Gluconorm VG1 Plus

Refer to the pack for complete information.

Type 2 diabetes mellitus in adults when blood sugar is not adequately controlled with diet/exercise and existing therapy; helps control fasting and post‑meal glucose.

Metformin reduces glucose production in the liver and improves insulin sensitivity. Vildagliptin (a DPP-4 inhibitor) increases incretin hormones, boosting glucose‑dependent insulin release and lowering glucagon. Glimepiride (a sulfonylurea) stimulates the pancreas to release insulin, lowering blood glucose.

Oral tablets. Take exactly as prescribed, usually once or twice daily with meals to reduce stomach upset and risk of low sugar. Swallow whole with water; do not skip meals. Monitor blood glucose regularly.

Hypoglycaemia, nausea, vomiting, diarrhoea, abdominal pain, loss of appetite, headache, dizziness, weight gain, mild tremor, metallic taste

Risk of hypoglycaemia (higher with glimepiride) especially with missed meals, excess exercise or alcohol. Metformin may rarely cause lactic acidosis—risk increases with kidney disease, dehydration, severe infection, heart/respiratory failure and heavy alcohol use; kidney function monitoring is important. Vildagliptin can affect liver enzymes—periodic LFTs may be advised; stop and seek care if jaundice/dark urine. Inform doctor before surgery/iodinated contrast imaging; may need temporary stop. Use caution in elderly and in renal/hepatic impairment.

Alcohol, iodinated contrast media, insulin/other antidiabetics (increased hypoglycaemia), beta-blockers (mask hypoglycaemia), corticosteroids/thiazide diuretics (raise glucose), ACE inhibitors (may increase hypoglycaemia), cimetidine (may increase metformin levels), rifampicin (may reduce vildagliptin effect), strong CYP2C9 inhibitors (e.g., fluconazole) may increase glimepiride effect

Store below 25°C in a cool, dry place. Protect from moisture and direct light. Keep out of reach of children.

Glycomet-GP 2 Forte, Glimepiride+Metformin+Vildagliptin tablets (generic), Galvus Met + glimepiride regimen (as prescribed), Janumet + glimepiride regimen (as prescribed), Teneligliptin+Metformin+Glimepiride tablets (alternative as prescribed)