Acarsafe 25mg Tablet (Acarbose): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Yellowing of the skin or eyes, dark urine, or severe fatigue (possible liver problem)
- Severe abdominal pain, vomiting, or inability to pass stool or gas (possible intestinal obstruction)
- Confusion, seizures, or loss of consciousness (possible severe hypoglycemia)
- Swelling of the face, lips, tongue, or throat, or difficulty breathing (possible allergic reaction)
- Severe or persistent diarrhea leading to dehydration
- Blood in stool or vomit
- Chest pain or difficulty breathing
If experiencing severe symptoms, call emergency services immediately.
What is asucrose 25mg tablet used for?
This medicine contains Acarbose 25 mg, an oral antidiabetic tablet used to lower post-meal blood sugar spikes in adults with type 2 diabetes. It works by slowing carbohydrate digestion in the gut and is taken three times a day with the first bite of each main meal. It is not for type 1 diabetes or diabetic ketoacidosis.
- Generic Name: Acarbose (25mg)
- Manufacturer: Wockhardt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 asucrose 25mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा टाइप 2 डायबिटीज (मधुमेह) वाले वयस्कों में खाने के बाद ब्लड शुगर बढ़ने को कम करने के लिए इस्तेमाल की जाती है। यह आंतों में कार्बोहाइड्रेट के टूटने को धीमा करती है, जिससे भोजन के बाद ग्लूकोज का स्तर अचानक नहीं बढ़ता। इसे आमतौर पर डाइट और एक्सरसाइज के साथ, और कभी-कभी अन्य डायबिटीज दवाओं के साथ लिया जाता है। यह दवा टाइप 1 डायबिटीज या डायबिटिक कीटोएसिडोसिस के लिए नहीं है। इसे डॉक्टर के बताए अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के सबसे आम साइड इफेक्ट पेट और आंतों से जुड़े होते हैं, जैसे गैस बनना, पेट फूलना, पेट में गड़गड़ाहट, और दस्त या ढीले दस्त। ये आमतौर पर हल्के होते हैं और कुछ समय में कम हो जाते हैं। ज्यादा मीठा या चीनी वाला खाना खाने से ये लक्षण बढ़ सकते हैं। कभी-कभी पेट दर्द, जी मिचलाना या अपच भी हो सकता है। बहुत कम मामलों में लिवर एंजाइम बढ़ सकते हैं या पीलिया हो सकता है। अगर कोई भी लक्षण गंभीर या लंबे समय तक बना रहे, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार, आमतौर पर दिन में तीन बार, हर मुख्य भोजन की पहली बूंद के साथ लें। टैबलेट को चबाएं या तोड़ें नहीं, जब तक डॉक्टर न कहें। अपने खाने की योजना का पालन करें और ज्यादा चीनी वाले खाद्य पदार्थों से बचें, क्योंकि इससे गैस, पेट फूलना और दस्त बढ़ सकते हैं। अगर आप इंसुलिन या सल्फोनिलयूरिया लेते हैं, तो लो ब्लड शुगर के लिए ग्लूकोज टैबलेट या जेल अपने पास रखें, क्योंकि यह दवा टेबल शुगर के असर को धीमा कर सकती है। किडनी या लिवर की समस्या हो तो डॉक्टर को बताएं। कोई भी नई दवा शुरू करने से पहले डॉक्टर या फार्मासिस्ट से सलाह लें। इस दवा को कमरे के तापमान पर, नमी और धूप से दूर, बच्चों की पहुंच से बाहर रखें।
💊 asucrose 25mg tablet Uses & Benefits
- [{"condition":"Type 2 diabetes mellitus (adjunct to diet and exercise)","description":"This medicine is used to improve glycemic control in adults with type 2 diabetes when diet and exercise alone are not enough.
- It lowers post-meal blood glucose spikes by delaying carbohydrate digestion.","evidence":"Well-established"},{"condition":"Type 2 diabetes mellitus (combination therapy)","description":"This medicine may be added to other oral antidiabetic agents or insulin when monotherapy does not achieve target blood glucose levels.
- It is particularly useful for controlling postprandial hyperglycemia.","evidence":"Well-established"},{"condition":"Prediabetes (selected patients)","description":"In some patients with impaired glucose tolerance, this medicine has been studied to delay progression to type 2 diabetes.
- However, it is not approved for this use in all countries and should only be considered under specialist guidance.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Reactive hypoglycemia","description":"This medicine has been used off-label in some patients with reactive hypoglycemia to blunt post-meal glucose spikes and subsequent reactive lows. This use is not approved and requires specialist supervision.","evidence":"Limited"},{"condition":"Polycystic ovary syndrome (PCOS) with insulin resistance","description":"Small studies have explored this medicine in PCOS to improve insulin sensitivity and metabolic parameters. Evidence is limited and it is not a standard treatment.","evidence":"Limited"}]
Primary treatment for: Type 2 diabetes mellitus
Also treats: Prediabetes (impaired glucose tolerance), Metabolic syndrome, Postprandial hyperglycemia
📋 Drug Information
| Generic Name(s) | Acarbose (25mg) |
| Brand Name | asucrose 25mg tablet |
| Manufacturer | Wockhardt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI DIABETIC |
| Action Class | Alpha-glucosidase inhibitors |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C (59°F to 86°F). Keep it in the original container, tightly closed, away from moisture, heat, and direct sunlight. Do not store it in the bathroom. Keep it out of the reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 to 36 months from the date of manufacture, depending on the manufacturer and packaging. Always check the expiry date printed on the pack. Do not use the medicine after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine is a competitive inhibitor of alpha-glucosidase enzymes located in the brush border of the small intestine. These enzymes normally break down complex carbohydrates into monosaccharides such as glucose, which are then absorbed into the bloodstream. By reversibly binding to these enzymes, this medicine slows carbohydrate digestion and delays glucose absorption, resulting in lower postprandial blood glucose peaks. This effect is local to the gut and does not depend on systemic absorption of the medicine. Because it does not stimulate insulin secretion, it carries a low risk of hypoglycemia when used alone.
Mechanism Steps
💡 How to Take asucrose 25mg tablet
Strength: This medicine is available as an immediate-release tablet containing 25 mg of Acarbose. It is also available in other strengths, such as 50 mg and 100 mg, but this profile refers specifically to the 25 mg tablet.
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for adults with type 2 diabetes is 25 mg taken orally three times a day, with the first bite of each main meal. The dose may be increased gradually, usually every 4 to 8 weeks, up to a maximum of 100 mg three times a day, depending on blood glucose levels and tolerability. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and concomitant medications. Do not change the dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the gastrointestinal side effects of this medicine. No specific dose adjustment is generally required based on age alone, but the dose should be titrated slowly and renal function should be considered. Close monitoring of blood glucose and gastrointestinal tolerance is advised. |
| Renal Impairment | No dose adjustment is generally required for mild to moderate renal impairment. In severe renal impairment (creatinine clearance less than 25 mL/min), this medicine should be used with caution or avoided, as safety and efficacy have not been established. Consult your doctor for individualized dosing. |
| Hepatic Impairment | No specific dose adjustment is recommended for mild to moderate hepatic impairment. However, because rare cases of liver enzyme elevation have been reported, this medicine should be used with caution in patients with liver disease, and liver enzymes should be monitored periodically. In severe hepatic impairment, consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose of this medicine is 100 mg three times a day (300 mg per day) for adults. Doses above this are not recommended. The dose must be individualized by a qualified clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of asucrose 25mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
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 | |
| Thiazide diuretics | Minor | |
| Corticosteroids | Minor |
🚨 Major Interactions
- Insulin
- Sulfonylureas (e.g., glibenclamide, gliclazide)
⚡ Moderate Interactions
- Digestive enzyme supplements (e.g., pancreatin, amylase)
- Intestinal adsorbents (e.g., activated charcoal)
🍷 Alcohol Interaction
Alcohol may increase the risk of hypoglycemia and can worsen gastrointestinal side effects such as nausea and abdominal discomfort. It is advisable to limit or avoid alcohol while taking this medicine, especially if you are also using insulin or a sulfonylurea. If you choose to drink alcohol, do so in moderation and never on an empty stomach. Discuss alcohol use with your doctor.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to acarbose or any component of the formulation","Inflammatory bowel disease (e.g., ulcerative colitis, Crohn's disease)","Intestinal obstruction or predisposition to intestinal obstruction","Chronic conditions associated with impaired digestion or absorption","Severe renal impairment (creatinine clearance less than 25 mL/min)","Diabetic ketoacidosis","Type 1 diabetes mellitus (as sole therapy)","Pregnancy and breastfeeding unless specifically advised by a doctor"]
⚠️ Warnings & Precautions
["This medicine is not effective for treating type 1 diabetes or diabetic ketoacidosis.","Hypoglycemia may occur when this medicine is used with insulin or sulfonylureas. Use glucose tablets or gel, not table sugar, to treat low blood sugar.","Gastrointestinal side effects are common and may be severe if the dose is increased too quickly or if large amounts of sugar are consumed.","Rare cases of liver enzyme elevation and hepatitis have been reported. Report symptoms of liver problems to your doctor.","Use with caution in patients with severe renal impairment.","Do not use in patients with inflammatory bowel disease or intestinal obstruction.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Do not share this medicine with others, even if they have similar symptoms."]
🤱 Lactation Safety
It is not known whether this medicine is excreted in human breast milk. Because many medicines are excreted in breast milk, caution should be exercised when this medicine is administered to a nursing woman. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Overdose with this medicine is unlikely to cause serious systemic effects because of its low systemic absorption. However, it may cause severe gastrointestinal symptoms such as bloating, diarrhea, and abdominal pain. If a large amount has been taken, contact a doctor or poison control center immediately. Treatment is supportive and symptomatic. In cases of overdose, monitor blood glucose closely, especially if the patient is also taking insulin or a sulfonylurea, as hypoglycemia may occur. Do not induce vomiting unless instructed by a healthcare professional.
⏰ Missed Dose
If you miss a dose of this medicine, take it with the next meal if you remember within a short time. If it is almost time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure what to do, consult your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed, usually three times a day with the first bite of each main meal. Do not crush, chew, or break the tablet unless your doctor or pharmacist has told you it is safe to do so. Because this medicine works on the carbohydrates in your food, it is important to follow a consistent meal plan and avoid large amounts of sugary foods and drinks, which can worsen gas, bloating, and diarrhea. If you take insulin or a sulfonylurea, carry a fast-acting glucose source such as glucose tablets or gel, not ordinary sugar, because this medicine can make table sugar less effective at correcting low blood sugar. Tell your doctor if you have kidney or liver problems, because dose adjustments or extra monitoring may be needed. Do not start or stop any other medicine, including over-the-counter products and herbal supplements, without checking with your doctor or pharmacist. Keep all appointments for blood sugar and liver enzyme monitoring. Store this medicine at room temperature, away from moisture and direct sunlight, and keep it out of the reach of children. Do not use this medicine after the expiry date printed on the pack.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the gastrointestinal side effects of this medicine, such as gas, bloating, and diarrhea. These effects can lead to dehydration and electrolyte imbalance if severe. Start with a low dose and increase gradually. Monitor renal function, as elderly patients are more likely to have reduced kidney function. Ensure adequate hydration and a balanced diet. Regular follow-up with your doctor is important to monitor blood sugar control and adjust the dose as needed.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before conception. This medicine is not recommended during pregnancy unless clearly needed. Your doctor may switch you to a different diabetes medicine or insulin, which is generally considered safer during pregnancy. Good blood sugar control before and during pregnancy is important for the health of both mother and baby. Do not stop or change your diabetes medicines without medical advice.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon and anesthesiologist that you are taking this medicine. Your doctor may advise you to stop it temporarily before surgery, especially if you need to fast. Blood sugar levels should be monitored closely during the perioperative period. Do not restart the medicine until your doctor says it is safe to do so. Follow your doctor's instructions regarding food intake and diabetes management after surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, especially if you are also on insulin or a sulfonylurea, as there is a risk of hypoglycemia during dental procedures. Eat your normal meal and take your medicine as prescribed before the appointment, unless your dentist or doctor advises otherwise. Carry glucose tablets or gel with you. If you need a procedure that requires fasting, consult your doctor for guidance on adjusting your diabetes medicines.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is encouraged as part of diabetes management, but if you take insulin or a sulfonylurea along with this medicine, be aware that exercise can increase the risk of hypoglycemia. Check your blood sugar before and after exercise, and carry glucose tablets or gel with you. Stay well hydrated. If you experience symptoms of low blood sugar during exercise, stop and treat it immediately. Consult your doctor before starting a new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to work or drive. However, if you take insulin or a sulfonylurea, you may be at risk of hypoglycemia, which can impair your concentration and reaction time. Do not drive or operate heavy machinery if you feel shaky, dizzy, or confused. Carry glucose tablets or gel with you at all times. Inform your employer or colleagues about your diabetes and what to do in case of an emergency. With proper management, most people can continue their normal daily activities without significant disruption.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects such as persistent diarrhea, signs of liver problems (jaundice, dark urine), or severe allergic reactions, stop the medicine and seek medical attention immediately. Your doctor may adjust the dose or switch you to a different medicine if needed. If your blood sugar is well controlled for a long period, your doctor may consider reducing or stopping the medicine, but this should only be done under medical supervision.
📅 Long-Term Use Effects
Long-term use of this medicine is generally well tolerated. It does not cause weight gain and has a low risk of hypoglycemia when used alone. However, rare cases of liver enzyme elevation and hepatitis have been reported, so periodic monitoring of liver enzymes may be advised, especially in patients with liver disease. Gastrointestinal side effects such as gas and bloating often improve over time but may persist in some patients. Regular monitoring of blood glucose and HbA1c is essential to ensure the medicine remains effective. If you experience persistent side effects or your blood sugar control worsens, consult your doctor for a review of your treatment plan.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A personalized meal plan designed by a dietitian can help control blood sugar and reduce the need for medicines.
Evidence: Well-establishedExercise improves insulin sensitivity and helps lower blood sugar levels.
Evidence: Well-establishedLosing excess weight can significantly improve blood sugar control in type 2 diabetes.
Evidence: Well-establishedMetformin, DPP-4 inhibitors, SGLT2 inhibitors, and others may be alternatives depending on your health profile.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions with this medicine. However, people with diabetes are at higher risk of complications from infections such as influenza and pneumonia. Ensure that your vaccinations, including annual flu shots and other recommended vaccines, are up to date. Consult your doctor about the appropriate vaccination schedule for your age and health status.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate unless specified.
✅ DO
Keep in the original container, tightly closed.
❌ DON'T
Do not transfer to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of the reach of children and pets.
❌ DON'T
Do not use after the expiry date.
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a doctor's note if you are traveling internationally, especially if you carry insulin or syringes. Keep the medicine in your hand luggage rather than checked baggage to avoid temperature extremes and loss. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, continue taking this medicine with your main meals at local mealtime; do not double up on doses. Carry glucose tablets or gel in case of hypoglycemia, especially if you are also on insulin or a sulfonylurea. Check the expiry date before you travel and pack enough for the entire trip plus a few extra days.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working with the first meal after you take it. It reduces the post-meal blood sugar spike within 1 to 2 hours after eating. However, it may take several weeks to see a meaningful improvement in your overall blood sugar control and HbA1c.
A: Yes, this medicine can be used with insulin, but it increases the risk of hypoglycemia. If you take insulin, always carry glucose tablets or gel to treat low blood sugar, as table sugar may not work quickly while taking this medicine. Your doctor will adjust your insulin dose as needed.
A: If you experience symptoms of low blood sugar such as shakiness, sweating, confusion, or rapid heartbeat, check your blood sugar if possible. Use glucose tablets or gel to raise your blood sugar quickly. Do not use table sugar, as this medicine blocks its breakdown. Seek emergency care if symptoms are severe or do not improve.
A: No, this medicine is generally weight-neutral and does not typically cause weight gain. Some patients may even experience slight weight loss due to its effects on carbohydrate digestion.
A: Do not stop taking this medicine without consulting your doctor. Your blood sugar may be normal because you are taking the medicine. Stopping it suddenly can cause your blood sugar to rise again. Your doctor will decide if and when to adjust or stop the medicine.
🤔 Common Patient Concerns
🔄 Substitutes for asucrose 25mg tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia acarbose 25mg tabletDavaindia Generic Pharmacy ₹28.00 21.4% CHEAPER
-
k carb 25mg tabletBlue Cross Laboratories Ltd ₹28.13 21% CHEAPER
-
glubose 25mg tabletAristo Pharmaceuticals Pvt Ltd ₹36.78 3.2% COSTLIER
-
discarb 25mg tabletBal Pharma Ltd ₹38.00 6.7% COSTLIER
-
glucarb 25mg tabletWest-Coast Pharmaceutical Works Ltd ₹38.47 8% COSTLIER
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 used along with diet, exercise, and other medicines as prescribed. - Myth: This medicine can be taken at any time of day.
Fact: This medicine should be taken with the first bite of each main meal to be effective. Taking it at other times reduces its benefit. - Myth: Table sugar can be used to treat low blood sugar while taking this medicine.
Fact: This medicine blocks the breakdown of table sugar, so it may not correct hypoglycemia quickly. Use glucose tablets or gel instead. - Myth: This medicine causes weight gain.
Fact: Unlike some other antidiabetic medicines, this medicine does not typically cause weight gain. It may even be weight-neutral.
🔄 Alternative Options
Generic Alternatives
- Acarbose 25 mg tablet
Brand Alternatives
- Acarsafe 25mg tablet