Generic Composition:
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Glimepiride 1 mg (Sulfonylurea)
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Metformin Hydrochloride 500 mg (Biguanide)
Category: Oral Anti-Diabetic (Dual Combination)
Description:
Zoryl M 1 Tablet is a combination anti-diabetic medicine used in the treatment of Type 2 Diabetes Mellitus when diet, exercise, and monotherapy are not enough to control blood sugar.
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Glimepiride stimulates the pancreas to release insulin, thereby lowering blood sugar.
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Metformin reduces glucose production in the liver, delays glucose absorption from the intestine, and improves the body’s insulin sensitivity.
Together, they provide effective control of fasting and post-meal glucose levels and help reduce the risk of long-term diabetes complications like kidney damage, nerve problems, eye disease, heart disease, and stroke.
Uses:
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Treatment of Type 2 Diabetes Mellitus
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Controls both fasting and postprandial (after-meal) glucose
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Helps prevent long-term complications associated with diabetes
Mechanism of Action:
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Glimepiride (1 mg): Stimulates insulin release from pancreatic beta cells → lowers blood sugar
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Metformin (500 mg): Reduces hepatic glucose production, slows intestinal absorption of glucose, improves insulin sensitivity
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Combined effect: Comprehensive glycemic control with improved insulin action and secretion
Dosage & Administration:
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Typically 1 tablet once or twice daily with meals (as prescribed by doctor)
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Must be taken with food to minimize gastric upset and reduce risk of hypoglycemia
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Swallow whole with water; do not crush or chew
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Regular monitoring of blood sugar and HbA1c is advised
Common Side Effects:
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Hypoglycemia (low blood sugar): sweating, dizziness, shakiness, hunger
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Nausea, vomiting, diarrhea, stomach upset (Metformin-related)
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Headache, weakness
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Weight gain (possible with Glimepiride)
Serious Side Effects (rare):
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Lactic acidosis (Metformin): muscle pain, fatigue, difficulty breathing
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Severe hypoglycemia (especially if meals are skipped)
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Liver dysfunction – yellowing of skin/eyes, dark urine
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Allergic reactions: rash, swelling, breathing difficulty
Warnings & Precautions:
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Not for Type 1 Diabetes or diabetic ketoacidosis
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Avoid in severe kidney or liver impairment
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Avoid alcohol (increases risk of lactic acidosis & hypoglycemia)
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Use cautiously in elderly patients
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Regular monitoring of blood sugar, kidney, and liver function is necessary
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