Doctor insights on:
Glimepiride 5 Mg
Can I take my .5 mg of glimepiride in the late afternoon. I have trouble with low bs if I take it during the day.?
Possibly OK.: There is no reason it can't be done, but there may be a reason it shouldn't be done. Discuss with your doctor. ...Read more
Amaryl (glimepiride) effect/time: Amaryl (glimepiride) works by stimulating beta cells in pancreas to produce insulin. It should start working right away as it gets absorped, if after two weeks you don't see its effect on blood sugar, than you will need to increase the dose gradually to the maximum dose, to see the ful effect. Often you have to use another drug with it like metformin or actose. ...Read more
No, but same class: Both are 2nd generation sulfonylurea drugs for treatment of Type 2 Diabetes. According to a review by the Utah gov't, they conclude: "Overall ranges of HbA1c reduction seen w/glimepiride, glipizide & glyburide treatment in current literature are similar & choice of antidiabetes therapy should be based on individual patient characteristics, including: efficacy, cost, (see below) ...Read more
Amaryl (glimepiride): Amaryl (glimepiride) has half-life of 5 to 9 hours, after 5 half-lives 95% of the drug is out of your system. So mutiply 5-9 by 5, so that makes it 25 to 45 hours. ...Read more
Depends: Generally if you miss a dose, you take it as soon as you remember unless its almost time to take your next dose, then you would skip the missed dose. ...Read more
Unknown: If you have type ii diabetes and you have uncontroled blood sugar, when you start glimepiride, your blood sugar gets under control and that can change the refractive index of your cornea and lens and that changes you vision. Make sure your blood sugar is in normal limit and then have your doctor check for need for glasses. ...Read more
Consult your plan: If you have normal renal function the preferred brand for your healthplan is the one to take — if you feel there is a need to change from a sulfonylurea to a dpp4i. Dpp4is have the same efficacy in lowering bs as glimeperide. Dpp4is have been implicated in increased pancreatitis and pancreatic and thyroid cancers. A better choice if you have good renal function is metformin. ...Read more
Why?: There might be more details in the question that I'm missing but don't stop any meds without talking to your prescribing physician first. ...Read more
Sulfonylurea.: That seems like a lot of sulfonylureas type medication — Glimepiride and Glyburide. The reason why that's important is that they can cause hypoglycemia (low blood sugar) which can be dangerous. I'd like to see you on more Metformin and less sulfonylurea to reduce your risk of hypoglycemia. ...Read more
I am having DM taking glimepiride 1mg once daily.how to confirm whether I am type1 DM or type2 DM?
Neither is my choice: Hi. I'm not a fan of sulfonylurea drugs (the class they're both in) and haven't written for any in years. Nevertheless, between the two, I'd prefer glimepiride by a slight margin. ...Read more
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.
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 a benefit to increase the dose. You should talk with your doctor before increasing any drug. ...Read more