Gemer: Uses, Dosage, Side Effects, Price, Composition & 20 FAQs

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Gemer: Uses, Dosage, Side Effects, Price, Composition & 20 FAQs

What is Gemer?

Used mainly to control blood glucose level of patients orally with Type II Diabetes Mellitus, also used in cases of hypertension and to prevent heart problems. Hypoglycemia and Increased heart rate are the major side effects seen with this drug. It should be totally avoided in case of severe liver and kidney diseases and in patients allergic to the drug and also in cases of pregnant women.

Gemer Composition: Glimepiride 2mg + Metformin 500mg.
Manufactured By: Sun Pharmaceutical Industries Ltd.
Prescription: Required as it comes under schedule ‘H’.
Form: Tablets.
Price: Rs. 103.00 for 10 tablets.
Expiry/Shelf Life: 24 months from the date of manufacturing.
Type of Drug: 
Antidiabetic.


Uses of Gemer

Gemer is used to prevent or treat following conditions:

  • Diabetes Mellitus: Gemer is used mainly to treat adult patients with type II Diabetes Mellitus.
  • Obesity: Used to help obese patients to reduce weight.
  • Hypertriglyceridemia: Used to treat patients with high levels of triglycerides.
  • PCOS: Used to manage cases of poly cystic ovarian syndrome (PCOS).
  • Cardiovascular diseases: Used to prevent cardiovascular diseases like stroke and heart attack in patients who are at increased risk of developing heart problems due to diabetes or high blood pressure.
Also Read: Fruselac Uses | Gabaneuron Uses | Ganaton Uses

How does Gemer work?

  • Gemer contains Glimepiride and Metformin as its active ingredient.
  • Glimepiride belongs to sulphonylurea group and works by initially stimulating insulin release from the pancreas as well as increasing the peripheral tissue sensitivity to insulin and also decreased insulin uptake by the liver.
  • Metformin belongs to the biguanide class and works by decreasing glucose production by the liver and decreased glucose absorption from intestines.
  • Gemer thus helps to lower the blood glucose level in type II diabetes mellitus patients.

How to take Gemer?

  • Gemer is available in the tablet form.
  • Gemer tablet is usually taken via mouth with a glass of water preferably with meals or just after meals as the drug can cause a sudden drop in the blood glucose level.
  • Avoid consuming the drug on an empty stomach as it may lead to stomach irritation as well as a sudden drop in the blood glucose level below the normal range (hypoglycemia).
  • Always consume the drug at a fixed time.
  • The tablet should never be chewed or crushed but should be consumed as a whole.
  • The leaflet present in the pack should be read thoroughly to have a better understanding of the drug.

Common Dosage for Gemer

  • Gemer dosage can be decided by the doctor for every individual as per: Age, Weight, Mental status, Allergic history and Health status of the patient.
  • Common adult of Gemer tablet is a single tablet dose once a day as a starting dose after the first meal of the day or as stated by the doctor depending upon the condition.
  • Dose and duration of the drug can be altered by the doctor as per the response of the patient to the drug.
  • The maximum dose per day for Gemer can be 4 tablets (Glimepiride 2000mg and Metformin 8mg).
  • Gemer is not advised in paediatric population and always consult the doctor.
  • Dose alteration without consultation should be avoided.

Q. What happens if I overdose on Gemer?

Overdose of Gemer may lead to hypoglycaemia (low blood glucose) and can lead to complications in a few cases. It is advisable to consult the doctor immediately.

Q. What happens if I miss a dose of Gemer?

The dose prescribed by the doctor should never be missed and if missed, it should be consumed always as soon as you remember it. But, avoid taking a double dose if it’s already time for the second dose after that as it may lead to an overdose of the drug.

Q. What happens if I eat expired Gemer?

Expired Gemer might not exhibit effects or any undesirable effects. However, one should abstain from consuming expired drug.

Q. Onset time of Gemer and till when does the effect of Gemer stays?

  • The time taken by the drug to show effect varies with every individual patient.
  • Most of the patients experience effects within 1-2 weeks of starting the drug administration.
  • The complete prescribed dose of the drug should be taken before stopping the treatment.
Also Read: Gaviscon Dosage | Glibenclamide Dosage

When to Avoid Gemer?

Do not Consume Gemer if:

  • Allergy: In cases of the known history of hypersensitivity/allergy to Gemer or any similar active ingredients.
  • Liver Problems: In known cases of patients suffering from a severe liver impairment, extra caution is advised.
  • Type 1 DM: In cases of type I Diabetes Mellitus, it should be avoided.
  • Breastfeeding: In cases of lactating women, it is advisable to avoid the drug.
  • Underage: should be avoided in children less than 18 years of age.
  • Pregnancy: In cases of pregnant women, Gemer should be avoided.

Precautions While Taking Gemer

  • Dose Alteration: Avoid altering the dose without proper medical consultation as it can cause undesirable effects.
  • Time interval: Try to consume the drug at fixed timing with equal time interval between two doses if the doctor has prescribed more than one dose a day.
  • Meals: Do not skip the meals ever while you are consuming the drug.
  • Proper consumption: Do not break or chew the tablet instead swallow the tablet as a whole.

Warnings When Taking Gemer

  • If the known history of severe liver diseases, avoid this drug unless stated otherwise by the doctor.
  • Proper diet, weight control and exercise are also advisable with the drug therapy.
  • Equally spaced time interval should be there between two doses.
  • Regular monitoring of glucose levels and HbA1C is necessary as patients become less responsive to oral antidiabetic drugs over a longer period of time.

Side-Effects of Gemer

The side effects associated with Gemer are:

  • Hypoglycemia (Low blood sugar level) (common)
  • Headache (common)
  • Dizziness (common)
  • Constipation (less common)
  • Nausea (common)
  • Rash (common)
  • Diarrhoea (less common)
  • Abdominal pain (less common)
  • Liver damage (less common)

Are There Any Reported Allergic Reactions to Gemer?

  • In case of any allergic signs like
    • Chest tightness (less common)
    • Breathlessness (less common)
    • Rashes (common)
    • Under eye swelling (Angioedema) (common)
  • Immediate medical help should be taken in case of any above signs appear.

What are the effects of Gemer on organs?

  • Patients with severe liver or kidney impairment should use the drug with caution and after proper consultation as the drug can worsen their condition.
  • Patients with existing heart problems are more prone to cardiovascular mortality.

Drug Interactions to be Careful About

It is always advisable to be careful of certain drug to drug or drug to food interactions when consuming Gemer. Always be aware of the food items, other drugs or lab tests while consuming Gemer. We explore these n details below.

1. Food Interactions with Gemer

No food item to be avoided.

2. Medicines Interactions with Gemer

All the potential drug interactions might not be listed here. It is always advisable that the patient must inform the physician about of all the drugs/products you use. You must notify the doctor about the herbal products that you are currently consuming. You should never alter the drug regimen without your doctor’s approval.

The common drug interactions have been noticed with the following drugs:

  • Alcohol (mild)
  • Rifampicin (moderate)
  • Nifedipine (moderate)
  • Thiazides (mild)
  • Tetracyclines (mild)
  • Chloramphenicol (moderate)
  • Quinolones (moderate)
  • Phenytoin (moderate)
  • Oral contraceptives (mild)
  • Fluconazole (moderate)
  • Miconazole (moderate)
  • Glucagon (mild)
  • Somatropin (moderate)
  • Barbiturates (mild)
  • Corticosteroids (moderate)

3. Effects of Gemer on Lab Tests

Gemer does not affect any lab tests as such.

4. Gemer’s interactions with Pre-existing Conditions/Diseases

Any Liver diseases, type I diabetes.

Q. Can I have Gemer with alcohol?

Gemer, when taken with alcohol, can cause sleepiness, malaise and drowsiness. Therefore, the doctor should always be consulted before taking alcohol with Gemer.

Q. Any particular food item to be avoided?

No food item is to be avoided.

Q. Can I have Gemer when pregnant?

No, Gemer should be avoided in pregnant women unless necessary and always the doctor should be informed about such cases.

Q. Can I have Gemer when feeding a baby?

No, Gemer should be avoided in lactating women unless absolutely necessary. The doctor should always be informed

Q. Can I drive after taking Gemer?

Gemer usually doesn’t affect the ability to drive but in some cases it can cause drowsiness or dizziness and in such cases, driving or operating heavy machinery should be avoided.


Buyer’s Guide – Gemer Composition, Variant and Price

Gemer Variants Gemer Composition Combiflam Price
Gemer P 1mg Tablet Metformin 500mg + Glimepiride 1mg + Pioglitazone 15mg Rs. 102.00 for 10 Tablets.
Gemer Forte 2mg Tablet Metformin 850mg + Glimepiride 2mg Rs. 96.00 for 10 Tablets.
Gemer DS 2mg Tablet Metformin 1000mg + Glimepiride 2mg Rs. 103.00 for 10 Tablets.
Gemer 0.5mg Tablet Metformin 500mg + Glimepiride 0.5mg Rs. 27.25 for 10 Tablets.
Gemer 4mg Tablet Metformin 500mg + Glimepiride 4mg Rs. 96.00 for 10 Tablets.

 

Buy & Get Minimum 30% Discount: Coupons For 1Mg | Netmeds Coupons

Substitutes of Gemer

The following are alternative drugs for Gemer:

  • Glycirite GP2 SR Tablet:
    • Manufactured by MHS Pharmaceuticals.
    • Price – Rs. 90
  • Betaglim M 2mg Tablet:
    • Manufactured by – Panacea Biotec.
    • Price – Rs. 75
  • Carbophage G 2mg Tablet:
    • Manufactured by – Merck Ltd.
    • Price – Rs. 79.75
  • Celglim 2mg Tablet:
    • Manufactured by – Celera Pharma.
    • Price – Rs. 45

 Storage requirements for Gemer

  • The drug should be in a cool, moisture-free place away from direct heat and light.
  • Keep the drug where it is out of children’s reach.
Also Read: Envas Price | Etophylline Price | Formet Price

FAQs – 10 Questions Answered about Gemer

Q. What is Gemer?

Ans. Gemer is oral antidiabetic drug that contains Glimepiride and Metformin as its main active ingredient which belongs to the class of oral sulphonylurea and biguanide drugs respectively.
Gemer is used to treat Type II Diabetes Mellitus.

Q. How effective it is/ How long does it take for Gemer to show results?

Ans. Effects/result depends on the condition being treated, usually, Gemer shows its effect within 1-2 weeks of starting the drug therapy.

Q. Should Gemer be taken on an empty stomach?

Ans.  Gemer should not be taken empty stomach to avoid excess fall in the blood glucose level unless advised by the doctor.

Q. Does Gemer make you drowsy?

Ans. Yes, Gemer may cause drowsiness/ sleepiness in few cases but it varies with every individual.

Q. What should be the time gap between the consumption of 2 Gemer doses?

Ans. The ideal time gap of 4-6 hours should be there between two doses.

Q. Should I complete the whole cycle of the medicine even if cured?

Ans. Gemer should be consumed as prescribed by the doctor and in case of any severity of symptoms, immediate medical help or consultation should be taken.

And the doctor should be the one to decide when and how to stop the cycle of Gemer.

Q. Does Gemer effect my menstrual cycle?

Ans. No, it generally doesn’t affect the menstrual cycle but one should always consult the doctor in case of pre-existing menstrual problems before consuming the drug

Q. Is Gemer safe for children?

Ans. Gemer should be administered in children. Paediatrician should always be consulted before administering the drug to children as the drug is not indicated for children.

Q. Are there any symptoms that I should consider before taking Gemer?

Ans. Any liver disorder, pregnancy or allergic reactions are to be taken into consideration before taking Gemer.

Q. Is Gemer legal in India?

Ans. Yes, it is legal in India.


Disclaimer – The information provided above is to the best of our research and knowledge. However, you are recommended to consult a physician before consuming the drug.

Authored by –

Reviewed and Edited by Dr. Pradeep - Clinical Research Coordinator

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Product Name
Gemer
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