 years old from Vadodara

I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?

Dr. Gopala Krishnam Raju Ambati91%(1915 ratings)

MBBS, M.MED, DFM, FID, CCEBDM, ACMDC, CC...read more

Diabetologist•Hyderabad

U be on simple metformin 1gm twice daily start exercise for half an hour which your not doing
just changing tab and using as you like upon your logical decision is wrong only exercise and weight loss can help you :)

Asked for male, 56 years old from Kullu

I am arvind 56 years of age from kullu. I am diabetic from last 20 yrs. From about last 4 to 5 years my sugar level is uncontrolled. Firstly, I was taking glycomet gp1 twice a day. Sugar in control, but after that the dose of one time a day was increased to gp 2, then twice gp 2. Then ppg ,galvus met and few more medicines, but all in vain. Last 4 moths before doctor prescribed me to have pioz 15 and vobose 0.3 with glycomet gp 2. At this time my hba1c was 10.0.my sugar level came down to 240 to 145 fasting in 45 days. But got blurred vision and too much numbness in hands and foot. I had to stop the pioz and vobose. Now only on glycomet gp2. Please help me. How to control my diabetes.

Dr. Col V C Goyal95%(14978 ratings)

CCEBDM, PG Diploma In Clinical Cardiolog...read more

General Physician•Ghaziabad

1.no alcohol
2. Reduce body wt
3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. No sugar, potato, rice
5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily
7. Meditation daily for 10 mts. 6-8 hrs of sleep at night
8. Expose your body to sun for 15-20 mts daily after some oil massage to ...more

Asked for male, 58 years old from Kolkata

How much garlic should be consumed for new blood pressure patients not on any medications? He has blood sugar and a little overweight for which he has been taking allopathic medicines for the past seven years. Medications as follows: metformin 1gm sr + glimepiride 2 mg in the morning before breakfast. Metformin 1gm +1 mg glimepiride + 20 mg atorvastatin in the night. Please advise.

Dr. Sumit Doraya

Bachelor of Ayurveda, Medicine and Surge...read more

Ayurveda•Jaipur

2-3 cloves of garlic empty stomach to be swallowed
Or
First crush 4-5 garlic cloves
Then add salt n chilli powder Add small quantities of ghee
Fry on low flame till its brown
Eat with chapati in breakfast.

107 people found this helpful

Asked for male, 46 years old from Ambala

I am type 2 diabetic patient since 2014 previously taking medicine glimepiride 2 mg, pioglitazone hcl 15 mg, metformin hcl 1000 mg but when it was banned by govt. Doctor prescribed me glimepiride 3 mg and metformin hcl 1000 mg but it is not working as my blood sugar fasting comes to 453 today.

Dr. Vyankatesh Shivane92%(124 ratings)

MBBS, Diploma in Diabetology

Diabetologist•Mumbai

It seems that the diet also is not being followed. Please follow strict diet and exercise. Continue current medicines and add tab olymprix 20 mg one after breakfast and tab pioz 15 mg one after dinner. Check blood sugars after 10 days and consult your doctor.

86 people found this helpful

Asked for male, 24 years old from Bangalore

My mother usually takes metformin hydrochloride tablets ip 500 mg however by mistake she had metformin hydrochloride prolonged release tablets i.p. 1000 mg for the last week. She was feeling cold yesterday (shivering) and her body was feeling slightly numb. She didn't take any medicine today. Can someone please tell me what she should do? She also takes glimepiride tablets 1 mg 1 time before breakfast glimepiride tablets 2 mg 1 time before dinner amlodipine tablets i.p. 1 mg rosuvas 5.

Dr. Vinayak Rodge87%(21 ratings)

DM NEUROLOGY

Neurologist•Bhandara

Might be due to low sugar lever ,check her sugar level ,consult physician as soon as possible n revise medicines.

Asked for Male, 65 years old from Vijayawada

I am diabetic under control using metformin 500 mg and glimepiride 3 mg combination and vildagliptin 50 mg. I am getting numbness, burnings in the feet and whole body. I am using metformin 500 mg and glimepiride 3 mg combination and vildagliptin 50 mg. My b12 levels 135pg/ ml and d3 levels are 18.9 ng/ ml. Kindly advise.

Dr. Karuna Chawla95%(121284 ratings)

BHMS

Homeopathy Doctor•Noida

Is your blood sugar under control. It can be because of decreased level of vit b12 orbit d. U need to start supplements for that. Also follow diabetes diet which simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains.
U can take (moderate amount)
grapes.
Apples.
Berries.
Citrus fr...more

84 people found this helpful

Asked for male, 70 years old from Bareilly

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.

Dr. Prabhakar Laxman Jathar92%(20239 ratings)

MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad

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.

Asked for male, 65 years old from Chennai

Dear doctor, I am male, 65 years old, under gone bye pass 1997. From 2012 I have been taking daily morning and amaryl 1 mg, then 2 mg and 3 mg. I asked my gp to prescribe alternative to amaryl. He advised to take gp 3 mg along with glucobay 50 mg - both twice a day. Now fbs is < 130 and ppbs is < 190. Request your advise to take gp3 mg instead of amaryl 3 mg. Thank you.

Dr. M S Seshadri92%(394 ratings)

MBBS, MD Internal Medicine, PhD (Endocri...read more

Endocrinologist•Vellore

Dear lybrate-user
gp 3 tablet and amaryl tablet are the same drug glimiperide. It appears that on gp3 your blood sugars are under resonable control and so you can continue this in addition do the following to keep your sugars under control and to remain helathy
reduce the quantity of carbohydrate (rice, wheat, rava, maida) in each meal and increase the quantity of protein (dhal, soya, egg white, fish or chicken). Take lot of green leafy vegetables walk 5 km per day and gradually reduce w...more

104 people found this helpful

Health Query

I was on medicine glycomet gp1 forte bd, feeling hunger, tiredness, fatigue at early morning, then I test of hb1ac, was 6.1, and now take glycomet gp1 forte breakfast only, close for evening, after one weak fbs is 120. No low sugar symptoms, is continue with glycomet gp1 forte one time only? Also taking hcqs, sulphasalazine under a rheumatologist.

Dr. Sana Mansoori91%(81 ratings)

Fellowship in Diabetology , CCEBDM, MBBS...read more

Diabetologist•Mumbai

You have good reserves of beta cells so we should try on reversing diabetes.
Your medicines should b altered
and medicines which will not cause you hypoglycemia should be started.

134 people found this helpful

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