• If you are allergic to this medicine or any of the ingredients of this medicine.
• If you are pregnant or breastfeeding.
• If you have any kind of kidney or liver problem.
• If you have any metabolic acidosis (too much acid in the body fluids) like lactic acidosis, diabetic ketoacidosis or diabetic pre-coma.
• If you have a history of any kind of heart condition like shock, heart failure, etc.
• If you are an alcoholic.
• If you have a history of severe infection pre or post-surgery.
• If you have stomach or intestinal obstruction or disorder.

• Low blood sugar levels can present with headache, dizziness, restlessness, difficulty concentrating, loss of consciousness, sweating, fast heartbeat.
• Nausea, vomiting, diarrhoea, loss of appetite, stomach ache. These symptoms show at the beginning of treatment and settle gradually.
• Altered taste
• Bloating
• Flatulence

How Does It Work?

• This combination is known to control blood sugar to a greater extent than metformin, voglibose or glimepiride alone.
• Insulin moves sugar (glucose) from the blood into the cells. Glimepiride lowers the blood sugar level increasing release of insulin hormone from the pancreas.
• Metformin works by decreasing the amount of glucose absorbed from the intestine, lowering the amount of sugar created by the liver and facilitating the entry of sugar into the cells.
• Voglibose delays digestion and absorption of carbohydrates in the intestines and thereby prevents a spike in blood glucose levels that occur after a meal.

• Glimisave Mv Forte Tablet should be taken orally as directed by your doctor.
• It should be taken with or after a meal, swallow it whole with a glass of water.
• It would be best if you took it at a fixed time for optimal results and not consume it more than that prescribed by your doctor.

Interactions with other medicines

• Glimisave Mv Forte Tablet may interact with other medicines if taken at the same time. Always inform your doctor about all the medicine you are taking, that includes all prescribed or non-prescribed herbal medicines, dietary supplements as well as other treatment if you are taking for any disorder.
• In particular, if you are taking medicines for brain and heart-related disorders, tuberculosis, acidity, fungal infections, painkillers, antihypertensive medicines, etc.

• You may have symptoms of high blood sugar if you are taking oral contraceptives, water pills, rifampicin (anti-tuberculosis medicine), medicines for constipation, phenytoin (anti-epileptic medicine), medicines for thyroid disorders.
• Glimisave Mv Forte Tablet may alter the way blood thinners work like phenprocoumon.
• Other medicines like oral contraceptives, other anti-diabetics, etc can affect blood glucose levels. Therefore, concomitant use should be undertaken with caution.

• Store the medicine below 25°C.
• Keep the medicine out of the reach of children.

Overdose

• An overdose of this medicine may cause hypoglycaemia (excessively low blood sugar) and may present with extreme weakness, confusion, tremors, fast heart rate, nausea, rapid breathing. You must immediately take sugar, if possible in the form of glucose. Seek emergency medical attention if you think you have used too much of this medicine.

Missed a Dose

• If you have missed any dose, take it as soon as you remember. If it is time for the next dose, skip the missed dose and continue your regular dosing schedule.
• Do not take a double dose of medicine to compensate for a missed one. Taking double doses can be harmful as it can drop the glucose level.