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Alkem Lab - Tablet - 15 S
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Glimepiride (3mg) + Hydrochlorothiazide (500mg)
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Glucoryl M3 Tablet is used for this medicine is used in the treatment of type 2 diabetes, high blood pressure, heart failure and fluid retention.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated October 2026
Glucoryl M3 Tablet contains Glimepiride (3mg) + Hydrochlorothiazide (500mg). It belongs to the Sulfonylurea and Water tablet class of medicines.
This medicine combines 2 active ingredients: Glimepiride and Hydrochlorothiazide. Glimepiride lowers blood sugar by prompting your pancreas to release more of its own insulin. Hydrochlorothiazide helps your kidneys remove surplus salt and water, which reduces swelling and lowers blood pressure.
Swallow the tablet whole with a glass of water. Do not chew, crush or break it unless your doctor has told you to. Take it shortly before a meal. Taking it at about the same time each day helps you remember. Follow the dose and the duration written on your prescription.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause severe and prolonged low blood sugar, which may lead to fits or unconsciousness. It can cause severe dehydration, a sharp fall in blood pressure and dangerous salt imbalances. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Glucoryl M3 are mild and settle as the body gets used to the medicine. The ones reported most often are:
Stop the medicine and get help at once for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
If you feel shaky, sweaty, confused or unusually hungry, take sugar, glucose or a sweet drink at once and tell your doctor — these are signs your blood sugar has fallen too low. Do not skip meals while on this medicine — a missed meal is the commonest cause of a low-sugar episode. Carry glucose, sugar or sweets with you, and tell the people you live and work with what a low-sugar episode looks like. Older people and people with kidney trouble are more likely to have low sugar, and may need a smaller dose. Take it in the morning so that passing urine does not disturb your sleep. Your doctor will check your salts and kidney function with blood tests — do not skip them. Report muscle cramps, marked weakness, confusion or an irregular heartbeat; these can be signs your potassium or sodium has fallen. In hot weather or during an illness with vomiting or loose motions, tell your doctor — you may become dehydrated quickly.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for type 1 diabetes or for diabetic ketoacidosis. Not for people with severe kidney or liver disease. Not for people who are unable to pass urine, or who are severely dehydrated.
Many medicines change how strongly this works — tell your doctor about aspirin, blood thinners, antifungals, sulfa antibiotics and beta blockers in particular. Beta blockers can mask the warning signs of low blood sugar. Anti-inflammatory painkillers blunt the effect and can strain the kidneys. Lithium and digoxin levels are affected; tell your doctor if you take either. Potassium-sparing types must not be combined with potassium supplements without supervision.
Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.
People taking Glucoryl M3 are often asked to check these from time to time. Your doctor decides which and how often.

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Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered pharmacist. It does not replace your own doctor's advice.