Gliclazide, a second-generation sulfonylurea, lowers blood glucose by stimulating insulin release from pancreatic β-cells. This occurs by enhancing calcium ion influx across the β-cell membrane. Additionally, it reduces hepatic glucose production, contributing to improved glycemic control. Hypoglycemia or hyperglycemia may impair concentration and reaction time. Caution is advised when driving or operating machinery.
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Diamicron MR is an oral antidiabetic medication from the sulfonylurea class, indicated for the treatment of Type 2 diabetes mellitus in adults. It is prescribed when diet, exercise, and weight control alone are insufficient to maintain optimal blood sugar levels.
Overdose: May cause severe hypoglycemia. Take sugar or sweet fluids immediately and seek emergency medical help.
Missed dose: Skip and resume regular dosing. Do not double up.
Common: Hypoglycemia (shakiness, sweating, confusion)
Digestive issues: Nausea, diarrhea, constipation
Skin reactions: Rash, itching, urticaria, angioedema
Hepatic effects: Rare liver dysfunction or jaundice
Hematologic effects: Rare blood cell abnormalities
Visual disturbances: Temporary changes in vision at therapy start
Starting dose: 40–80 mg/day, taken before meals.
Maximum dose: 320 mg/day in divided doses.
Not recommended for children (juvenile diabetes).
Usual dose: 1–4 tablets daily (up to 120 mg) taken once daily with breakfast.
Swallow whole with water. Do not crush or chew.
Always follow the doctor’s dosing instructions, especially if combining with other antidiabetic agents (e.g., metformin, insulin).
Other antidiabetics (e.g., insulin, GLP-1 agonists)
Certain antibiotics (e.g., sulphonamides, clarithromycin)
Antifungals (e.g., miconazole, fluconazole)
ACE inhibitors, beta-blockers
NSAIDs, alcohol
Corticosteroids, danazol
Certain CNS drugs (e.g., chlorpromazine)
Fluoroquinolone antibiotics can cause glycemic disturbances.
Monitor blood glucose regularly.
Increased risk of hypoglycemia if:
Store below 30°C.
Keep out of reach of children.
Do not use beyond the expiry date.
Dispose of unused medication responsibly.
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