GLIBENCLAMIDE 5MG TABLETS
Active substance(s): GLIBENCLAMIDE
231-30-62606-Z LEA GLIBENCLAMIDE 2.5MG AND 5MG TAB TUK
26 March 2015
PAGE 1: FRONT FACE (INSIDE OF REEL)
PACKAGE LEAFLET: INFORMATION
FOR THE USER
Read all of this leaflet carefully before you
start taking this medicine because it contains
important information for you.
• Keep this leaflet. You may need to read it
• 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
• If you get any side effects, talk to your doctor
or pharmacist. This includes any possible
side effects not listed in this leaflet. See
IN THIS LEAFLET:
Pharma code 154
1. What Glibenclamide is and what it is used for
2. What you need to know before you take
3. How to take Glibenclamide
4. Possible side effects
5. How to store Glibenclamide
6. Contents of pack and other information
WHAT GLIBENCLAMIDE IS AND WHAT
IT IS USED FOR
Glibenclamide is an anti-diabetic drug.
Glibenclamide tablets are used in the
management of non-insulin dependent
diabetes to lower the level of sugar in the
blood. They are used in cases where diet alone
does not provide sufficient control.
BEFORE YOU TAKE GLIBENCLAMIDE
Do NOT take Glibenclamide if you:
• are allergic (hypersensitive) to Glibenclamide
or any of the other ingredients of this medicine
• have a serious problems with your kidneys,
liver, adrenal glands or pituitary gland
• are about to undergo any form of surgery
• have a severe infection
• have porphyria (Symptoms you may feel are
like abdominal pain, mental confusion,
anxiety, fits, muscle pain etc.)
• have juvenile or insulin-dependent diabetes
• are in trauma or suffering from stress.
• suffering from a history of diabetic
ketoacidosis (presence of ketones in the
urine) or diabetic coma or pre-coma.
• are elderly (Age over 70 years).
These tablets should not be used in patients
suffering from or with a history of diabetic
ketoacidosis (presence of ketones in the urine)
or diabetic coma.
Warnings and precautions
Talk to your doctor before you start to take this
medicine if you:
• are weak or feeble as you are more likely to
suffer from a “hypo” (low blood-sugar attack)
• have a controlled diet or you take less
calorie food or glucose
• have irregular meal time or you miss your
• are doing excessive exercise
• If you have G6PD- deficiency (G6PD is an
enzyme which protects red blood cells in
blood). Please speak to your doctor if you
are not sure about it.
• are debilitated.
• have lapp lactose deficiency (you are unable
to digest milk or milk product)
• have mild to moderate kidney problems.
Other medicines and Glibenclamide
Talk to your doctor if you are taking any of the
• laxatives (used for loosening stools)
• chloramphenicol, isoniazid (used for the
treatment of bacterial infection)
• tetracycline antibiotics e.g. doxycycline
• quinolone antibacterials e.g. ciprofloxacin
• sulphonamides e.g. co-trimoxazole
• miconazole, fluconazole (an anti-fungal drug)
• phenylbutazone, azapropazone (a
non-steroidal anti-inflammatory drug)
• treatment for psychological disorders, e.g.
• antidepressants e.g. fluoxetine or a
monoamine oxidase inhibitor e.g. phenelzine
• fenfluramine (an appetite suppressant)
• anti-ulcer medicine e.g. ranitidine or cimetidine
• diuretics (”water tablets”) e.g. furosemide or
• anabolic steroids e.g. nandrolone or
• corticosteroids e.g. cortisone or prednisolone
• oral contraceptives (”the Pill”)
• sex hormone for the treatment purpose e.g.
testosterone, oestrogens, progesterones
• regular doses of aspirin
• phenylbutazone (used to treat pain, fever
and inflammation of the body)
• ACE inhibitors (used to treat high blood
pressure and heart failure) e.g. captopril or
• anti-coagulants e.g. warfarin or heparin
• disopyramide (used to treat irregular heart
• clofibrate, nicotinic acid and bezafibrate (all
used to lower fat levels in the blood)
• sulfinpyrazone, allopurinol, probenecid
(used to treat gout)
• phenytoin (an anti-convulsant)
• rifampicin (an anti-tuberculosis drug)
• cyclophosphamide (an anti-cancer drug)
• bronchodilators (for asthma treatment) e.g.
• thyroid hormone treatment
• diazoxide or glucagon (used to treat
• bosentan (used to treat high blood pressure)
• crisantaspase (used to treat cancer)
• quinine, quinidine (used to treat malaria)
• clofibrate (used to treat blood cholesterol)
• cyclosporin (used to suppress immune
If you are taking clonidine or guanethidine
(used to reduce high blood pressure), or a
beta-blocker, e.g. propranolol, you should be
aware that these drugs may affect the warning
signs of a “hypo” (low blood sugar attack).
Please tell your doctor or pharmacist if you are
taking or have recently taken any other
medicines, including medicines obtained
without a prescription.
Important information about some of the
ingredients of Glibenclamide
• Patients who are intolerant to lactose should
note that Glibenclamide tablets contain a
small amount of lactose. If your doctor has
told you that you have an intolerance to
some sugars, contact your doctor before
taking this medicine.
Pregnancy and breast-feeding
Do NOT use Glibenclamide if you are pregnant
or planning to become pregnant. Speak to
your doctor before taking any medicine.
You should let your doctor know as soon as
possible if you are breast feeding or you want
to start breast-feeding whilst taking these
Driving and using machines
If you have jaundice (yellowing of skin and
whites of the eyes) then please discontinue this Glibenclamide is not known to affect your
ability to drive or operate machinery unless
medicine. Speak to your doctor in this case.
you have very low blood sugar which makes
you feel very sick.
Top of page cut-off to middle of registration mark: 44 mm.
2.5 mg OR 5 mg TABLETS
TEVA UK Ref:
231-30-62606-Z LEA GLIBENCLAMIDE 2.5MG AND 5MG TAB TUK
PAGE 2: REAR FACE (OUTSIDE OF REEL)
• loss of appetite, diarrhoea, feeling sick,
vomiting, burning chest pain that is caused
by stomach acidity, eating disorder
Always take Glibenclamide exactly as your
• jaundice (yellowing of skin and whites of the
doctor has told you. You should check with
your doctor or pharmacist if you are not sure.
• allergic skin reactions, rash, itching or skin
The tablets should be swallowed preferably
sensitivity after light exposure
with a drink of water. The usual dose is:
• skin cell death
The starting dose is 5 mg a day, taken during • metallic taste in the mouth
• weight gain
or straight after breakfast (or the first main
meal of the day). This may then be adjusted by • increased appetite
• swelling of limbs due to accumulation of
your doctor, to a maximum of 15 mg a day.
• Elderly and very frail patients
• low sodium concentration in the blood (this
The normal adult starting dose should be
can be detected from a blood test).
reduced to 2.5 mg a day.
You may occasionally suffer from a “hypo” (low
• Changing from another anti-diabetic medicine blood-sugar attack) relating to your dosage, diet
The starting dose is 5 mg to 10 mg a day,
and exercise, during which you may feel faint,
depending on your previous dosage. This
sick and have cold sweats or palpitations. Your
may then be increased by your doctor, to a
doctor will advise you what to do when you
maximum of 15 mg a day.
first start your treatment with Glibenclamide.
• If you are changing from metformin to
You may become allergic to other
Glibenclamide, your starting dose will be
sulphonamide drugs, such as co-trimoxazole.
2.5 mg a day and then adjusted as the
metformin treatment stops, to a maximum Rarely, blood disorders may occur, which may
of 15 mg a day. You may occasionally be
be characterised by pallor, fever or chills, sore
required to take both types of medication throat, ulcers in your mouth or throat, unusual
at the same time, but your doctor will
bleeding or unexplained bruising.
advise you of this.
• Similarly, if you are changing from insulin Reporting of side effects
treatment to Glibenclamide, your starting If you get any side effects, talk to your doctor
dose will be 5 mg a day and then adjusted or pharmacist. This includes any possible side
effects not listed in this leaflet. You can also
as the insulin treatment stops, to a
report side effects directly via the Yellow Card
maximum of 15 mg daily.
Scheme at: www.mhra.gov.uk/yellowcard
By reporting side effects you can help provide
Glibenclamide is not recommended for use
more information on the safety of this medicine.
HOW TO TAKE GLIBENCLAMIDE
If you take more Glibenclamide than you
If you (or someone else) swallow a lot of the
tablets all together, or if you think a child has
swallowed any of the tablets, contact your
nearest hospital casualty department or your
An overdose is likely to cause low blood sugar
characterised by faintness, feeling sick, cold
sweats, and/or palpitations.
Please take this leaflet, any remaining tablets,
and the container with you to the hospital or
doctor so that they know which tablets were
If you forget to take Glibenclamide
If you forget to take a tablet, take one as soon
as you remember, unless it is nearly time to
take the next one. Do NOT take a double dose
to make up for a forgotten dose. Take the
remaining doses at the correct time.
If you stop taking Glibenclamide
Do NOT stop taking your medicine without
talking to your doctor first even if you feel
HOW TO STORE GLIBENCLAMIDE
Keep out of the reach and sight of children.
Do not store above 25ºC. Keep in the original
package or container supplied. Do not transfer
them to another container.
Do not use Glibenclamide after the expiry date
that is stated on the outer packaging. The
expiry date refers to the last day of that month.
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.
CONTENTS OF THE PACK AND OTHER
What Glibenclamide tablets contain:
• The active ingredient is Glibenclamide.
• The other ingredients are lactose anhydrous,
croscarmellose sodium and magnesium
What Glibenclamide tablets look like and
contents of the pack:
If you have any further questions on the use of • The Glibenclamide 2.5 mg tablets are white,
biconvex tablets. They are engraved ‘2.5’ over
this product, ask your doctor or pharmacist.
‘3103’ on one side and plain on the reverse.
• The Glibenclamide 5 mg tablets are white,
4 POSSIBLE SIDE EFFECTS
oval, biconvex tablets. They are engraved ‘5’
breakline ‘3104’ on one side and plain on the
Like all medicines, Glibenclamide can cause
side effects, although not everybody gets them.
• The product is available in pack sizes of 7, 10,
If the following happens, stop taking the tablets
14, 21, 28, 30, 56, 60, 84, 90, 100, 110, 112, 120,
and tell your doctor immediately or go to the
150, 160, 168, 250, 500, and 1000 tablets.
casualty department at your nearest hospital:
Not all pack sizes may be marketed.
• an allergic reaction (swelling of the lips, face
Marketing Authorisation Holder and
or neck leading to severe difficulty in
breathing; skin rash or hives).
The Marketing Authorisation holder and
This is a very serious but rare side effect. You
company responsible for manufacture is
may need urgent medical attention or
TEVA UK Limited, Eastbourne, BN22 9AG.
• Decrease in blood cells which places
individuals at increased risk of infection.
• problems with your vision (at the beginning
of your treatment only)
This leaflet was last revised: March 2015
160 x 323
26 March 2015
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.