VIVAMET 1mg Tablet 10's

Introduction About VIVAMET 1MG TABLET

VIVAMET 1MG TABLET is used to manage type 2 diabetes mellitus when diet,
exercise and the single agent does not result in adequate glycemic control. It
is a combination of Glimepiride and Metformin which belongs to a group of
medicines called Antidiabetic agents. Glimepiride lowers blood sugar by causing
the pancreas to produce more insulin and helps the body to use insulin
efficiently. Metformin reduces the total amount of sugar released into the blood
by the liver.

Along management with VIVAMET 1MG TABLET follow regular exercise and diet plan
as advised by your doctor to achieve better results. Before taking VIVAMET 1MG
TABLET inform your doctor if you have type 1 diabetes mellitus, diabetic
ketoacidosis, severe liver or kidney disease, acute heart problems. Inform your
doctor if you are pregnant or breastfeeding. It is not suitable for use in
children and adolescents under 18 years of age.

Avoid consum
increase or decrease the blood sugar lowering action of VIVAMET 1MG TABLET and
increases the risk of lactic acidosis. The most common side effects of taking
VIVAMET 1MG TABLET are taste disturbance, diarrhea or stomach ache. Contact your
doctor if any of the symptoms worsen.

Uses Of VIVAMET 1MG TABLET

• Used to manage type 2 diabetes mellitus (when diet, exercise and the single agent does not result in adequate glycemic control)

How VIVAMET 1MG TABLET Works

VIVAMET 1MG TABLET controls blood glucose levels, where Glimepiride works by
increasing the amount of insulin released by the pancreas in order to lower the
blood glucose. Metformin works by lowering glucose production in the liver,
delaying glucose absor
sensitivity to insulin.

How to use VIVAMET 1MG TABLET

• Take VIVAMET 1MG TABLET as advised by your physician
• Swallow VIVAMET 1MG TABLET with a glass of water. Do not crush or chew the medicine
• Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition
• Do not stop taking VIVAMET 1MG TABLET without informing your doctor.

Side Effects Of VIVAMET 1MG TABLET

Common side effects of VIVAMET 1MG TABLET:

• taste disturbance
• diarrhea
• stomach pain
• loss of appetite

Stop taking VIVAMET 1MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• lactic acidosis
• inflammation of the liver which may result in jaundice (yellowing of skin or eyes)
• severe allergic reactions (such as skin rash, hives, and increased sensitivity to sun, inflammation of blood vessels which may develop into serious reactions with difficulty in breathing, fall in blood pressure and sometimes progressing to shock)
• severe low blood sugar levels

Warning & Precautions

!### Pregnancy

ContraindicatedVIVAMET 1MG TABLET should not be taken during pregnancy. Consult your doctor
before taking VIVAMET 1MG TABLET if you are planning to become pregnant.

!### Breastfeeding

ContraindicatedVIVAMET 1MG TABLET should not be taken during breastfeeding as it may pass
through breast milk.

!### Driving and Using Machines

Use with CautionDo not drive or handle any machines if you experience low or high blood sugar
levels (symptoms include dizziness, tiredness, shaking or trembling) or if you
develop visual problems due to altered blood sugar levels.

!### Alcohol

Consult your doctorAvoid consum
increase or decrease the blood sugar lowering action of VIVAMET 1MG TABLET and
increases the risk of lactic acidosis.

!### Kidney

Consult your doctorVIVAMET 1MG TABLET is not recommended for use in patients with severe kidney
disease and it should be used with caution in patients with kidney disease and
your dose will beadjusted ifneeded depending upon kidney function.

!### Liver

Consult your doctorVIVAMET 1MG TABLET is not recommended if you have severe liver disease and it
should be used with caution in patients with liver disease and your dose will be
adjusted if needed depending upon liver function.

!### Allergy

ContraindicatedDo not take VIVAMET 1MG TABLET if you are allergic (hypersensitive) to
Glimepiride or Metformin or other sulfonylureas (such as glipizide,
glibenclamide) or sulfonamides (such as sulfamethoxazole).

!### Heart Disease

ContraindicatedVIVAMET 1MG TABLET is not recommended for use in patients with acute heart
problems or recently had a heart attack or have severe circulatory problems or
breathing difficulties (signs of heart failure).

!### Use In Pediatrics

ContraindicatedVIVAMET 1MG TABLET is not recommended for use in children and adolescents (under
18 years of age).

!### Use In Geriatrics

Consult your doctorVIVAMET 1MG TABLET is not recommended for use in elderly patients (aged 75 years
or above) and it should be used with caution in elderly patients (aged 65 years
or above), especially in patients with impaired kidney function. Your doctor may
assess your kidney function more frequently during management with VIVAMET 1MG
TABLET.

Others

VIVAMET 1MG TABLET is not recommended for use, if you have:

• type 1 diabetes mellitus
• diabetic ketoacidosis
• uncontrolled diabetes or ketoacidosis
• dehydration
• severe infection

Before taking VIVAMET 1MG TABLET inform your doctor if you:

• are recovering from injury, operation, infections with fever, or from other forms of stress
• have glucose-6-phosphate dehydrogenase (G6PD) deficiency
• have various factors which could increase the risk of low blood sugar levels (such as undernourishment, irregular mealtime, missed or delayed meal or period of fasting, change in diet, hormone-induced disorders)

Interactions

A. Drug-Drug interactions:

Before taking VIVAMET 1MG TABLET inform to your doctor,  if you are taking any
of these medicines:

• Sulphonylureas (Ex. glibenclamide, insulin)
• Anabolics
• Anticoagulants (Ex. Warfarin)
• Anticonvulsants (Ex. Fenfluramine, Phenytoin)
• NSAIDs (Ex. Phenylbutazone, azopropazone, oxyphenbutazone)
• Class 1a anti-arrhythmic agent (Ex. Disopyramide)
• Fibrates (Ex. fenofibrate, nicotinic acid, colesevelam)
• Angiotensin-converting enzyme (Ex. captopril, lisinopril)
• Diuretics (Ex. furosemide, chlorthalidone, hydrochlorothiazide or diazoxide)
• Monoamine oxidase inhibitors (Ex. isocarboxazid, selegiline and chlorpromazine)
• Antigout agents (Ex. Allopurinol, probenecid, sulfinpyrazone)
• Alkylating agents (Ex. Cyclophosphamide, ifosfamide, trofosfamide)
• Tetracyclines (Ex. minocycline, doxycycline, chloramphenicol, fluconazole, miconazole
• Quinolones (Ex. moxifloxacin, ciprofloxacin, clarithromycin, rifampicin
• Tritoqualine, glucocorticoids (Ex. beclomethasone, hydrocortisone)
• Hemorrheologic agents (Ex. Pentoxifylline)
• Sulfonamides (Ex. sulfamethoxazole)
• Androstane class (Ex. testosterone)
• Natural or synthetic (Ex. oestrogens, progestogens)
• Sympatholytics (Ex. clonidine, methyldopa)
• Hormones (Ex. Levothyroxine)
• Adrenaline and sympathomimetics (Ex. phenylephrine, norepinephrine)
• Laxatives (Ex. bisacodyl)
• Antidiabetics (Ex. Glucagon)
• Barbiturates (Ex. pentobarbital, amobarbital)
• Carbonic anhydrase inhibitors (Ex. Acetazolamide)

Overdosage:

If you or anyone else takes too much of VIVAMET 1MG TABLET, contact your doctor
immediately or go to a nearest hospital straight away. Overdosage symptoms of
VIVAMET 1MG TABLET includes risk of low blood sugar levels. Symptoms of lactic
acidosis include vomiting, bellyache with muscle cramps, general feeling of not
being well with severe tiredness, reduced body temperature, low heartbeat, and
difficulty in breathing.

Synopsis

Drug	:	Glimepiride, Metformin
Pharmacological Category	:	Sulfonylureas, Bigu
Therapeutic Indication	:	Type II diabetes mellitus
Dosage Forms	:	Tablet

More Information

FAQs About VIVAMET 1MG TABLET

Q: What is VIVAMET 1MG TABLET used for?

A: VIVAMET 1MG TABLET is used to manage type 2 diabetes mellitus in adults. This
combination helps regulate blood sugar levels effectively in individuals whose
blood sugar is not adequately controlled by diet, exercise, or a single diabetes
medication. It helps reduce the risk of diabetes-related complications such as
heart disease, nerve damage, or kidney issues.

Q: How VIVAMET 1MG TABLET works?

A: VIVAMET 1MG TABLET contains a combination of two medicines namely,
glimepiride and metformin. Glimepiride stimulates the pancreas to release more
insulin, a hormone that lowers blood sugar levels. It also improves the body’s
response to insulin. Metformin decreases the amount of sugar produced by the
liver and reduces sugar absor
body’s ability to use insulin more effectively, making it a comprehensive
treatment for blood sugar control.

Q: What is the best time to take VIVAMET 1MG TABLET?

A: It is usually recommended to take VIVAMET 1MG TABLET with meals to minimize
the risk of gastrointestinal side effects such as nausea or upset stomach.
Following your doctor’s instructions regarding the timing is essential, as they
might tailor the dose to suit your lifestyle and blood sugar patterns.

Q: How many doses of VIVAMET 1MG TABLET can be taken in a day?

A: The dosage depends on the individual’s medical condition, blood sugar levels,
and response to treatment. Typically, it is taken once or twice daily with
meals, but the exact dose should be determined by a doctor. Taking more than the
prescribed dose can lead to hypoglycemia (low blood sugar), so it’s crucial to
stick to the recommended schedule.

Q: Can VIVAMET 1MG TABLET be used during pregnancy?

A: The combination of Glimepiride + Metformin is generally not recommended
during pregnancy due to the potential risk of harming the unborn baby. Instead,
insulin is preferred for controlling blood sugar levels in pregnant women with
diabetes. If you are pregnant or planning to conceive, consult your doctor for a
safe treatment plan.

Q: Can VIVAMET 1MG TABLET control blood sugar levels?

A: Yes, this medicine is highly effective in controlling blood sugar levels in
people with type 2 diabetes especially when diet, lifestyle changes and
treatment with single agents does not yield o
However, its effectiveness also depends on maintaining a healthy lifestyle,
including regular exercise and a balanced diet. Regular monitoring of blood
sugar is essential to ensure the medication works o

Q: Who should not use VIVAMET 1MG TABLET?

A: VIVAMET 1MG TABLET is not suitable for individuals with severe kidney or
liver disease, type 1 diabetes or diabetic ketoacidosis, known allergies to
glimepiride, metformin, or any other ingredients in the medicine, or a history
of lactic acidosis. Therefore, always inform your doctor about any pre-existing
conditions or medications you are taking to avoid adverse effects.

Q: What are the common side effects of VIVAMET 1MG TABLET?

A: The most common side effects of VIVAMET 1MG TABLET include nausea, vomiting,
diarrhea, stomach pain, dizziness, or low blood sugar (hypoglycemia. Consult
your doctor if any of these side effects worsens.

Q: Is VIVAMET 1MG TABLET safe?

A: Yes, VIVAMET 1MG TABLET is generally safe when taken as prescribed. However,
regular monitoring of kidney and liver function is necessary, as prolonged use
can affect these organs. Additionally, following the recommended dose and
schedule minimizes the risk of side effects.

Q: Can VIVAMET 1MG TABLET be taken on an empty stomach or before food?

A: No, it is best taken with food to reduce the risk of stomach upset and
hypoglycemia. Food helps slow down the absor
sudden drop in blood sugar levels, which can cause dizziness or weakness.

Q: Is VIVAMET 1MG TABLET safe for kidney patients?

A: VIVAMET 1MG TABLET is not suitable for individuals with severe kidney
disease, as it can increase the risk of lactic acidosis, a potentially
life-threatening condition. Mild to moderate kidney impairment requires dose
adjustment and close monitoring. Always consult your doctor before starting or
continuing this medication.

Q: How long will it take for VIVAMET 1MG TABLET to control blood sugar levels?

A: VIVAMET 1MG TABLET begins to lower blood sugar within a few hours of taking a
dose. However, achieving o
depending on individual response and adherence to the prescribed regimen, diet,
and exercise plan.

Q: Can I stop taking VIVAMET 1MG TABLET once my blood sugar is controlled?

A: No, stopping the medication without your doctor’s advice can cause your blood
sugar levels to rise again, leading to complications. Diabetes is a chronic
condition requiring ongoing management. Your doctor may adjust the dose or
switch medications based on your progress, but self-discontinuation is not
recommended.

Useful Diagnostic Tests

• Random Blood Sugar (RBS)
• Fasting Blood Sugar (FBS)
• Post Prandial Blood Sugar (PPBS)
• Sugar Risk Package
• HbA1C, Also known as Glycated Hemoglobin, Glycosylated Hemoglobin