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Getemin SR 500mg
Prolonged release tablets
metformin hydrochloride
This medicine is intended for adult patients only
Read all of this leaflet carefully before you start taking this medicine.
Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or pharmacist.
This medicine has been prescribed for you. Do not pass it on to others. It may harm them,
even if their symptoms are the same as yours.
If any of the side effects gets serious or if you notice any side effects not listed in this leaflet,
please tell your doctor or pharmacist.
1. What Getemin SR is and what it is used for
2. Before you take Getemin SR
3. How to take Getemin SR
4. Possible side effects
5. How to store Getemin SR
6. Further information
Getemin SR prolonged release tablets contain the active ingredient metformin hydrochloride
and belong to a group of medicines called biguanides, used in the treatment of diabetes.
Getemin SR is used for the treatment of Type 2 (non-insulin dependent) diabetes mellitus
when diet and exercise changes alone have not been enough to control blood glucose
(sugar). Insulin is a hormone that enables body tissues to take glucose from the blood and to
use it for energy or for storage for future use. People with Type 2 diabetes do not make
enough insulin in their pancreas or their body does not respond properly to the insulin it does
make. This causes a build-up of glucose in the blood which can cause a number of serious
long-term problems so it is important that you continue to take your medicine, even though
you may not have any obvious symptoms. Getemin SR makes the body more sensitive to
insulin and helps return to normal the way your body uses glucose.
Getemin SR is associated with either a stable body weight or modest weight loss.
Getemin SR Prolonged Release Tablets are specially made to release the drug slowly in
your body and therefore are different to many other types of tablet containing metformin.
Do not take Getemin SR if:
• you are allergic to metformin or to any of the other ingredients which are listed later on in
the leaflet (see under ‘6. Further information’).
• you have ketosis (this is a symptom of uncontrolled diabetes in which substances called
‘ketone bodies’ accumulate in the blood – you may notice that your breath has an unusual,
fruity odour).
• you have long-term kidney or liver problems.
• you have had serious complications with your diabetes or other serious conditions which
resulted in rapid weight loss, nausea, vomiting or dehydration.
• you have a severe infection or have recently suffered a severe injury you have been
treated for heart problems or have recently had a heart attack or have severe circulatory
problems or breathing difficulties.
• you are a heavy drinker of alcohol.
• you are under 18 years of age.
Take special care with Getemin SR.

After you have started taking your medicine:
If you have diabetes you should have your blood or urine tested for sugar regularly. You
should return to your doctor at least once a year to check the function of your kidneys (more
often if you are elderly or if you have kidney problems).
If you start to lose weight unexpectedly or suffer severe nausea or vomiting,
uncontrolled rapid breathing or abdominal pains, stop taking the medicine and tell
your doctor straight away. This can be a sign of a rare, but serious, complication with
your diabetes called ‘lactic acidosis’ which means there is too much acid in the blood
(see also under ‘4. Possible side effects’).
You may see some remains of the tablets in your stools. Do not worry- this is normal for this
type of tablet.
If you need to have an X-ray examination involving the injection of a dye, tell the doctor that
you take Getemin SR as you may need to stop taking it for a few days afterwards.
Tell your doctor if you are going to have an operation under general anaesthetic, as you may
need to stop taking Getemin SR for a couple of days before and after the procedure.
You should continue to follow any dietary advice that your doctor has given you and you
should make sure that you eat carbohydrates regularly throughout the day.
Do not stop taking this medicine without speaking to your doctor.
Taking Getemin SR with other medicines:
Please tell your doctor or pharmacist if you are taking or have recently taken any other
medicines, including medicines obtained without prescription.
If you are taking any of the following medicines, your blood sugar levels may need to be
checked more often and your dose adjusted:
• Steroids such as prednisolone, mometasone, beclometasone.
• Diuretics (water tablets) such as furosemide.
• Sympathomimetic medicines including epinephrine and dopamine used to treat heart
attacks and low blood pressure. Epinephrine is also included in some dental anaesthetics.
You should avoid drinking alcohol and using alcohol-containing medicines as this will
increase the risk of lactic acidosis (see under ‘4. Possible side effects’).
Taking Getemin SR with food and drink:
You should take Getemin SR with or immediately after food.
Pregnancy and breast-feeding
Do not take Getemin SR if you are pregnant or breast feeding.
Ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
Getemin SR taken on its own does not cause ‘hypos’ (symptoms of low blood sugar or
hypoglycaemia, such as faintness, confusion and increased sweating) and therefore should
not affect your ability to drive or use machinery.
You should be aware, however, that Getemin SR taken with other antidiabetic medicines can
cause hypos, so in this case you should take extra care when driving or operating
Your doctor may prescribe Getemin SR for you to take on its own, or in combination with
other oral antidiabetic medicines or insulin.
Always take Getemin SR exactly as your doctor has told you. You should check with your
doctor or pharmacist if you are not sure.
Swallow the tablets whole with a glass of water, do not chew.

Usually you will start treatment with 500 milligrams Getemin SR daily. After you have been
taking Getemin SR for about 2 weeks, your doctor may measure your blood sugar and
adjust the dose. The maximum daily dose is 2000 milligrams of Getemin SR.
Normally, you should take the tablets once a day, with your evening meal.
In some cases, your doctor may recommend that you take the tablets twice a day. Always
take the tablets with food.
If you take more Getemin SR than you should
If you take extra tablets by mistake you need not worry, but if you have unusual symptoms,
contact your doctor. If the overdose is large, lactic acidosis is more likely and this is a
medical emergency requiring treatment in hospital (see also under ‘4. Possible side effects’).
If you forget to take Getemin SR
Take it as soon as you remember with some food. Do not take a double dose to make up for
a forgotten dose.
Like all medicines, Getemin SR can cause side effects, although not everybody gets them. If
you notice any of the following, stop taking Getemin SR and see your doctor
• unexpected weight loss
• very severe nausea or vomiting
• very fast breathing which you cannot stop
• stomach pains or feeling cold
These can be signs of serious problems with your diabetes and may mean you have a very
rare side effect called “lactic acidosis” (too much acid in the blood). If this happens, see a
doctor as you will need treatment straight away.
• Abnormal liver function tests and hepatitis (inflammation of the liver) which may result in
jaundice. If you develop yellowing of the eyes and/or skin contact your doctor immediately.
Other possible side effects are listed by frequency as follows:
Very common (affects more than 1 person in 10):
• Diarrhoea, nausea, vomiting, stomach ache or loss of appetite. If you get these, do not stop
taking the tablets as these symptoms will normally go away in about 2 weeks. It helps if you
take the tablets with or immediately after a meal.
Common (affects less than 1 person in 10, but more than 1 person in 100):
• Taste disturbance
Very rare (affects less than 1 person in 10,000):
• Decreased vitamin B12 levels
• Skin rashes including redness, itching and hives.
If any of the side effects gets serious, or if you notice any side effects
not listed in this leaflet, please tell your doctor or pharmacist.
Keep Getemin SR tablets out of the reach and sight of children.
Do not use them after the expiry date that is printed on the pack after “Use before:”. The
expiry date refers to the last day of that month.
This medicinal product does not require any special storage conditions.
Medicines should not be disposed of via wastewater or household waste. Ask your
pharmacist how to dispose of medicines no longer required. These measures will help to
protect the environment.
What the tablets contain

Each prolonged release tablet contains 500 milligrams of the active ingredient metformin
hydrochloride. The other ingredients are magnesium stearate, carmellose sodium,
hypromellose and microcrystalline cellulose.
What Getemin SR looks like and contents of the pack
The tablets are white to off-white and capsule-shaped with ‘500’ on one side.
Getemin SR 500 mg Prolonged Release Tablets are manufactured for Merck Serono Ltd,
Bedfont Cross, Stanwell Road, Feltham, Middlesex, TW14 8NX, UK by Merck Santé s.a.s, 2
rue du Pressoir Vert, 45400 Semoy, France.
This leaflet was last revised in January 2012.
Useful tips
• If you smoke, try to stop
• Take regular exercise
• Drink as little alcohol as possible
• Look after your feet. Ask about this at the surgery or hospital
• Carry a card, bracelet or disk saying you are diabetic
• Visit your diabetic clinic regularly
If you want more information about diabetes contact:
Diabetes UK Central Office
Macleod House
10 Parkway
London NW1 7AA
Tel: 020 7424 1000

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.