acarcip 50 tablet - Acarbose (50mg) medicine

Acartex 50 Tablet (Acarbose 50 mg): Complete Medicine Guide

No reviews yet
🏭 Cipla Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for type 2 diabetes mellitus.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Yellowing of the skin or eyes
  • Dark urine or pale stools
  • Severe abdominal pain or vomiting
  • Inability to pass stool or gas
  • Symptoms of hypoglycemia such as shakiness, sweating, confusion, or rapid heartbeat
  • Unusual bleeding or bruising
  • Signs of an allergic reaction such as rash, itching, or swelling of the face, lips, or throat

If experiencing severe symptoms, call emergency services immediately.

What is acarcip 50 tablet used for?

This medicine contains Acarbose 50 mg, an oral antidiabetic medicine used to control blood sugar in adults with type 2 diabetes. It works by slowing carbohydrate digestion and is taken three times a day with meals.

  • Generic Name: Acarbose
  • Manufacturer: Cipla Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 acarcip 50 tablet के बारे में (Hindi Summary)

उपयोग: यह दवा टाइप 2 डायबिटीज में ब्लड शुगर को कंट्रोल करने के लिए इस्तेमाल की जाती है। यह भोजन के बाद ब्लड शुगर बढ़ने को कम करती है। इसे डाइट और एक्सरसाइज के साथ लेना चाहिए। यह दवा अकेले या अन्य डायबिटीज दवाओं के साथ ली जा सकती है।

साइड इफेक्ट्स: इस दवा के सामान्य साइड इफेक्ट्स में पेट में गैस, सूजन, दस्त और पेट में असहजता शामिल हैं। ये आमतौर पर शुरुआत में होते हैं और धीरे-धीरे कम हो जाते हैं। दवा को खाने के पहले निवाले के साथ लेने से ये कम हो सकते हैं। गंभीर साइड इफेक्ट्स में लिवर की समस्या और आंतों में रुकावट शामिल हैं, जो दुर्लभ हैं।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। आमतौर पर इसे दिन में तीन बार खाने के पहले निवाले के साथ लिया जाता है। अगर आपको इंफ्लेमेटरी बाउल डिजीज, आंतों में रुकावट, या गंभीर लिवर या किडनी की बीमारी है तो यह दवा न लें। इंसुलिन या सल्फोनिलयूरिया के साथ लेने पर लो ब्लड शुगर हो सकता है, इसलिए ग्लूकोज की गोलियां हमेशा साथ रखें। शराब से बचें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 acarcip 50 tablet Uses & Benefits

[{"condition":"Type 2 diabetes mellitus","description":"Used as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus, either as monotherapy or in combination with other antidiabetic agents.","evidence":"Well-established"},{"condition":"Postprandial hyperglycemia","description":"Helps reduce the rise in blood glucose levels after meals by delaying carbohydrate digestion and absorption.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Prediabetes","description":"Sometimes prescribed off-label to delay progression to type 2 diabetes in individuals with impaired glucose tolerance.","evidence":"Limited"},{"condition":"Polycystic ovary syndrome","description":"Occasionally used off-label to improve insulin resistance in women with polycystic ovary syndrome.","evidence":"Limited"}]

Primary treatment for: Type 2 diabetes mellitus

Also treats: Postprandial hyperglycemia, Prediabetes

📋 Drug Information

Generic Name(s)Acarbose
Brand NameAcartex 50 Tablet
ManufacturerCipla Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI DIABETIC
Action ClassAlpha-glucosidase inhibitors
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with the first bite of each main meal to reduce gastrointestinal side effects.
2
Start with a low dose and increase gradually as tolerated.
3
Always carry glucose tablets or gel to treat hypoglycemia, especially if you also take insulin or sulfonylureas.
4
Monitor your blood sugar regularly and keep a record to share with your doctor.
5
Inform your doctor if you experience persistent abdominal pain, bloating, or diarrhea.
6
Do not use table sugar to treat low blood sugar while on this medicine; use glucose instead.
7
Have your liver enzymes checked periodically as advised by your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High blood sugar after meals
This medicine is commonly prescribed for this.
Likely Use
✅
Type 2 diabetes
This medicine is used to manage type 2 diabetes.
Likely Use
❌
Type 1 diabetes
This medicine is not used for type 1 diabetes.
Not Primary
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is minimally absorbed from the gastrointestinal tract. Only about 1 to 2 percent of an oral dose is absorbed as the active drug. The absorbed fraction is rapidly eliminated by the kidneys.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismThis medicine is primarily metabolized in the gastrointestinal tract by intestinal bacteria and digestive enzymes. A small amount of the absorbed drug is metabolized in the liver.
Half-LifeThe elimination half-life of the absorbed fraction is approximately 2 hours.
ExcretionThe absorbed portion of this medicine is excreted primarily in the urine. The unabsorbed portion is excreted in the feces.
BioavailabilityThe oral bioavailability of this medicine is very low, approximately 1 to 2 percent.
Onset of ActionThe effect on postprandial blood glucose begins within 1 to 2 hours after taking a dose with a meal.
Peak Plasma TimePeak plasma concentration of the absorbed fraction occurs approximately 1 to 2 hours after oral administration.
Duration of ActionThe effect on carbohydrate digestion lasts for the duration of the meal, typically 2 to 4 hours.

How It Works

This medicine is a competitive inhibitor of alpha-glucosidase enzymes located in the brush border of the small intestine. These enzymes are responsible for breaking down complex carbohydrates into simple sugars such as glucose. By inhibiting these enzymes, this medicine delays the digestion and absorption of carbohydrates, which reduces the postprandial rise in blood glucose levels. This effect is reversible and dose-dependent.

Mechanism Steps

1
Competitive inhibition of alpha-glucosidase: This medicine binds reversibly to alpha-glucosidase enzymes in the small intestine, preventing them from breaking down complex carbohydrates into absorbable monosaccharides.
2
Delayed carbohydrate digestion: As a result of enzyme inhibition, carbohydrates are digested more slowly, leading to a slower and lower rise in blood glucose after meals.
3
Reduced postprandial glucose peak: The delayed absorption of glucose reduces the peak blood glucose concentration that occurs after eating, helping to improve overall glycemic control.
4
Colonic fermentation of undigested carbohydrates: Undigested carbohydrates pass into the colon, where bacteria ferment them, producing gas and short-chain fatty acids. This explains the common side effects of flatulence and bloating.

💡 How to Take acarcip 50 tablet

Strength: Immediate-release tablet, 50 mg.

1Take this medicine with the first bite of each main meal.
2Swallow the tablet whole with a glass of water.
3Do not crush or chew the tablet.
4If you miss a dose, follow the missed dose instructions.
5Do not take this medicine if you are not eating a meal.

Dosage Information

Adult DosageThe usual starting dose of this medicine is 25 mg three times a day, taken with the first bite of each main meal. The dose may be increased gradually based on blood glucose levels and tolerability, up to a maximum of 100 mg three times a day. The 50 mg tablet is typically used for maintenance therapy. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dose adjustment is required for elderly patients, but renal function should be assessed before starting therapy. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Not recommended in severe renal impairment (creatinine clearance less than 25 mL/min). Dose must be individualized by a qualified clinician.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Not recommended in severe hepatic impairment. Dose must be individualized by a qualified clinician.
Maximum Daily Dose300 mg per day (100 mg three times a day).

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With meals
Take with the first bite of each main meal
Essential for efficacy and to reduce gastrointestinal side effects.
High-fiber foods
Consume with caution
May increase bloating and flatulence.
Sucrose (table sugar)
Avoid using to treat hypoglycemia
This medicine blocks sucrose breakdown; use glucose instead.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose with the next meal if you remember within 30 minutes of that meal.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of acarcip 50 tablet

✅ Common Side Effects

Flatulence (Common (10-30%))
This usually decreases over time. Taking the medicine with the first bite of food may help. Consult your doctor if it persists.
Abdominal bloating (Common (10-20%))
Avoid large meals and high-fiber foods initially. Consult your doctor if bloating is severe or persistent.
Diarrhea (Common (5-15%))
Stay hydrated. If diarrhea is severe or contains blood, seek medical attention.
Abdominal discomfort (Common (5-10%))
Take with food. If pain is severe, contact your doctor.

🚨 Serious Side Effects

Severe liver injury (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of the skin or eyes, dark urine, or severe fatigue.
Intestinal obstruction (Rare (<0.1%))
Seek immediate medical attention if you experience severe abdominal pain, vomiting, or inability to pass stool.
Severe hypoglycemia (when used with insulin or sulfonylureas) (Uncommon (1-5%))
Treat with glucose tablets or gel, not table sugar. Seek medical help if symptoms persist.

⚠️ Rare Side Effects

Hepatitis
Report symptoms such as jaundice, dark urine, or abdominal pain to your doctor immediately.
Thrombocytopenia
Report unusual bruising or bleeding to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Insulin Major
Sulfonylureas Major
Digestive enzyme supplements Moderate
Activated charcoal Moderate
Metformin Moderate
Thiazolidinediones Moderate
Antacids Minor

🚨 Major Interactions

  • Insulin
  • Sulfonylureas (e.g., glibenclamide, gliclazide)
  • Digestive enzyme supplements (e.g., pancreatin, amylase)
  • Activated charcoal

⚡ Moderate Interactions

  • Metformin
  • Thiazolidinediones (e.g., pioglitazone)

🍷 Alcohol Interaction

Alcohol may increase the risk of hypoglycemia and may worsen gastrointestinal side effects. Limit or avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Inflammatory bowel disease","Intestinal obstruction or predisposition to it","Chronic conditions associated with digestion or absorption disorders","Severe liver impairment","Severe kidney impairment","Hypersensitivity to acarbose or any component of the formulation"]

⚠️ Warnings & Precautions

["This medicine may cause gastrointestinal side effects. Start with a low dose and titrate slowly.","Hypoglycemia may occur when used with insulin or sulfonylureas. Treat with glucose, not sucrose.","Monitor liver enzymes periodically, especially in the first 6-12 months of therapy.","Avoid use in patients with severe renal impairment.","Not recommended for patients with type 1 diabetes or diabetic ketoacidosis."]

🤱 Lactation Safety

Not established from the available information. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause severe gastrointestinal symptoms such as diarrhea, bloating, and abdominal pain. In case of overdose, seek immediate medical attention. Do not induce vomiting unless instructed by a healthcare professional. Treatment is supportive and symptomatic.

⏰ Missed Dose

If you miss a dose, take it with the next meal if you remember within 30 minutes of that meal. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor, usually three times a day with the first bite of each main meal. Do not take this medicine if you have inflammatory bowel disease, intestinal obstruction, or severe liver or kidney disease. Always carry a fast-acting source of glucose, such as glucose tablets or gel, to treat low blood sugar, because this medicine can increase the risk of hypoglycemia when used with insulin or sulfonylureas. Table sugar may not work quickly enough to treat low blood sugar while you are taking this medicine. Inform your doctor about all other medicines you take, especially diabetes medicines, digestive enzyme supplements, and activated charcoal. Do not stop taking this medicine without consulting your doctor. Keep this medicine out of the reach of children and store it at room temperature away from moisture and heat.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the gastrointestinal side effects of this medicine. Renal function should be assessed before starting therapy. Dose must be individualized by a qualified clinician.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not well established. Your doctor may recommend alternative treatments.

🏥 Post-Surgery Considerations

This medicine may need to be temporarily stopped before surgery, especially if you are not eating. Consult your surgeon and diabetes doctor for guidance.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. If you are not able to eat after a dental procedure, consult your doctor about adjusting your dose.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to improve blood sugar control.
🥗
Engage in regular physical activity, such as brisk walking for 30 minutes most days.
😴
Eat a balanced diet rich in fiber, lean proteins, and healthy fats.
💧
Limit intake of refined sugars and processed foods.
🧘
Monitor your blood sugar regularly as advised by your doctor.
🌞
Get adequate sleep and manage stress effectively.

🏋️ Exercise Considerations

Exercise is encouraged as part of diabetes management. However, if you take insulin or sulfonylureas along with this medicine, monitor your blood sugar before and after exercise to prevent hypoglycemia. Carry glucose tablets during exercise.

🥗 Diet Recommendations

Include high-fiber foods such as whole grains, vegetables, and legumes.
Choose complex carbohydrates over simple sugars.
Eat small, frequent meals to help control blood sugar.
Stay well hydrated with water.
Limit alcohol intake.

💼 Impact on Daily Work & Life

This medicine may cause gastrointestinal side effects such as bloating and diarrhea, which can affect your daily activities. These often improve over time. It does not usually cause drowsiness, but if you experience hypoglycemia, avoid driving or operating machinery until your blood sugar is stable.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience severe side effects such as liver problems or intestinal obstruction, seek immediate medical attention and follow your doctor's advice regarding discontinuation.

📅 Long-Term Use Effects

Long-term use of this medicine is generally well-tolerated. It may help reduce the risk of progression to type 2 diabetes in people with prediabetes. Regular monitoring of blood sugar, liver enzymes, and kidney function is recommended. Gastrointestinal side effects often diminish over time. Do not stop taking this medicine without consulting your doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Diet and exercise

Lifestyle modifications are the cornerstone of diabetes management and can complement medicine.

Evidence: Well-established
Other oral antidiabetic medicines

Metformin, sulfonylureas, DPP-4 inhibitors, SGLT2 inhibitors, etc., may be used as alternatives or in combination.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, people with diabetes should stay up to date with recommended vaccinations, including influenza and pneumococcal vaccines, as advised by their doctor.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from moisture and direct sunlight. If you are traveling across time zones, adjust your dosing schedule with your doctor&#039;s guidance. Keep enough supply for the entire trip and carry it in your hand luggage. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old man with type 2 diabetes and a sedentary lifestyle
He was prescribed this medicine along with metformin. Initially, he experienced bloating and gas, but these symptoms decreased after a few weeks. He learned to take the medicine with the first bite of his meal, which helped. His post-meal blood sugar levels improved significantly.
💡 Lesson: Taking this medicine with meals and giving the body time to adjust can minimize side effects and improve blood sugar control.
👤 A 60-year-old woman with type 2 diabetes on insulin
She started this medicine to better control her post-meal blood sugar. One day, she experienced shakiness and sweating after skipping a meal. She treated it with glucose tablets as advised and felt better. She now carries glucose tablets at all times.
💡 Lesson: When used with insulin, this medicine can cause low blood sugar. Always carry fast-acting glucose and do not skip meals.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 1 to 2 hours after taking a dose with a meal. Its full effect on blood sugar control may take several weeks.

Q: Can I take this medicine without food?

A: No, this medicine must be taken with the first bite of each main meal to be effective and to reduce side effects.

Q: What should I do if I experience low blood sugar?

A: Treat low blood sugar with glucose tablets or gel, not table sugar. If symptoms persist, seek medical help.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for acarcip 50 tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Acarbose 50 mg can cure diabetes.
    Fact: This medicine helps control blood sugar but does not cure diabetes. It must be used along with diet and exercise.
  • Myth: Acarbose 50 mg causes weight gain.
    Fact: This medicine does not typically cause weight gain; it may even help with weight control.
  • Myth: You can take Acarbose 50 mg without food.
    Fact: This medicine must be taken with the first bite of a meal to be effective.

🔄 Alternative Options

Generic Alternatives

  • Acarbose 50 mg tablet

Brand Alternatives

  • Acartex 50 tablet

📊 Comparison with Similar Medicines

[{"medicine":"Acarbose 50 mg","class":"Alpha-glucosidase inhibitor","main_use":"Type 2 diabetes","common_side_effects":"Flatulence, bloating, diarrhea"},{"medicine":"Metformin 500 mg","class":"Biguanide","main_use":"Type 2 diabetes","common_side_effects":"Nausea, diarrhea, metallic taste"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory