A 61-year-old male asked:
I use 4 mg amaryl (glimepiride) morn and night, added 100 mg invokana, sugar 150-165 at night, can i increase either drug, 61 yr male, 189 lbs, a runner.
2 doctor answers • 4 doctors weighed in
Family Medicine 23 years experience
Diabets: Amaryl (glimepiride) and Invokana is a fairly unusual combination to begin with. Amaryl (glimepiride) is at its max of 8 mg daily, whereas Invokana may be increased to 300 mg, but i would not based that decision only upon A.M. Sugar readings. You should also measure a1c, a 3 month average sugar measurement, and also after meal sugars. Metformin is considered first line medication in diabetes. Wonder why it is not on the list.
4.3k viewsAnswered >2 years ago
Endocrinology 16 years experience
Yes: Invokana can be increased up to 300mg/day in patients that tolerate the drug. It appears that you are already at the max daily dose of amaryl, (glimepiride) and likely wouldn't add an additional benefit to increase the dose. You should talk with your doctor before increasing any drug.
4.3k viewsReviewed >2 years ago
Last updated Apr 6, 2018
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $39!
50% off with $15/month membership
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.