Xtern GP 0.5mg/500mg Tablet
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Introduction To Xtern GP 0.5mg/500mg Tablet
Xtern GP 0.5mg/500mg Tablet 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.
Xtern GP 0.5mg/500mg Tablet should be taken with food. Take it regularly at the same time each day to get the most benefit. Your doctor will decide what dose is best for you and this may change from time to time according to how it is working according to your blood sugar levels.
Keep taking this medicine, even if you feel well or your blood sugar levels are controlled. If you stop it without consulting your doctor, your blood sugar levels could rise and put you at risk of kidney damage, blindness, nerve problems, and loss of limbs. Remember that it is only part of a treatment program that should also include a healthy diet, regular exercise, and weight reduction as advised by your doctor. Your lifestyle plays a big part in controlling diabetes.
The most common side effect of Xtern GP 0.5mg/500mg Tablet is low blood glucose levels (hypoglycemia). Make sure you recognize the signs of having low blood glucose levels, such as sweating, dizziness, headache, and shaking, and know how to deal with it. To prevent this, it's important to have regular meals and always carry a fast-acting source of glucose such as sugary food or fruit juice with you. Drinking alcohol can also increase your risk of low blood sugar levels and should be avoided. Other side effects that may be seen on taking this medicine include taste changes, nausea, diarrhea, stomach pain, headache, and upper respiratory tract infection. Some people may find that they put on weight with this medicine.
You should not take it if you have type 1 diabetes mellitus, if you have diabetic ketoacidosis (high levels of acid in your blood), or if you have severe kidney or liver disease. Before taking this medicine, tell your doctor if you have ever had heart disease. It may not be suitable. Pregnant or breastfeeding women should also consult their doctor before taking it. Your blood sugar levels should be checked regularly and your doctor may also advise blood tests to monitor your blood cell counts and liver function.
Uses of Xtern GP 0.5mg/500mg Tablet
- Treatment of Type 2 diabetes mellitus
Benefits of Xtern GP 0.5mg/500mg Tablet
Treatment of Type 2 diabetes mellitus
Xtern GP 0.5mg/500mg Tablet is a combination medicine that increases the amount of insulin your
body produces (in the pancreas). The insulin then works to lower your blood
glucose level. It is usually taken once a day. You should keep taking it for
as long as it is prescribed.
Lowering blood glucose levels is an essential part of managing diabetes. If
you can control the level you will reduce the risk of getting any of the
serious complications of diabetes such as kidney damage, eye damage, nerve
problems, and loss of limbs. Taking this medicine regularly along with proper
diet and exercise will help you live a normal, healthy life.
Side effects of Xtern GP 0.5mg/500mg Tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Tgmet-G
- Hypoglycemia (low blood glucose level)
- Headache
- Nausea
- Diarrhea
- Flatulence
How to use Xtern GP 0.5mg/500mg Tablet
Take this medicine in the dose and duration as advised by your doctor. Xtern GP 0.5mg/500mg Tablet is to be taken with food.
How Xtern GP 0.5mg/500mg Tablet works
Xtern GP 0.5mg/500mg Tablet 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
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You have been prescribed this combination medicine as it can control blood sugar better than metformin alone.
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You should continue to exercise regularly, eat a healthy diet, and take your other diabetes medicines along with Xtern GP 0.5mg/500mg Tablet.
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Take it with food to lower your chance of having an upset stomach.
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Monitor your blood sugar level regularly while you are taking this medicine.
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It can cause hypoglycemia (low blood sugar level) when used with other antidiabetic medicines, alcohol or if you delay or miss a meal.
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Inform your doctor about your diabetes treatment if you are due to have surgery under a general anesthetic.
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Tell your doctor immediately if you experience any deep or rapid breathing or if you have persistent nausea, vomiting, and stomach pain as Xtern GP 0.5mg/500mg Tablet may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood.
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Your doctor may check your liver function regularly. Inform your doctor if you develop symptoms such as abdominal pain, loss of appetite, or yellowing of the eyes or skin (jaundice).
Safety Advice
PregnancyCONSULT YOUR DOCTOR
Can I take Xtern GP 0.5mg/500mg Tablet if I’m pregnant?
Xtern GP 0.5mg/500mg Tablet 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.
BreastfeedingUNSAFE
Can I take Xtern GP 0.5mg/500mg Tablet if I’m breastfeeding?
Xtern GP 0.5mg/500mg Tablet is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.
AlcoholUNSAFE
Is drinking alcohol while taking Xtern GP 0.5mg/500mg Tablet safe?
It is unsafe to consume alcohol with Xtern GP 0.5mg/500mg Tablet.
DrivingCAUTION
Can I drive after taking Xtern GP 0.5mg/500mg Tablet?
Your ability to drive may be affected if your blood sugar is too low or too high. Do not drive if these symptoms occur.
KidneyCAUTION
Can I take Xtern GP 0.5mg/500mg Tablet if I have/had kidney diseases?
Xtern GP 0.5mg/500mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Xtern GP 0.5mg/500mg Tablet may be needed. Please consult your doctor. Use of Xtern GP 0.5mg/500mg Tablet is, however, not recommended in patients with severe kidney disease. Regular monitoring of kidney function test is advisable while you are taking this medicine.
LiverCAUTION
Can I take Xtern GP 0.5mg/500mg Tablet if I have/had liver diseases?
Xtern GP 0.5mg/500mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Xtern GP 0.5mg/500mg Tablet may be needed. Please consult your doctor. Xtern GP 0.5mg/500mg Tablet is generally started with low dose in patients with mild to moderate liver disease and its use is not recommended in patients with severe liver disease.
Frequently Asked Questions
Q. What are the recommended storage conditions for Xtern GP 0.5mg/500mg Tablet?
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
Q. Can the use of Xtern GP 0.5mg/500mg Tablet lead to lactic acidosis?
Yes, the use of Xtern GP 0.5mg/500mg Tablet can lead to lactic acidosis. It is a medical emergency which is caused by increased levels of lactic acid in the blood. It is also known as MALA (Metformin-associated lactic acidosis). It is a rare side effect associated with the use of metformin and therefore, it is considered to be harmful for patients with underlying kidney disease, old age patients or who take large amounts of alcohol. Symptoms of lactic acidosis may include muscle pain or weakness, dizziness, tiredness, feeling of cold in arms and legs, difficulty in breathing, nausea, vomiting, stomach pain or slow heart rate. If you have these symptoms, stop taking Xtern GP 0.5mg/500mg Tablet and consult your doctor immediately.
Q. What is Xtern GP 0.5mg/500mg Tablet?
Xtern GP 0.5mg/500mg Tablet is a combination of two medicines: Glimepiride and Metformin. This medicine is used in the treatment of type 2 diabetes mellitus (DM). It improves blood glucose levels in adults when taken along with proper diet and regular exercise. Glimepiride lowers the blood glucose levels by increasing the release of insulin from the pancreas. Metformin works by lowering the glucose production in the liver and improving insulin sensitivity. This combination is not indicated for the treatment of type 1 DM.
Q. What are the possible side effects of Xtern GP 0.5mg/500mg Tablet?
The use of Xtern GP 0.5mg/500mg Tablet is associated with common side effects like hypoglycemia (low blood sugar level), altered taste, nausea, stomach pain, diarrhea, headache and upper respiratory tract infection. Its use can also lead to serious but rare side effects like lactic acidosis. On long-term use it can also lead to Vitamin B12 deficiency.
Q. Can the use of Xtern GP 0.5mg/500mg Tablet lead to Vitamin B12 deficiency?
Yes, the use of Xtern GP 0.5mg/500mg Tablet can cause Vitamin B12 deficiency on long-term use. It interferes with the absorption of Vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can experience tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in maintaining balance (ataxia). To avoid such problems, some researchers suggest an intake of Vitamin B12 from outside sources at least once every year.
Q. Can the use of Xtern GP 0.5mg/500mg Tablet cause hypoglycemia?
Yes, the use of Xtern GP 0.5mg/500mg Tablet can cause hypoglycemia (low blood sugar level). Symptoms of hypoglycemia include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate and feeling anxious or shaky. It happens more often if you miss or delay your food, drink alcohol, over-exercise or take other antidiabetic medicine along with it. So, regular monitoring of the blood sugar level is important. Always keep a quick source of sugar like glucose tablets, honey or fruit juice with you.
Q. Is it safe to take alcohol while I am also taking Xtern GP 0.5mg/500mg Tablet?
No, it is not safe to take Xtern GP 0.5mg/500mg Tablet along with alcohol, as it may lower your blood sugar levels and lead to hypoglycemia. It can also increase the chances of lactic acidosis.
References
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Written By:
![Dr Advikka Ridhy](/assets/images/doctors/dr_advikka_ridhy.jpeg)
Dr Advikka Ridhy
MBBS
RMO, Aster MIMS
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