adnil 5mg tablet - Glibenclamide (5mg) medicine

Adnil 5mg Tablet (Glibenclamide) - Complete Medicine Guide

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🏭 Globela Pharma Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Use during pregnancy only if clearly needed and under specialist supervision. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for type 2 diabetes mellitus.
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe hypoglycemia with confusion, seizures, or loss of consciousness
  • Yellowing of skin or eyes (jaundice)
  • Dark urine or pale stools
  • Severe abdominal pain
  • Unusual bleeding or bruising
  • Fever with sore throat or mouth ulcers
  • Swelling of face, lips, or throat or difficulty breathing

If experiencing severe symptoms, call emergency services immediately.

What is adnil 5mg tablet used for?

This medicine contains Glibenclamide 5mg, a sulfonylurea used to treat type 2 diabetes by stimulating insulin release from the pancreas. It is taken orally with meals, and the dose is individualized by a doctor.

  • Generic Name: Glibenclamide
  • Manufacturer: Globela Pharma Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 adnil 5mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा ग्लाइबेनक्लामाइड 5 मिलीग्राम की एक गोली है जिसका उपयोग टाइप 2 डायबिटीज (मधुमेह) में रक्त शर्करा को नियंत्रित करने के लिए किया जाता है। यह अग्न्याशय से इंसुलिन निकालने में मदद करती है। इसे भोजन के साथ लेना चाहिए। यह दवा डॉक्टर के परामर्श के बिना शुरू या बंद नहीं करनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कम रक्त शर्करा (हाइपोग्लाइसीमिया), जी मिचलाना, पेट में हल्की परेशानी और त्वचा पर दाने शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर हाइपोग्लाइसीमिया, एनीमिया और लीवर की समस्या शामिल हो सकती है। यदि आपको पसीना, कंपकंपी, चक्कर या भ्रम महसूस हो तो तुरंत मीठा खाएं और डॉक्टर को बताएं।

सुरक्षा सलाह: इस दवा को हमेशा भोजन के साथ या तुरंत बाद लें। कभी भी भोजन न छोड़ें। अपने साथ हमेशा ग्लूकोज या मिठाई रखें। शराब से बचें क्योंकि इससे रक्त शर्करा खतरनाक रूप से गिर सकती है। नियमित रूप से रक्त शर्करा की जांच करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर को सूचित करें। दवा को बच्चों की पहुंच से दूर रखें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 adnil 5mg tablet Uses & Benefits

[{"condition":"Type 2 diabetes mellitus","description":"Used as an adjunct to diet and exercise to improve blood glucose control in adults with type 2 diabetes.","evidence":"Well-established"},{"condition":"Secondary diabetes due to pancreatic disease","description":"Sometimes used when other oral agents are not suitable, but only under specialist supervision.","evidence":"Limited"}]

Off-label uses: [{"condition":"Gestational diabetes","description":"Not routinely recommended; may be considered only if insulin is not feasible and under close specialist care.","evidence":"Limited"}]

Primary treatment for: Type 2 diabetes mellitus

Also treats: Secondary diabetes due to pancreatic disease

📋 Drug Information

Generic Name(s)Glibenclamide
Brand NameAdnil 5mg Tablet
ManufacturerGlobela Pharma Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI DIABETIC
Action ClassSulfonylureas (Insulin Secretogogues)
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
Always take this medicine with breakfast or the first main meal of the day to reduce the risk of hypoglycemia.
2
Carry glucose tablets or candy with you at all times in case of low blood sugar symptoms.
3
Monitor your blood sugar regularly and keep a log to share with your doctor.
4
Avoid alcohol completely while taking this medicine as it can cause dangerous hypoglycemia.
5
Inform your doctor about all other medicines you take, especially beta-blockers and diuretics.
6
Do not change the dose or stop the medicine without consulting your doctor.
7
Report any unusual symptoms such as yellowing of eyes, dark urine, or severe fatigue immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High blood sugar
This medicine is commonly prescribed for type 2 diabetes.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is rapidly absorbed from the gastrointestinal tract after oral administration. Food may slightly delay absorption but does not significantly reduce the extent of absorption.
DistributionThis medicine is widely distributed throughout the body. It crosses the placenta and is excreted in breast milk.
Protein BindingThis medicine is highly bound to plasma proteins, primarily albumin, with a binding rate of approximately 99%.
MetabolismThis medicine is extensively metabolized in the liver, primarily by cytochrome P450 enzymes, including CYP2C9 and CYP3A4. Some metabolites may have weak hypoglycemic activity.
Half-LifeThe elimination half-life of this medicine is approximately 4 to 10 hours.
ExcretionThis medicine and its metabolites are excreted mainly in the urine and to a lesser extent in the feces.
BioavailabilityThe oral bioavailability of this medicine is approximately 80% to 90%.
Onset of ActionThe onset of action is typically within 30 to 60 minutes after oral administration.
Peak Plasma TimePeak plasma concentrations are reached approximately 2 to 4 hours after oral administration.
Duration of ActionThe duration of action is approximately 12 to 24 hours, allowing for once or twice daily dosing.

How It Works

This medicine binds to specific receptors on pancreatic beta cells and closes ATP-sensitive potassium channels. This leads to depolarization of the cell membrane, opening of voltage-gated calcium channels, and influx of calcium. The rise in intracellular calcium triggers the release of insulin from preformed granules. Additionally, this medicine may increase the sensitivity of peripheral tissues to insulin. The overall effect is a reduction in blood glucose levels.

Mechanism Steps

1
Binding to sulfonylurea receptor: This medicine binds to the sulfonylurea receptor 1 (SUR1) subunit of the ATP-sensitive potassium channel on pancreatic beta cells.
2
Closure of potassium channels: Binding leads to closure of the ATP-sensitive potassium channels, reducing potassium efflux.
3
Membrane depolarization: The reduction in potassium efflux causes depolarization of the beta cell membrane.
4
Calcium influx: Depolarization opens voltage-gated calcium channels, allowing calcium to enter the cell.
5
Insulin secretion: Increased intracellular calcium triggers the release of insulin from secretory granules.

💡 How to Take adnil 5mg tablet

Strength: Glibenclamide 5mg immediate-release tablet

1Take this medicine orally with a full glass of water.
2Take it with or immediately after a meal to reduce the risk of low blood sugar.
3Swallow the tablet whole; do not crush or chew.
4Follow your doctor's instructions exactly regarding dose and timing.
5Do not skip meals while taking this medicine.

Dosage Information

Adult DosageThe usual starting dose of this medicine is 2.5 to 5 mg once daily, taken with breakfast or the first main meal. The dose may be increased gradually based on blood glucose response, up to a maximum of 20 mg per day. Doses above 10 mg per day may be divided. 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 DosageElderly patients are more sensitive to the hypoglycemic effects of this medicine. Start with a low dose and titrate slowly. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in renal impairment. Dose reduction may be necessary. Contraindicated in severe renal impairment. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentUse with caution in hepatic impairment. Dose reduction may be necessary. Contraindicated in severe hepatic impairment. Dose must be individualized by a qualified clinician.
Maximum Daily Dose20 mg per day

Dosage Timeline

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

🍽️ Food Timing Guide

Meals
Take with meals
Reduces the risk of hypoglycemia and stomach upset.
Alcohol
Avoid
Can cause severe hypoglycemia and disulfiram-like reaction.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 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 adnil 5mg tablet

✅ Common Side Effects

Hypoglycemia (Common (5-10%))
Take fast-acting sugar immediately and inform your doctor if it happens often.
Nausea (Common (1-5%))
Take with food to reduce nausea. Consult doctor if persistent.
Skin rash (Uncommon (0.1-1%))
Stop the medicine and consult your doctor if rash appears.
Weight gain (Common (5-10%))
Maintain a healthy diet and regular exercise. Discuss with your doctor if concerned.

🚨 Serious Side Effects

Severe hypoglycemia (Rare (<0.1%))
Seek immediate medical attention if you experience confusion, seizures, or loss of consciousness.
Hemolytic anemia (Rare (<0.1%))
Report unusual tiredness, pale skin, or dark urine to your doctor immediately.
Cholestatic jaundice (Rare (<0.1%))
Seek medical help if you notice yellowing of eyes or skin, dark urine, or abdominal pain.
Severe allergic reaction (Rare (<0.1%))
Stop the medicine and seek emergency care if you have swelling of face, lips, or throat, or difficulty breathing.

⚠️ Rare Side Effects

Agranulocytosis
Report fever, sore throat, or mouth ulcers to your doctor immediately.
Thrombocytopenia
Report unusual bruising or bleeding to your doctor.
Porphyria cutanea tarda
Consult a doctor if you notice blistering or skin fragility.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Beta-blockers Major
Fluconazole Major
Warfarin Major
Thiazide diuretics Moderate
Corticosteroids Moderate
ACE inhibitors Moderate
Alcohol Moderate
NSAIDs Minor

🚨 Major Interactions

  • Beta-blockers
  • Fluconazole
  • Warfarin

⚡ Moderate Interactions

  • Diuretics (thiazides)
  • Corticosteroids
  • ACE inhibitors

🍷 Alcohol Interaction

Alcohol can increase the risk of severe hypoglycemia and may cause a disulfiram-like reaction with flushing, nausea, and vomiting. It is best to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Type 1 diabetes mellitus","Diabetic ketoacidosis","Severe renal impairment","Severe hepatic impairment","Known hypersensitivity to glibenclamide or other sulfonylureas","Pregnancy and breastfeeding"]

⚠️ Warnings & Precautions

["Risk of hypoglycemia, especially with irregular meals or alcohol.","May cause weight gain.","Use with caution in elderly patients and those with renal or hepatic impairment.","May increase cardiovascular risk in some patients.","Not recommended for use in children.","Avoid in patients with glucose-6-phosphate dehydrogenase deficiency due to risk of hemolytic anemia."]

🤱 Lactation Safety

This medicine is excreted in breast milk and may cause hypoglycemia in the nursing infant. Breastfeeding is not recommended while taking this medicine unless advised by a specialist.

💊 Overdose Management

Overdose can cause severe hypoglycemia. If overdose is suspected, seek emergency medical care immediately. Treatment includes intravenous glucose and close monitoring of blood glucose and vital signs.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember if it is more than half the dosing interval away. If it is almost time for the 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

Always take this medicine with or immediately after a meal to reduce the risk of low blood sugar and stomach upset. Never skip meals while taking this medicine. Carry a source of fast-acting sugar such as glucose tablets or candy with you at all times. Check your blood sugar regularly as advised by your doctor. Avoid alcohol because it can cause dangerous drops in blood sugar. Tell your doctor about all other medicines you take, especially beta-blockers, diuretics, and other antidiabetic drugs. Do not drive or operate heavy machinery if you feel dizzy or shaky. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding. Keep this medicine out of reach of children and store it in its original packaging.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of hypoglycemia. Start with a low dose and monitor blood sugar closely. Dose adjustment may be needed based on renal function.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy. If you are planning pregnancy, consult your doctor to switch to a safer alternative, such as insulin.

🏥 Post-Surgery Considerations

Blood sugar control may be affected after surgery. Inform your surgeon and anesthesiologist about this medicine. Dose may need adjustment.

🦷 Dental Procedures

Inform your dentist about this medicine. Maintain good oral hygiene and monitor blood sugar before dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight through diet and exercise.
🥗
Eat regular meals and never skip breakfast.
😴
Include fiber-rich foods like whole grains and vegetables.
💧
Exercise regularly but monitor blood sugar before and after.
🧘
Avoid alcohol and smoking.
🌞
Get adequate sleep and manage stress.

🏋️ Exercise Considerations

Exercise can lower blood sugar. Check your blood sugar before exercising and carry a fast-acting sugar source. Avoid strenuous exercise if your blood sugar is low.

🥗 Diet Recommendations

Eat regular meals with complex carbohydrates.
Avoid sugary drinks and refined sugars.
Include lean proteins and healthy fats.
Stay well hydrated with water.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or shakiness due to low blood sugar, which can affect driving or operating machinery. Avoid these activities if you feel symptoms.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience severe side effects or your blood sugar is well controlled, your doctor may adjust or stop the medicine.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to weight gain and increased risk of hypoglycemia. It may also cause secondary failure over time, requiring addition of other antidiabetic agents. Regular monitoring of blood glucose, HbA1c, liver and kidney function is recommended.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet and exercise are essential for managing type 2 diabetes and can reduce the need for medication.

Evidence: Well-established
Other oral antidiabetics

Metformin, DPP-4 inhibitors, or SGLT2 inhibitors may be alternatives based on individual needs.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, infections can affect blood sugar control. Keep vaccinations up to date as advised by your 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. Keep it in your hand luggage to avoid temperature extremes. Adjust dosing times if crossing time zones, but consult your doctor first. Carry extra doses in case of travel delays. Store away from direct sunlight and moisture.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with type 2 diabetes on Adnil 5mg
He was prescribed this medicine once daily with breakfast. After two weeks, his fasting blood sugar improved from 180 mg/dL to 130 mg/dL. He experienced mild shakiness one afternoon when he skipped lunch. He learned to never skip meals and to carry glucose tablets.
💡 Lesson: Taking this medicine with meals and never skipping meals prevents hypoglycemia.
👤 A 62-year-old woman with type 2 diabetes and mild kidney disease
She was started on a low dose of this medicine and monitored closely. Her doctor adjusted the dose based on her renal function. She maintained good blood sugar control without any severe side effects.
💡 Lesson: Dose adjustment is important in elderly patients and those with kidney disease.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts lowering blood sugar within 30 to 60 minutes after taking it, but the full effect may take several days to weeks.

Q: Can I take this medicine if I have kidney disease?

A: It may be used with caution and dose adjustment in mild to moderate kidney disease, but it is contraindicated in severe kidney disease.

Q: What should I do if I miss a dose?

A: If you miss a dose, take it as soon as you remember if it is more than half the dosing interval away. Otherwise, skip it and continue with your regular schedule. Do not double the dose.

🤔 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 adnil 5mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure diabetes.
    Fact: This medicine helps control blood sugar but does not cure diabetes. It must be continued as prescribed.
  • Myth: This medicine can be taken without food.
    Fact: This medicine should be taken with meals to reduce the risk of low blood sugar.
  • Myth: This medicine is safe for everyone with diabetes.
    Fact: This medicine is not for type 1 diabetes or diabetic ketoacidosis and is contraindicated in pregnancy and severe kidney or liver disease.

🔄 Alternative Options

Generic Alternatives

  • Glibenclamide 5mg tablet

Brand Alternatives

  • Adnil 5mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Glibenclamide","class":"Sulfonylurea","onset":"30-60 minutes","duration":"12-24 hours","hypoglycemia_risk":"High"},{"medicine":"Glimepiride","class":"Sulfonylurea","onset":"1-2 hours","duration":"24 hours","hypoglycemia_risk":"Moderate"},{"medicine":"Metformin","class":"Biguanide","onset":"Variable","duration":"12-24 hours","hypoglycemia_risk":"Low"}]

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