Brand name: BETAGLIM (Amaryl , Glimepiride)
Pronounced: AM-a-ril
Generic name: Glimepiride
Why is Betaglim prescribed?

Betaglim is an oral medication used to treat type 2 (non-insulin-dependent) diabetes when diet and exercise alone fail to control abnormally high levels of blood sugar. Like other diabetes drugs classified as sulfonylureas, Betaglim lowers blood sugar by stimulating the pancreas to produce more insulin. Betaglim is often prescribed along with the insulin-boosting drug Glucophage. It may also be used in conjunction with insulin and other diabetes drugs.
Most important fact about Betaglim

Always remember that Betaglim is an aid to, not a substitute for, good diet and exercise. Failure to follow a sound diet and exercise plan may diminish the results of Betaglim and can lead to serious complications such as dangerously high or low blood sugar levels. Remember, too, that Betaglim is not an oral form of insulin, and cannot be used in place of insulin.
How should you take Betaglim?

Do not take more or less of Betaglim than directed by your doctor. Betaglim should be taken with breakfast or the first main meal.

If you miss a dose...

Take it as soon as you remember. If it is almost time for the next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at the same time.

Storage instructions...

Betaglim should be stored at room temperature in a well-closed container.
Betaglim side effects

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Betaglim.

* Side effects may include:
Anemia and other blood disorders, blurred vision, diarrhea, dizziness, headache, itching, liver problems and jaundice, muscle weakness, nausea, sensitivity to light, skin rash and eruptions, stomach and intestinal pain, vomiting

Betaglim, like all oral antidiabetics, can result in hypoglycemia (low blood sugar). The risk of hypoglycemia can be increased by missed meals, alcohol, fever, injury, infection, surgery, excessive exercise, and the addition of other medications such as Glucophage or insulin. To avoid hypoglycemia, closely follow the dietary and exercise regimen suggested by your doctor.

* Symptoms of mild low blood sugar may include:
Blurred vision, cold sweats, dizziness, fast heartbeat, fatigue, headache, hunger, light-headedness, nausea, nervousness

* Symptoms of more severe low blood sugar may include:
Coma, disorientation, pale skin, seizures, shallow breathing

Ask your doctor what steps you should take if you experience mild hypoglycemia. If symptoms of severe low blood sugar occur, contact your doctor immediately; severe hypoglycemia is a medical emergency.
Why should Betaglim not be prescribed?

Avoid Betaglim if you have ever had an allergic reaction to it.

Do not take Betaglim to correct diabetic ketoacidosis (a life-threatening medical emergency caused by insufficient insulin and marked by excessive thirst, nausea, fatigue, and fruity breath). This condition should be treated with insulin.
Special warnings about Betaglim

It's possible that drugs such as Betaglim may lead to more heart problems than diet treatment alone, or treatment with diet and insulin. If you have a heart condition, you may want to discuss this with your doctor.

When taking Betaglim, you should check your blood and urine regularly for abnormally high sugar (glucose) levels. The effectiveness of any oral antidiabetic, including Betaglim, may decrease with time. This may occur because of either a diminished responsiveness to Betaglim or a worsening of the diabetes.

Even people with well-controlled diabetes may find that stress such as injury, infection, surgery, or fever triggers a loss of control. If this happens, your doctor may recommend that you add insulin to your treatment with Betaglim or that you temporarily stop taking Betaglim and use insulin instead.
Possible food and drug interactions when taking Betaglim

If Betaglim is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Betaglim with the following:

Airway-opening drugs such as Proventil and Ventolin
Aspirin and other salicylate medications
Chloramphenicol (Chloromycetin)
Corticosteroids such as prednisone (Deltasone)
Diuretics such as hydrochlorothiazide (HydroDIURIL) and chlorothiazide (Diuril)
Estrogens such as Premarin
Heart and blood pressure medications called beta blockers, including Tenormin, Inderal, and Lopressor
Isoniazid (Nydrazid)
Major tranquilizers such as Mellaril and Thorazine
MAO inhibitors (antidepressants such as Nardil and Parnate)
Miconazole (Monistat)
Nicotinic acid (Nicobid)
Nonsteroidal anti-inflammatory drugs such as Advil, Motrin, Naprosyn, Nuprin, Ponstel, and Voltaren
Oral contraceptives
Phenytoin (Dilantin)
Probenecid (Benemid)
Sulfa drugs such as Bactrim DS, Septra DS
Thyroid medications such as Synthroid
Warfarin (Coumadin)

Use alcohol with care; excessive alcohol intake can cause low blood sugar.
Special information if you are pregnant or breastfeeding

Do not take Betaglim while pregnant. Since studies suggest the importance of maintaining normal blood sugar levels during pregnancy, your doctor may prescribe injected insulin instead. Drugs similar to Betaglim do appear in breast milk and may cause low blood sugar in nursing infants. You should not take Betaglim while nursing. If diet alone does not control your sugar levels, your doctor may prescribe injected insulin.
Recommended dosage for Betaglim

ADULTS Childs dosage / Overdosage

An overdose of Betaglim can cause low blood sugar (see "What side effects may occur?" for symptoms).

Eating sugar or a sugar-based product will often correct mild hypoglycemia. For severe hypoglycemia, seek medical attention immediately.