What is Generic Amaryl used for?

Generic Amaryl (Glimepiride) is an oral medication used to treat type 2 (non-insulin-dependent) diabetes when diet and exercise alone fail to control abnormally high levels of blood sugar. Like other diabetes drugs classified as sulfonylureas, Generic Amaryl lowers blood sugar by stimulating the pancreas to produce more insulin. Generic Amaryl is often prescribed along with the insulin-boosting drug Glucophage. It may also be used in conjunction with insulin and other diabetes drugs.

Most important fact about Generic Amaryl

Always remember that Generic Amaryl is an aid to, not a substitute for, good diet and exercise. Failure to follow a sound diet and exercise plan may diminish the results of Generic Amaryl and can lead to serious complications such as dangerously high or low blood sugar levels. Remember, too, that Generic Amaryl is not an oral form of insulin, and cannot be used in place of insulin.

How should you take Generic Amaryl?

Do not take more or less of this medication than directed by your physician. Generic Amaryl should be taken with breakfast or the first main meal.

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at the same time.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, tell your physician as soon as possible. Only your physician can determine if it is safe for you to continue taking Generic Amaryl.

More common side effects may include: anemia and other blood disorders, blurred vision, diarrhea, dizziness, headache, itching, liver problems and jaundice, muscle weakness, nausea, sensitivity to light, skin rash and eruptions, stomach and intestinal pain, vomiting.

Generic Amaryl, like all oral antidiabetics, can result in hypoglycemia (low blood sugar). The risk of hypoglycemia can be increased by missed meals, alcohol, fever, injury, infection, surgery, excessive exercise, and the addition of other medications such as Glucophage or insulin. To avoid hypoglycemia, closely follow the dietary and exercise regimen suggested by your physician.

Symptoms of mild low blood sugar may include: blurred vision, cold sweats, dizziness, fast heartbeat, fatigue, headache, hunger, light-headedness, nausea, nervousness

Symptoms of more severe low blood sugar may include: oma, disorientation, pale skin, seizures, shallow breathing

Ask your physician what steps you should take if you experience mild hypoglycemia. If symptoms of severe low blood sugar occur, contact your physician immediately; severe hypoglycemia is a medical emergency.

Why should Generic Amaryl not be prescribed?

Avoid Generic Amaryl if you have ever had an allergic reaction to it.

Do not take Generic Amaryl to correct diabetic ketoacidosis (a life-threatening medical emergency caused by insufficient insulin and marked by excessive thirst, nausea, fatigue, and fruity breath). This condition should be treated with insulin.

Special warnings about Generic Amaryl

It's possible that drugs such as Generic Amaryl may lead to more heart problems than diet treatment alone, or treatment with diet and insulin. If you have a heart condition, you may want to discuss this with your physician.

When taking Generic Amaryl, you should check your blood and urine regularly for abnormally high sugar (glucose) levels. The effectiveness of any oral antidiabetic, including Generic Amaryl, may decrease with time. This may occur because of either a diminished responsiveness to the medication or a worsening of the diabetes.

Even people with well-controlled diabetes may find that stress such as injury, infection, surgery, or fever triggers a loss of control. If this happens, your physician may recommend that you add insulin to your treatment with Generic Amaryl or that you temporarily stop taking Generic Amaryl and use insulin instead. Possible food and drug interactions when taking Generic Amaryl

If Generic Amaryl is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your physician before combining Generic Amaryl with the following:

• Airway-opening drugs such as Proventil and Ventolin
• Aspirin and other salicylate medications
• Chloramphenicol (Chloromycetin)
• Corticosteroids such as prednisone (Deltasone)
• Diuretics such as hydrochlorothiazide (HydroDIURIL) and chlorothiazide (Diuril)
• Estrogens such as Premarin
• Heart and blood pressure medications called beta blockers, including Tenormin, Inderal, and Lopressor
• Isoniazid (Nydrazid)
• Major tranquilizers such as Mellaril and Thorazine
• MAO inhibitors (antidepressants such as Nardil and Parnate)
• Miconazole (Monistat)
• Nicotinic acid (Nicobid)
• Nonsteroidal anti-inflammatory drugs such as Advil, Motrin, Naprosyn, Nuprin, Ponstel, and Voltaren
• Oral contraceptives
• Phenytoin (Dilantin)
• Probenecid (Benemid)
• Sulfa drugs such as Bactrim DS, Septra DS
• Thyroid medications such as Synthroid
• Warfarin (Coumadin)

Use alcohol with care; excessive alcohol intake can cause low blood sugar.

Special information if you are pregnant or breastfeeding

Do not take Generic Amaryl while pregnant. Since studies suggest the importance of maintaining normal blood sugar levels during pregnancy, your physician may prescribe injected insulin instead. Drugs similar to Generic Amaryl do appear in breast milk and may cause low blood sugar in nursing infants. You should not take Generic Amaryl while nursing. If diet alone does not control your sugar levels, your physician may prescribe injected insulin.

Recommended dosage

The usual starting dose is 1 to 2 milligrams taken once daily with breakfast or the first main meal. The maximum starting dose is 2 milligrams.

If necessary, your physician will gradually increase the dose 1 or 2 milligrams at a time every 1 or 2 weeks. Your diabetes will probably be controlled on 1 to 4 milligrams a day; the most you should take in a day is 8 milligrams. If the maximum dose fails to do the job, your physician may add Glucophage to your regimen.

Weakened or malnourished people and those with adrenal, pituitary, kidney, or liver disorders are particularly sensitive to hypoglycemic drugs such as Generic Amaryl and should start at 1 milligram once daily. Your physician will increase your medication based on your response to the drug.

Safety and effectiveness in children have not been established.

Overdosage

An overdose of Generic Amaryl can cause low blood sugar (see "What side effects may occur?" for symptoms).

Eating sugar or a sugar-based product will often correct mild hypoglycemia. For severe hypoglycemia, seek medical attention immediately.

Delivery Time: 7-14 Days