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This might reduce the effect of glimepiride and result in higher levels of sugar in the blood. Beta blockers such as propranolol Inderal and atenolol Tenormin can cause low or high blood sugar.

Additionally, they can directly reverse the sugar-lowering effect of sulfonylureas and render them less effective. Beta blockers also can blunt some of the body's protective responses to low blood sugar, thus making it difficult for patients to recognize reactions due to low blood sugar hypoglycemia. Follow your doctor's instructions. Take with a full glass of water. Your blood sugar will need to be checked often, and you may need other blood tests at your doctor's office.

Low blood sugar hypoglycemia can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, pale skin, irritability, dizziness, feeling shaky, or trouble concentrating. Always keep a source of sugar with you in case you have low blood sugar.

Sugar sources include fruit juice, hard candy, crackers, raisins, and non-diet soda. If you have severe hypoglycemia and cannot eat or drink, use a glucagon injection. Your doctor can prescribe a glucagon emergency injection kit and tell you how to use it. Check your blood sugar carefully during times of stress, travel, illness, surgery or medical emergency, vigorous exercise, or if you drink alcohol or skip meals.

The changeover should be undertaken under close medical supervision. Special Populations Patients with renal or hepatic impairment See section 4. Paediatric population There are no data available on the use of glimepiride in patients under 8 years of age.

For children aged 8 to 17 years, there are limited data on glimepiride as monotherapy see sections 5. The available data on safety and efficacy are insufficient in the paediatric population and therefore such use is not recommended. Method of administration Tablets should be swallowed without chewing with some liquid. In case of severe renal or hepatic function disorders, a change over to insulin is required. Possible symptoms of hypoglycaemia include: In addition, signs of adrenergic counter-regulation may be present such as sweating, clammy skin, anxiety, tachycardia, hypertension, palpitations, angina pectoris and cardiac arrhythmias.

The clinical picture of a severe hypoglycaemic attack may resemble that of a stroke. Also, in some rare cases, it may lead to severe side effects like allergic reactions rash, hives, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips, or tongue.

Seek medical attention if you notice any of these side effects. Side effects that are not listed here may also occur. Most recently, I thought I would never be able to enjoy all the colors of life, due to the erectile dysfunction. I became irritable, nervous, faced problems in my personal life. I thought that impotence is a verdict and all these stories about the miraculous properties of Viagra are just a fiction. But after some hesitations I realized: After buying Viagra at your online pharmacy everything went smoothly.

Just several months ago I could only dream about this. The result exceeded all my expectations! The recommended starting does is glimepiride 1 mg or glimepiride 2 mg once a day. The recommended starting dose for elderly people and people with kidney, liver, adrenal, or pituitary problems is glimepiride 1 mg daily.

Glimepiride can be used in combination with insulin. US residents can call their local poison control center at Canada residents can call a provincial poison control center. Symptoms of overdose may include: Notes Do not share this medication with others. Attend a diabetes education program to learn more about how to manage your diabetes with medications , diet, exercise , and regular medical exams.

Learn the symptoms of high and low blood sugar and how to treat low blood sugar. Check your blood sugar regularly as directed. Keep all regular medical and laboratory appointments. Missed Dose If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose and resume your usual dosing schedule.

Do not double the dose to catch up. Storage Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.

Properly discard this product when it is expired or no longer needed.

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