Diamitus (άλλο όνομα Amaryl)

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

diabetic ketoacidosis

glucose-6-phosphate dehydrogenase deficiency

heart disease

kidney disease

liver disease

severe infection or injury

thyroid disease

an unusual or allergic reaction to glimepiride, sulfa drugs, other medicines, foods, dyes, or preservatives

pregnancy or recent attempts to get pregnant

breast-feeding

How should I use this medicine?

Take this medicine by mouth. Swallow with a drink of water. Follow the directions on the prescription label. Take your dose at the same time each day, with breakfast or your first large meal. Do not take more often than directed.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Elderly patients over 65 years old can have a stronger reaction and need a smaller dose.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is less than four hours to your next dose, take only that dose and skip the missed dose. Do not take double or extra doses.

What may interact with this medicine?

bosentan

chloramphenicol

cisapride

clarithromycin

medicines for fungal or yeast infections

metoclopramide

probenecid

warfarin

Many medications may cause an increase or decrease in blood sugar, these include:

alcohol containing beverages

aspirin and aspirin-like drugs

chloramphenicol

chromium

female hormones, like estrogens or progestins and birth control pills

fluoxetine

heart medicines like disopyramide

soniazid

male hormones or anabolic steroids

medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl

medicines for allergies, asthma, cold, or cough

medicines for mental problems

medicines for weight loss

niacin

NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen

pentamidine

phenytoin

probenecid

quinolone antibiotics like ciprofloxacin, levofloxacin, ofloxacin

some herbal dietary supplements

steroid medicines like prednisone or cortisone

thyroid medicine

water pills or diuretics

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. Learn how to check your blood sugar. Tell your doctor or health care professional if your blood sugar is high, you might need to change the dose of your medicine. If you are sick or exercising more than usual, you might need to change the dose of your medicine. Do not skip meals. Ask your doctor or health care professional if you should avoid alcohol. If you have symptoms of low blood sugar, eat or drink something containing sugar at once and contact your doctor or health care professional. Make sure family members know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, like seizures or unconsciousness. They must get medical help at once.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
Wear a medical identification bracelet or chain to say you have diabetes, and carry a card that lists all your medications.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

breathing difficulties

dark yellow or brown urine or yellowing of the eyes or skin

fever, chills, sore throat

low blood sugar (ask your doctor or healthcare professional for a list of these symptoms)

severe skin rash, redness, swelling, or itching

unusual bleeding or bruising

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

diarrhea

headache

heartburn

nausea, vomiting

stomach discomfort

Where should I keep my medicine?

Keep out of the reach of children.
Store at room temperature below 30 degrees C (86 degrees F). Throw away any unused medicine after the expiration date.