
Alagreat-600 mg Tablet
Sanz Pharmaceuticals - Tablet - 600 mg - 10 S
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Metformin hydrochloride 1000 mg (sustained/extended release) + Glimepiride 2 mg
Delivered across India. ₹49 delivery, free above ₹999.
This medicine needs a prescription.
You can pay now and add the prescription afterwards. We pack your order only after a pharmacist verifies it.
A doctor decides whether a prescription can be issued. If it is not issued, the prescription items in your order are cancelled and refunded. You choose this at checkout.
Startglim-M2 Forte Tablet is used for type 2 diabetes mellitus (to control high blood sugar) when diet and exercise alone are not sufficient; used in patients requiring combination therapy.
Original brandsFrom authorised distributors or the brand's own supply chain.
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7 days to report a problemReport a wrong or damaged item within 7 days of delivery and our team reviews a return.
Startglim-M2 Forte Tablet contains Metformin hydrochloride 1000 mg (sustained/extended release) + Glimepiride 2 mg. It belongs to the Biguanide + Sulfonylurea class of medicines.
Metformin reduces glucose production in the liver and improves the body’s sensitivity to insulin, lowering insulin resistance. Glimepiride stimulates the pancreas to release more insulin, helping reduce blood glucose levels, especially after meals.
Take by mouth as prescribed by a doctor, usually once daily with the main meal (often dinner/breakfast depending on regimen). Swallow whole with water; do not crush or chew if it is SR/ER. Follow diet/exercise plan and monitor blood glucose regularly.
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 a dangerous build-up of acid in the blood, with vomiting, severe weakness and laboured breathing. It can cause severe and prolonged low blood sugar, which may lead to fits or unconsciousness. 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 Startglim-M2 Forte 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.
Risk of hypoglycaemia (higher with missed meals, alcohol, strenuous exercise, elderly); carry glucose/sugar. Metformin can rarely cause lactic acidosis—risk increases with kidney impairment, dehydration, severe infection, heart/respiratory failure, or heavy alcohol use. Avoid/use with caution in renal or hepatic impairment; kidney function monitoring recommended. Temporarily stop metformin before/after iodinated contrast imaging and major surgery as advised by doctor. Long-term metformin may cause vitamin B12 deficiency; consider periodic monitoring.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with severe kidney disease, severe liver disease, or an acute illness causing dehydration. Not for people who have had diabetic ketoacidosis. Not for type 1 diabetes or for diabetic ketoacidosis. Not for people with severe kidney or liver disease.
Alcohol (increases risk of hypoglycaemia/lactic acidosis), iodinated contrast media, insulin/other antidiabetics (additive hypoglycaemia), beta-blockers (may mask hypoglycaemia symptoms), corticosteroids and thiazide/loop diuretics (may raise glucose), ACE inhibitors (may enhance hypoglycaemia), rifampicin (may reduce glimepiride effect), azole antifungals/macrolides/fluoroquinolones (may alter glucose control), cimetidine (may increase metformin levels)
Store below 25°C in a dry place, protected from moisture and light. Keep out of reach of children.
People taking Startglim-M2 Forte are often asked to check these from time to time. Your doctor decides which and how often.
Medicines with the same active ingredient (Metformin hydrochloride 1000 mg (sustained/extended release) + Glimepiride 2 mg). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Startglim-M2 Forte Tablet |
|---|---|---|---|
| Zoryl M2 ForteIntas Pharmaceuticals Ltd | 15`S | ₹293 | 119% more |

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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.