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GLIMEPIRIDE 1MG TABLETS

Active substance(s): GLIMEPIRIDE / GLIMEPIRIDE / GLIMEPIRIDE

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PACKAGE LEAFLET:
INFORMATION FOR THE USER

Amaryl® 1mg tablets
(glimepiride)
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 again.
 If you have any further questions, ask your doctor or
pharmacist.
 This medicine has been prescribed for you only. Do not
pass it on to others. It may harm them, even if their
symptoms are the same as yours.
 If you get any side effects, talk to your doctor or pharmacist.
This includes any possible side effects not listed in this
leaflet.
The name of your medicine is Amaryl 1mg tablets but it will be
referred as Amaryl throughout this leaflet. Please note that the
leaflet also contains information about other strengths Amaryl
2mg, 3mg and 4mg tablets.
What is in this leaflet
1. What Amaryl is and what it is used for
2. What you need to know before you take Amaryl
3. How to take Amaryl
4. Possible side effects
5. How to store Amaryl
6. Contents of the pack and other information

1. What Amaryl is and what it is used for
Amaryl is a medicine taken by mouth to help lower blood sugar.
It belongs to a group of medicines called sulfonylureas.
Amaryl works by increasing the amount of insulin released from
your pancreas. The insulin then lowers your blood sugar levels.
What Amaryl is used for:
 Amaryl is used to treat a certain form of diabetes (type 2
diabetes mellitus) when diet, physical exercise and weight
reduction alone have not been able to control your blood
sugar levels.

2. What you need to know before you take
Amaryl
Do not take Amaryl and tell your doctor if:









You are allergic to: glimepiride or other sulfonylureas
(medicines used to lower your blood sugar such as
glibenclamide) or sulfonamides (medicines for bacterial
infections such as sulfamethoxazole) or any of the other
ingredients of this medicine (listed in section 6)
You have insulin dependent diabetes (type 1 diabetes
mellitus)
You have diabetic ketoacidosis (a complication of diabetes
when your acid level is raised in your body and you may
have some of the following signs: fatigue, feeling sick
(nausea), frequent urination and muscular stiffness)
You are in a diabetic coma
You have severe kidney disease
You have a severe liver disease

Do not take this medicine if any of the above apply to you. If
you are not sure, talk to your doctor or pharmacist before taking
Amaryl.
Warnings and precautions
Talk to your doctor or pharmacist before taking your
medicine if:
 You are recovering from an injury, operation, infections with
fever, or from other forms of stress, inform your doctor as
temporary change of treatment may be necessary
 You have a severe liver or kidney disorder
If you are not sure if any of these apply to you, talk to your
doctor or pharmacist before taking Amaryl.
Lowering of the haemoglobin level and breakdown of red blood
cells (haemolytic anemia) can occur in patients missing the
enzyme glucose-6-phosphate dehydrogenase.
The information available on the use of Amaryl in people under
18 years of age is limited. Therefore, its use in these patients is
not recommended.
Important information about hypoglycaemia (low blood
sugar)
When you take Amaryl, you may get hypoglycaemia (low blood
sugar). Please see overleaf for additional information about
hypoglycaemia, its signs and treatment.
Following factors could increase the risk of you getting
hypoglycaemia:
 Undernourishment, irregular meal time, missed or delayed
meal or period of fasting
 Changes to your diet
 Taking more Amaryl than needed
 Having kidneys that do not work properly
 Having severe liver disease
 If you suffer from particular hormone-induced disorders
(disorders of the thyroid glands, of the pituitary gland or
adrenal cortex)
 Drinking alcohol (especially when you skip a meal)
 Taking certain other medicines (see overleaf ‘Other
medicines and Amaryl’)
 If you increase the amount of exercise you do and you don't
eat enough food or eat food containing less carbohydrate
than usual.
Signs of hypoglycaemia include:
 Hunger pangs, headache, nausea, vomiting, sluggishness,
sleepiness, problems sleeping,
restlessness, aggression, problems with concentration,
reduced alertness and reaction time, depression, confusion,
problems with your speech and sight, slurred speech,
shakiness, partial paralysis, dizziness, helplessness



The following signs may also occur: sweating, clammy skin,
anxiety, fast or increased heart beat, high blood pressure,
awareness of your heart beat, sudden strong pain in the
breast that may radiate into neighbouring areas (angina
pectoris and cardiac arrhythmias)
If blood sugar levels continue to drop you may suffer from
considerable confusion (delirium), develop fits, lose self
control, breathing may be shallow and your heart beat
slowed down, you may fall into unconsciousness. The
clinical picture of a severe reduced blood sugar level may
resemble that of a stroke.

Treating hypoglycaemia:
In most cases the signs of reduced blood sugar vanish very
quickly when you consume some form of sugar, e.g. sugar
cubes, sweet juice, sweetened tea.
You should therefore always take some form of sugar with you
(e.g. sugar cubes). Remember that artificial sweeteners are not
effective. Please contact your doctor or go to the hospital if
taking sugar does not help or if the symptoms recur.
Laboratory tests
The level of sugar in your blood or urine should be checked
regularly. Your doctor may also take blood tests to monitor your
blood cell levels and liver function.
Children and adolescents
Amaryl is not recommended for use in children under 18 years
of age.
Other medicines and Amaryl
Tell your doctor or pharmacist if you are taking, have recently
taken or might take any other medicines.
Your doctor may wish to change your dose of Amaryl if you are
taking other medicines, which may weaken or strengthen the
effect of Amaryl on the level of sugar in your blood.
The following medicines can increase the blood sugar lowering
effect of Amaryl. This can lead to a risk of hypoglycaemia (low
blood sugar):
 Other medicines to treat diabetes mellitus (such as insulin
or metformin)
 Medicines to treat pain and inflammation (phenylbutazone,
azopropazone, oxyphenbutazone, aspirin- like medicines)
 Medicines to treat urinary infections (such as some
long acting sulfonamides)
 Medicines to treat bacterial and fungal infections
(tetracyclines, chloramphenicol, fluconazole, miconazole,
quinolones, clarithromycin)
 Medicines to inhibit blood clotting (coumarin derivatives
such as warfarin)
 Medicines supporting muscle build up (anabolics)
 Medicines used for male sex hormone replacement therapy
 Medicines to treat depression (fluoxetine, MAO-inhibitors)
 Medicines lowering high cholesterol level (fibrates)
 Medicines lowering high blood pressure (ACE inhibitors)
 Medicines called anti-arrhythmic agents used to control
abnormal heart beat (disopyramide)
 Medicines to treat gout (allopurinol, probenecid,
sulfinpyrazone)
 Medicines to treat cancer (cyclophosphamide, ifosfamide,
trofosfamide)
 Medicines used to reduce weight (fenfluramine)
 Medicines to increase circulation when given in a high dose
intravenous infusion (pentoxifylline)
 Medicines to treat nasal allergies such as hay fever
(tritoqualine)
 Medicines called sympatholytics to treat high blood
pressure, heart failure, or prostate symptoms
The following medicines may decrease the blood sugar
lowering effect of Amaryl. This can lead to a risk of
hyperglycaemia (high blood sugar level):
 Medicines containing female sex hormones (oestrogens,
progestogens)
 Medicines to treat high blood pressure called thiazide
diuretics (water tablets)
 Medicines used to stimulate the thyroid gland (such as
levothyroxine)
 Medicines to treat allergies and inflammation
(glucocorticoids)
 Medicines to treat severe mental disorders (chlorpromazine
and other phenothiazine derivatives)
 Medicines used to raise heart beat, to treat asthma or nasal
congestion, coughs and colds, used to reduce weight, or
used in life-threatening emergencies (adrenaline and
sympathomimetics)
 Medicines to treat high cholesterol level (nicotinic acid)
 Medicines to treat constipation when they are used
long-term (laxatives)
 Medicines to treat fits (phenytoin)
 Medicines to treat nervousness and sleep problems
(barbiturates)
 Medicines to treat increased pressure in the eye
(azetazolamide)
 Medicines to treat high blood pressure or low blood sugar
(diazoxide)
 Medicines to treat infections, tuberculosis (rifampicine)
 Medicines to treat severe low blood sugar levels (glucagon)
The following medicines can increase or decrease the blood
sugar lowering effect of Amaryl:
 Medicines to treat stomach ulcers (called H2 antagonists)
 Medicines to treat high blood pressure or heart failure such
as beta-blockers, clonidine, guanethidine and reserpine.
These can also hide the signs of hypoglycaemia, so special
care is needed when taking these medicines
Amaryl may either increase or weaken the effects of the
following medicines:
 Medicines inhibiting blood clotting (coumarin derivatives
such as warfarin).
Colesevelam, a medicine used to reduce cholesterol, has an
effect on the absorption of Amaryl. To avoid this effect, you
should be advised to take Amaryl at least 4 hours before
colesevelam.
Amaryl with food, drink and alcohol
Alcohol intake may increase or decrease the blood sugar
lowering action of Amaryl in an unpredictable way.

Pregnancy and breast-feeding
Pregnancy
Amaryl should not be taken during pregnancy. Tell your doctor if
you are, you think you might be or are planning to become
pregnant.
Breast-feeding
Amaryl may pass into breast milk. Amaryl should not be taken
during breast-feeding.
Ask your doctor or pharmacist for advice before taking any
medicine.
Driving and using machines
Your ability to concentrate or react may be reduced if your
blood sugar is lowered (hypoglycaemia), or raised
(hyperglycaemia) or if you develop visual problems as a result
of such conditions. Bear in mind that you could endanger
yourself or others (e.g. when driving a car or using machines).
Please ask your doctor whether you can drive a car if you:
 have frequent episodes of hypoglycaemia,
 have fewer or no warning signals of hypoglycaemia.
Amaryl contains lactose
If you have been told by your doctor that you cannot tolerate
some sugars, contact your doctor before taking this medicine.

3. How to take Amaryl
Always take this medicine exactly as your doctor has told you.
You should check with your doctor or pharmacist if you are not
sure.
Taking this medicine
 Take this medicine by mouth, just before or with the first
main meal of the day (usually breakfast). If you do not have
breakfast you should take the medicine on schedule as
prescribed by your doctor. It is important not to leave out
any meal when you are on Amaryl
 Swallow the tablets with at least half glass of water. Do not
crush or chew the tablets.
How much to take
The dose of Amaryl depends on your needs, condition and
results of blood and urine sugar tests and is determined by your
doctor. Do not take more tablets than your doctor has
prescribed.
 The usual starting dose is one Amaryl 1mg tablet once a
day
 If necessary, your doctor may increase the dose after each
1 - 2 weeks of treatment
 The maximum recommended dose is 6mg Amaryl per day
 A combination therapy of glimepiride plus metformin or of
glimepiride plus insulin may be started. In such a case your
doctor will determine the proper doses of glimepiride,
metformin or insulin individually for you
 Your dose of Amaryl may need to be adjusted if you change
weight, change your lifestyle, or if you are under a lot of
stress. Please speak to your doctor if any of these
situations apply to you.
 If you feel the effect of your medicine is too weak or too
strong do not change the dose yourself, but ask your
doctor.
If you take more Amaryl than you should
If you happen to have taken too much Amaryl or an additional
dose there is a danger of hypoglycaemia (signs of
‘hypoglycaemia’ see section 2) and therefore you should
instantly consume enough sugar (e.g. a small bar of sugar
cubes, sweet juice, sweetened tea) and inform a doctor
immediately. When treating hypoglycaemia due to accidental
intake in children, the quantity of sugar given must be carefully
controlled to avoid the possibility of producing dangerous
hyperglycaemia. Persons in a state of unconsciousness must
not be given food or drink.
Since the state of hypoglycaemia may last for some time it is
very important that the patient is carefully monitored until there
is no more danger. Admission into hospital may be necessary,
also as a measure of precaution. Show the doctor the package
or remaining tablets, so the doctor knows what has been taken.
Severe cases of hypoglycaemia accompanied by loss of
consciousness and coma are cases of medical emergency
requiring immediate medical treatment and admission into
hospital. It may be helpful to tell your family and friends to call a
doctor immediately if this happens to you.
If you forget to take Amaryl
If you forget to take a dose, do not take a double dose to make
up for forgotten doses.
If you stop taking Amaryl
If you interrupt or stop the treatment you should be aware that
the desired blood sugar lowering effect is not achieved or that
the disease will get worse again. Keep taking Amaryl until your
doctor tells you to stop.
If you have any further questions on the use of this
medicine, ask your doctor or pharmacist

4. Possible side effects
Like all medicines, this medicine can cause side effects,
although not everybody gets them.
Tell your doctor immediately if you experience any of the
following symptoms:
 Allergic reactions (including inflammation of blood vessels,
often with skin rash) which may develop into serious
reactions with difficulty in breathing, fall in blood pressure
and sometimes progressing to shock
 Abnormal liver function including yellowing of the skin and
eyes (jaundice), problems with the bile flow (cholestasis),
inflammation of the liver (hepatitis) or liver failure
 Allergy (hypersensitivity) of the skin such as itching, rash,
hives and increased sensitivity to sun. Some mild allergic
reactions may develop into serious reactions
 Severe hypoglycaemia including loss of consciousness,
seizures or coma

Some patients experienced the following side effects whilst
taking Amaryl
Rare side effects (may affect up to 1 in 1,000 people)
 Lower blood sugar than normal (hypoglycaemia) (see
section 2)
 Decrease in the number of blood cells:
 Blood platelets (which increases risk of bleeding or bruising)
 White blood cells (which makes infections more likely)
 Red blood cells (which can make the skin pale and cause
weakness or breathlessness)
These problems generally get better after you stop taking
Amaryl
Very rare side effects (may affect up to 1 in 10,000 people)
 Allergic reactions (including inflammation of blood vessels,
often with skin rash) which may develop into serious
reactions with difficulty in breathing, fall in blood pressure
and sometimes progressing to shock. If you experience any
of these symptoms, tell your doctor immediately
 Abnormal liver function including yellowing of the skin and
eyes (jaundice), impairment of the bile flow (cholestasis),
inflammation of the liver (hepatitis) or liver failure. If you
experience any of these symptoms, tell your doctor
immediately
 Feeling or being sick, diarrhoea, feeling full or bloated, and
abdominal pain
 Decrease in the amount of sodium level in your blood
(shown by blood tests)
Other side effects include:
 Allergy (hypersensitivity) of the skin may occur such as
itching, rash, hives and increased sensitivity to sun. Some
mild allergic reactions may develop into serious reactions
with swallowing or breathing problems, swelling of your lips,
throat or tongue. Therefore in the event of one of these side
effects, tell your doctor immediately
 Allergic reactions with sulfonylureas, sulfonamides, or
related medicines may occur
 Problems with your sight may occur when beginning
treatment with Amaryl. This is due to changes in blood
sugar levels and should soon improve
 Increased liver enzymes
 Severe unusual bleeding or bruising under the skin
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or
nurse. This includes any possible side effects not listed in this
leaflet. You can also report side effects directly via the Yellow
Card Scheme at: www.mhra.gov.uk/yellowcard.
By reporting side effects you can help provide more information
on the safety of this medicine.

5. How to store Amaryl









Keep out of the sight and reach of children.
Do not take your tablets after the expiry date which is stated
on the carton and blister label after ‘Exp’. The expiry date
refers to the last day of that month.
Do not store above 30°C.
Store in the original package in order to protect from
moisture.
If your tablets become discoloured or show any signs of
deterioration, seek the advice of your pharmacist.
Remember if your doctor tells you to stop taking this
medicine, return any unused tablets to your pharmacist for
safe disposal. Only keep this medicine if your doctor tells
you to.
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.

6. Contents of the pack and other information
What Amaryl contains
 The active substance is glimepiride. Each tablet contains
1mg of glimepiride depending on the strength indicated on
the blister and carton
 Each tablet also contains lactose, sodium starch glycollate,
magnesium stearate, microcrystalline cellulose and povidone
25000.
 In addition the tablets contain the following colouring agents:
Amaryl 1mg Tablets: red iron oxide (E172)
What Amaryl looks like and contents of the pack
1mg tablets are pink, eight-shaped tablets, scored on both
sides and marked with ‘NMK’ and a logo
They are supplied in blister pack 30 tablets.
Manufactured by: Sanofi Winthrop Industrie, 30-36 avenue
Gustave Eiffel, 37100 Tours, France.
Procured from within the EU and repackaged by the
Product Licence holder: B&S Healthcare, Unit 4,
Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK.
®

Amaryl 1mg Tablets; PL 18799/1189
Leaflet date: 10.02.2017

POM

Amaryl is a registered trade mark of Sanofi Aventis

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Is this leaflet hard to see or
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Call 0208 515 3763 to obtain
the leaflet in a format suitable
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PACKAGE LEAFLET:
INFORMATION FOR THE USER

Glimepiride 1mg tablets
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 again.
 If you have any further questions, ask your doctor or
pharmacist.
 This medicine has been prescribed for you only. Do not
pass it on to others. It may harm them, even if their
symptoms are the same as yours.
 If you get any side effects, talk to your doctor or pharmacist.
This includes any possible side effects not listed in this
leaflet.
The name of your medicine is Glimepiride 1mg tablets but it will
be referred as Glimepiride throughout this leaflet. Please note
that the leaflet also contains information about other strengths
Glimepiride 2mg, 3mg and 4mg tablets.
What is in this leaflet
1. What Glimepiride is and what it is used for
2. What you need to know before you take Glimepiride
3. How to take Glimepiride
4. Possible side effects
5. How to store Glimepiride
6. Contents of the pack and other information



The following signs may also occur: sweating, clammy skin,
anxiety, fast or increased heart beat, high blood pressure,
awareness of your heart beat, sudden strong pain in the
breast that may radiate into neighbouring areas (angina
pectoris and cardiac arrhythmias)
If blood sugar levels continue to drop you may suffer from
considerable confusion (delirium), develop fits, lose self
control, breathing may be shallow and your heart beat
slowed down, you may fall into unconsciousness. The
clinical picture of a severe reduced blood sugar level may
resemble that of a stroke.

Treating hypoglycaemia:
In most cases the signs of reduced blood sugar vanish very
quickly when you consume some form of sugar, e.g. sugar
cubes, sweet juice, sweetened tea.
You should therefore always take some form of sugar with you
(e.g. sugar cubes). Remember that artificial sweeteners are not
effective. Please contact your doctor or go to the hospital if
taking sugar does not help or if the symptoms recur.
Laboratory tests
The level of sugar in your blood or urine should be checked
regularly. Your doctor may also take blood tests to monitor your
blood cell levels and liver function.
Children and adolescents
Glimepiride is not recommended for use in children under 18
years of age.
Other medicines and Glimepiride

1. What Glimepiride is and what it is used
for

Tell your doctor or pharmacist if you are taking, have recently
taken or might take any other medicines.

Glimepiride is a medicine taken by mouth to help lower blood
sugar. It belongs to a group of medicines called sulfonylureas.
Glimepiride works by increasing the amount of insulin released
from your pancreas. The insulin then lowers your blood sugar
levels.

Your doctor may wish to change your dose of Glimepiride if you
are taking other medicines, which may weaken or strengthen
the effect of Glimepiride on the level of sugar in your blood.

What Glimepiride is used for:
 Glimepiride is used to treat a certain form of diabetes (type
2 diabetes mellitus) when diet, physical exercise and weight
reduction alone have not been able to control your blood
sugar levels.

2. What you need to know before you take
Glimepiride
Do not take Glimepiride and tell your doctor if:









You are allergic to: glimepiride or other sulfonylureas
(medicines used to lower your blood sugar such as
glibenclamide) or sulfonamides (medicines for bacterial
infections such as sulfamethoxazole) or any of the other
ingredients of this medicine (listed in section 6)
You have insulin dependent diabetes (type 1 diabetes
mellitus)
You have diabetic ketoacidosis (a complication of diabetes
when your acid level is raised in your body and you may
have some of the following signs: fatigue, feeling sick
(nausea), frequent urination and muscular stiffness)
You are in a diabetic coma
You have severe kidney disease
You have a severe liver disease

Do not take this medicine if any of the above apply to you. If
you are not sure, talk to your doctor or pharmacist before taking
Glimepiride.
Warnings and precautions
Talk to your doctor or pharmacist before taking your
medicine if:
 You are recovering from an injury, operation, infections with
fever, or from other forms of stress, inform your doctor as
temporary change of treatment may be necessary
 You have a severe liver or kidney disorder
If you are not sure if any of these apply to you, talk to your
doctor or pharmacist before taking Glimepiride.
Lowering of the haemoglobin level and breakdown of red blood
cells (haemolytic anemia) can occur in patients missing the
enzyme glucose-6-phosphate dehydrogenase.
The information available on the use of Glimepiride in people
under 18 years of age is limited. Therefore, its use in these
patients is not recommended.
Important information about hypoglycaemia (low blood
sugar)
When you take Glimepiride, you may get hypoglycaemia (low
blood sugar). Please see overleaf for additional information
about hypoglycaemia, its signs and treatment.
Following factors could increase the risk of you getting
hypoglycaemia:
 Undernourishment, irregular meal time, missed or delayed
meal or period of fasting
 Changes to your diet
 Taking more Glimepiride than needed
 Having kidneys that do not work properly
 Having severe liver disease
 If you suffer from particular hormone-induced disorders
(disorders of the thyroid glands, of the pituitary gland or
adrenal cortex)
 Drinking alcohol (especially when you skip a meal)
 Taking certain other medicines (see overleaf ‘Other
medicines and Glimepiride’)
 If you increase the amount of exercise you do and you don't
eat enough food or eat food containing less carbohydrate
than usual.
Signs of hypoglycaemia include:
 Hunger pangs, headache, nausea, vomiting, sluggishness,
sleepiness, problems sleeping,
restlessness, aggression, problems with concentration,
reduced alertness and reaction time, depression, confusion,
problems with your speech and sight, slurred speech,
shakiness, partial paralysis, dizziness, helplessness

The following medicines can increase the blood sugar lowering
effect of Glimepiride. This can lead to a risk of hypoglycaemia
(low blood sugar):
 Other medicines to treat diabetes mellitus (such as insulin
or metformin)
 Medicines to treat pain and inflammation (phenylbutazone,
azopropazone, oxyphenbutazone, aspirin- like medicines)
 Medicines to treat urinary infections (such as some
long acting sulfonamides)
 Medicines to treat bacterial and fungal infections
(tetracyclines, chloramphenicol, fluconazole, miconazole,
quinolones, clarithromycin)
 Medicines to inhibit blood clotting (coumarin derivatives
such as warfarin)
 Medicines supporting muscle build up (anabolics)
 Medicines used for male sex hormone replacement therapy
 Medicines to treat depression (fluoxetine, MAO-inhibitors)
 Medicines lowering high cholesterol level (fibrates)
 Medicines lowering high blood pressure (ACE inhibitors)
 Medicines called anti-arrhythmic agents used to control
abnormal heart beat (disopyramide)
 Medicines to treat gout (allopurinol, probenecid,
sulfinpyrazone)
 Medicines to treat cancer (cyclophosphamide, ifosfamide,
trofosfamide)
 Medicines used to reduce weight (fenfluramine)
 Medicines to increase circulation when given in a high dose
intravenous infusion (pentoxifylline)
 Medicines to treat nasal allergies such as hay fever
(tritoqualine)
 Medicines called sympatholytics to treat high blood
pressure, heart failure, or prostate symptoms
The following medicines may decrease the blood sugar
lowering effect of Glimepiride. This can lead to a risk of
hyperglycaemia (high blood sugar level):
 Medicines containing female sex hormones (oestrogens,
progestogens)
 Medicines to treat high blood pressure called thiazide
diuretics (water tablets)
 Medicines used to stimulate the thyroid gland (such as
levothyroxine)
 Medicines to treat allergies and inflammation
(glucocorticoids)
 Medicines to treat severe mental disorders (chlorpromazine
and other phenothiazine derivatives)
 Medicines used to raise heart beat, to treat asthma or nasal
congestion, coughs and colds, used to reduce weight, or
used in life-threatening emergencies (adrenaline and
sympathomimetics)
 Medicines to treat high cholesterol level (nicotinic acid)
 Medicines to treat constipation when they are used
long-term (laxatives)
 Medicines to treat fits (phenytoin)
 Medicines to treat nervousness and sleep problems
(barbiturates)
 Medicines to treat increased pressure in the eye
(azetazolamide)
 Medicines to treat high blood pressure or low blood sugar
(diazoxide)
 Medicines to treat infections, tuberculosis (rifampicine)
 Medicines to treat severe low blood sugar levels (glucagon)
The following medicines can increase or decrease the blood
sugar lowering effect of Glimepiride:
 Medicines to treat stomach ulcers (called H2 antagonists)
 Medicines to treat high blood pressure or heart failure such
as beta-blockers, clonidine, guanethidine and reserpine.
These can also hide the signs of hypoglycaemia, so special
care is needed when taking these medicines
Glimepiride may either increase or weaken the effects of the
following medicines:
 Medicines inhibiting blood clotting (coumarin derivatives
such as warfarin).
Colesevelam, a medicine used to reduce cholesterol, has an
effect on the absorption of Glimepiride. To avoid this effect, you
should be advised to take Glimepiride at least 4 hours before
colesevelam.

Glimepiride with food, drink and alcohol
Alcohol intake may increase or decrease the blood sugar
lowering action of Glimepiride in an unpredictable way.
Pregnancy and breast-feeding
Pregnancy
Glimepiride should not be taken during pregnancy. Tell your
doctor if you are, you think you might be or are planning to
become pregnant.
Breast-feeding
Glimepiride may pass into breast milk. Glimepiride should not
be taken during breast-feeding.
Ask your doctor or pharmacist for advice before taking any
medicine.
Driving and using machines
Your ability to concentrate or react may be reduced if your
blood sugar is lowered (hypoglycaemia), or raised
(hyperglycaemia) or if you develop visual problems as a result
of such conditions. Bear in mind that you could endanger
yourself or others (e.g. when driving a car or using machines).
Please ask your doctor whether you can drive a car if you:
 have frequent episodes of hypoglycaemia,
 have fewer or no warning signals of hypoglycaemia.
Glimepiride contains lactose
If you have been told by your doctor that you cannot tolerate
some sugars, contact your doctor before taking this medicine.

3. How to take Glimepiride
Always take this medicine exactly as your doctor has told you.
You should check with your doctor or pharmacist if you are not
sure.
Taking this medicine
 Take this medicine by mouth, just before or with the first
main meal of the day (usually breakfast). If you do not have
breakfast you should take the medicine on schedule as
prescribed by your doctor. It is important not to leave out
any meal when you are on Glimepiride
 Swallow the tablets with at least half glass of water. Do not
crush or chew the tablets.

Some patients experienced the following side effects whilst
taking Glimepiride:
Rare side effects (may affect up to 1 in 1,000 people)
 Lower blood sugar than normal (hypoglycaemia) (see
section 2)
 Decrease in the number of blood cells:
 Blood platelets (which increases risk of bleeding or bruising)
 White blood cells (which makes infections more likely)
 Red blood cells (which can make the skin pale and cause
weakness or breathlessness)
These problems generally get better after you stop taking
Glimepiride
Very rare side effects (may affect up to 1 in 10,000 people)
 Allergic reactions (including inflammation of blood vessels,
often with skin rash) which may develop into serious
reactions with difficulty in breathing, fall in blood pressure
and sometimes progressing to shock. If you experience any
of these symptoms, tell your doctor immediately
 Abnormal liver function including yellowing of the skin and
eyes (jaundice), impairment of the bile flow (cholestasis),
inflammation of the liver (hepatitis) or liver failure. If you
experience any of these symptoms, tell your doctor
immediately
 Feeling or being sick, diarrhoea, feeling full or bloated, and
abdominal pain
 Decrease in the amount of sodium level in your blood
(shown by blood tests)
Other side effects include:
 Allergy (hypersensitivity) of the skin may occur such as
itching, rash, hives and increased sensitivity to sun. Some
mild allergic reactions may develop into serious reactions
with swallowing or breathing problems, swelling of your lips,
throat or tongue. Therefore in the event of one of these side
effects, tell your doctor immediately
 Allergic reactions with sulfonylureas, sulfonamides, or
related medicines may occur
 Problems with your sight may occur when beginning
treatment with Glimepiride. This is due to changes in blood
sugar levels and should soon improve
 Increased liver enzymes
 Severe unusual bleeding or bruising under the skin

How much to take
The dose of Glimepiride depends on your needs, condition and
results of blood and urine sugar tests and is determined by your
doctor. Do not take more tablets than your doctor has
prescribed.
 The usual starting dose is one Glimepiride 1mg tablet once
a day
 If necessary, your doctor may increase the dose after each
1 - 2 weeks of treatment
 The maximum recommended dose is 6mg Glimepiride per
day
 A combination therapy of glimepiride plus metformin or of
glimepiride plus insulin may be started. In such a case your
doctor will determine the proper doses of glimepiride,
metformin or insulin individually for you
 Your dose of Glimepiride may need to be adjusted if you
change weight, change your lifestyle, or if you are under a
lot of stress. Please speak to your doctor if any of these
situations apply to you.
 If you feel the effect of your medicine is too weak or too
strong do not change the dose yourself, but ask your
doctor.

Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or
nurse. This includes any possible side effects not listed in this
leaflet. You can also report side effects directly via the Yellow
Card Scheme at: www.mhra.gov.uk/yellowcard.

If you take more Glimepiride than you should
If you happen to have taken too much Glimepiride or an
additional dose there is a danger of hypoglycaemia (signs of
‘hypoglycaemia’ see section 2) and therefore you should
instantly consume enough sugar (e.g. a small bar of sugar
cubes, sweet juice, sweetened tea) and inform a doctor
immediately. When treating hypoglycaemia due to accidental
intake in children, the quantity of sugar given must be carefully
controlled to avoid the possibility of producing dangerous
hyperglycaemia. Persons in a state of unconsciousness must
not be given food or drink.



Since the state of hypoglycaemia may last for some time it is
very important that the patient is carefully monitored until there
is no more danger. Admission into hospital may be necessary,
also as a measure of precaution. Show the doctor the package
or remaining tablets, so the doctor knows what has been taken.
Severe cases of hypoglycaemia accompanied by loss of
consciousness and coma are cases of medical emergency
requiring immediate medical treatment and admission into
hospital. It may be helpful to tell your family and friends to call a
doctor immediately if this happens to you.
If you forget to take Glimepiride
If you forget to take a dose, do not take a double dose to make
up for forgotten doses.
If you stop taking Glimepiride
If you interrupt or stop the treatment you should be aware that
the desired blood sugar lowering effect is not achieved or that
the disease will get worse again. Keep taking Glimepiride until
your doctor tells you to stop.
If you have any further questions on the use of this
medicine, ask your doctor or pharmacist

4. Possible side effects
Like all medicines, this medicine can cause side effects,
although not everybody gets them.
Tell your doctor immediately if you experience any of the
following symptoms:
 Allergic reactions (including inflammation of blood vessels,
often with skin rash) which may develop into serious
reactions with difficulty in breathing, fall in blood pressure
and sometimes progressing to shock
 Abnormal liver function including yellowing of the skin and
eyes (jaundice), problems with the bile flow (cholestasis),
inflammation of the liver (hepatitis) or liver failure
 Allergy (hypersensitivity) of the skin such as itching, rash,
hives and increased sensitivity to sun. Some mild allergic
reactions may develop into serious reactions
 Severe hypoglycaemia including loss of consciousness,
seizures or coma

By reporting side effects you can help provide more information
on the safety of this medicine.

5. How to store Glimepiride







Keep out of the sight and reach of children.
Do not take your tablets after the expiry date which is stated
on the and carton and blister label after ‘Exp’. The expiry
date refers to the last day of that month.
Do not store above 30°C.
Store in the original package in order to protect from
moisture.
If your tablets become discoloured or show any signs of
deterioration, seek the advice of your pharmacist.
Remember if your doctor tells you to stop taking this
medicine, return any unused tablets to your pharmacist for
safe disposal. Only keep this medicine if your doctor tells
you to.
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.

6. Contents of the pack and other information
What Glimepiride contains
 The active substance is glimepiride. Each tablet contains
1mg of glimepiride depending on the strength indicated on
the blister and carton
 Each tablet also contains lactose, sodium starch glycollate,
magnesium stearate, microcrystalline cellulose and povidone
25000.
 In addition the tablets contain the following colouring agents:
Glimepiride 1mg Tablets: red iron oxide (E172)
What Glimepiride looks like and contents of the pack
1mg tablets are pink, eight-shaped tablets, scored on both
sides and marked with ‘NMK’ and a logo
They are supplied in blister pack 30 tablets.
Manufactured by: Sanofi Winthrop Industrie,
30-36 avenue Gustave Eiffel, 37100 Tours, France.
Procured from within the EU and repackaged by the
Product Licence holder: B&S Healthcare, Unit 4,
Bradfield Road, Ruislip, Middlesex, HA4 0NU, UK.
Glimepiride 1mg Tablets; PL 18799/1189

POM

Leaflet date: 10.02.2017

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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.

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