Nuglim M4 Forte Tablet PR
Manufacturer
Three Dots Lifescience
Salt Composition
Glimepiride (4mg) + Metformin (1000mg)
Key Information
Short Description
Nuglim M4 Forte Tablet PR is a combination of two medicines used to treat type 2 diabetes mellitus in adults. It helps control blood sugar levels in people with diabetes.
Dosage Form
Tablet PR
Introduction
Nuglim M4 Forte Tablet PR belongs to a category of medicines known as anti-diabetic drugs. It is a combination of two medicines used to treat type 2 diabetes mellitus in adults. It helps control blood sugar levels in people with diabetes.
Directions for Use
Use it as advised by your doctor or check the label for directions before use. Nuglim M4 Forte Tablet PR is to be taken with food.
Safety Information
Side Effects
It can cause hypoglycemia (low blood sugar level) when used with other antidiabetic medicines, alcohol or if you delay or miss a meal.
Alcohol Warning
It is unsafe to consume alcohol with Nuglim M4 Forte Tablet PR.
Breastfeeding Warning
Nuglim M4 Forte Tablet PR is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.
Pregnancy Warning
Nuglim M4 Forte Tablet PR may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
How it works
Nuglim M4 Forte Tablet PR is a combination of two antidiabetic medicines: Glimepiride and Metformin. Glimepiride is a sulfonylurea which works by increasing the amount of insulin released by the pancreas in order to lower the blood glucose. Metformin is a biguanide which works by lowering glucose production in the liver, delaying glucose absorption from intestines and increasing the body's sensitivity to insulin.
Quick Tips
Take it with food to lower your chance of having an upset stomach. Monitor your blood sugar level regularly while you are taking this medicine. Inform your doctor about your diabetes treatment if you are due to have surgery under a general anesthetic. Tell your doctor immediately if you experience any deep or rapid breathing or if you have persistent nausea, vomiting, and stomach pain as Nuglim M4 Forte Tablet PR may cause a rare but serious condition called lactic acidosis which is an excess of lactic acid in the blood.
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Frequently asked questions
What are the recommended storage conditions for Nuglim M4 Forte Tablet PR?
Store Nuglim M4 Forte Tablet PR in its original container, tightly closed, according to the instructions provided on the packaging or label. Dispose of unused medicine properly and ensure it is not accessible to pets, children, and other individuals.
Can the use of Nuglim M4 Forte Tablet PR lead to lactic acidosis?
Yes, using Nuglim M4 Forte Tablet PR can cause lactic acidosis, a rare but serious medical condition characterized by increased levels of lactic acid in the blood. This is particularly concerning for individuals with underlying kidney disease, older adults, or those who consume large amounts of alcohol. Symptoms may include muscle pain or weakness, dizziness, fatigue, feeling cold in the arms and legs, difficulty breathing, nausea, vomiting, stomach pain, or a slow heart rate. If you experience these symptoms, discontinue use and consult your doctor immediately.
What is Nuglim M4 Forte Tablet PR?
Nuglim M4 Forte Tablet PR is a combination medication containing glimepiride and metformin. It is used to treat type 2 diabetes mellitus (DM) in adults, improving blood glucose levels when taken with a proper diet and regular exercise. Glimepiride works by increasing insulin release from the pancreas, while metformin lowers glucose production in the liver and enhances insulin sensitivity. This medication is not suitable for treating type 1 DM.
What are the possible side effects of Nuglim M4 Forte Tablet PR?
The use of Nuglim M4 Forte Tablet PR may cause common side effects like hypoglycemia (low blood sugar), altered taste, nausea, stomach pain, diarrhea, and headache. Additionally, it can lead to serious but rare side effects such as lactic acidosis and Vitamin B12 deficiency on long-term use. If left untreated, Vitamin B12 deficiency may result in anemia and nerve problems.
Can the use of Nuglim M4 Forte Tablet PR lead to Vitamin B12 deficiency?
Yes, using Nuglim M4 Forte Tablet PR can cause Vitamin B12 deficiency over time due to its interference with stomach absorption. If untreated, this may lead to anemia and nerve problems, characterized by tingling sensation and numbness in hands and feet, weakness, urinary issues, changes in mental status, and difficulty maintaining balance (ataxia). To prevent such complications, it is recommended to take Vitamin B12 supplements from outside sources at least once a year.
Can the use of Nuglim M4 Forte Tablet PR cause hypoglycemia?
Yes, using Nuglim M4 Forte Tablet PR can lead to hypoglycemia (low blood sugar), particularly when you miss or delay meals, consume alcohol, over-exercise, or take other antidiabetic medications along with it. Symptoms include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate, and feeling anxious or shaky. It is essential to monitor your blood sugar levels regularly and keep a quick source of sugar like glucose tablets, honey, or fruit juice handy.
Is it safe to take alcohol while I am also taking Nuglim M4 Forte Tablet PR?
No, it is not recommended to consume alcohol while taking Nuglim M4 Forte Tablet PR as it may lower your blood sugar levels and increase the risk of hypoglycemia. It can also exacerbate lactic acidosis.
