geben m forte 5mg/850mg tablet sr - Glibenclamide (5mg) + Metformin (850mg) medicine

Bencomet Plus 5mg/850mg Tablet: Complete Guide to Uses, Side Effects, and Safety

No reviews yet
🏭 Shinto Organics (P) Limited 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
📋 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
🩺
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

  • Rapid breathing, muscle pain, extreme tiredness, or stomach pain (possible lactic acidosis)
  • Severe hypoglycemia with confusion, seizures, or loss of consciousness
  • Yellowing of skin or eyes, dark urine, or pale stools
  • Severe abdominal pain radiating to the back (possible pancreatitis)
  • Signs of severe allergic reaction such as rash, swelling of face or throat, or difficulty breathing
  • Unusual bleeding or bruising

If experiencing severe symptoms, call emergency services immediately.

What is geben m forte 5mg/850mg tablet sr used for?

This medicine is a combination of glibenclamide and metformin used to treat type 2 diabetes. It lowers blood sugar by increasing insulin release and improving insulin sensitivity. It is taken orally with meals.

  • Generic Name: Glibenclamide (5mg) + Metformin (850mg)
  • Manufacturer: Shinto Organics (P) Limited
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 geben m forte 5mg/850mg tablet sr के बारे में (Hindi Summary)

उपयोग: यह दवा ग्लिबेंक्लामाइड और मेटफॉर्मिन का संयोजन है, जिसका उपयोग टाइप 2 डायबिटीज में ब्लड शुगर को नियंत्रित करने के लिए किया जाता है। यह अग्न्याशय से इंसुलिन निकलने में मदद करती है और शरीर की इंसुलिन के प्रति संवेदनशीलता को बढ़ाती है। इसे भोजन के साथ लेना चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, पेट में असहजता, धातु जैसा स्वाद और हल्की हाइपोग्लाइसीमिया शामिल हैं। गंभीर दुष्प्रभावों में लैक्टिक एसिडोसिस, गंभीर हाइपोग्लाइसीमिया और पैन्क्रियाटाइटिस हो सकते हैं। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को हमेशा भोजन के साथ लें ताकि पेट की परेशानी और ब्लड शुगर कम होने का खतरा कम हो। नियमित रूप से ब्लड शुगर की जांच करें। शराब से बचें क्योंकि इससे लैक्टिक एसिडोसिस और हाइपोग्लाइसीमिया का खतरा बढ़ सकता है। किडनी या लिवर की समस्या हो तो डॉक्टर को बताएं।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 geben m forte 5mg/850mg tablet sr Uses & Benefits

[{"condition":"Type 2 diabetes mellitus","description":"Used as second-line therapy when metformin alone or glibenclamide alone does not achieve adequate glycemic control.","evidence":"Well-established"},{"condition":"Type 2 diabetes with insulin resistance","description":"Combines insulin secretagogue and insulin sensitizer actions to improve both fasting and postprandial glucose.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Polycystic ovary syndrome (PCOS) with insulin resistance","description":"Metformin component may be used off-label, but the combination with glibenclamide is not standard for PCOS.","evidence":"Limited"}]

Primary treatment for: Type 2 diabetes mellitus

Also treats: Obesity, Dyslipidemia, Hypertension

📋 Drug Information

Generic Name(s)Glibenclamide (5mg) + Metformin (850mg)
Brand Namegeben m forte 5mg/850mg tablet sr
ManufacturerShinto Organics (P) Limited
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI DIABETIC
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C in a dry place, away from direct sunlight and moisture.
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 meals to reduce stomach upset and the risk of low blood sugar.
2
Monitor your blood sugar regularly and keep a record to share with your doctor.
3
Carry a fast-acting sugar source like glucose tablets or candy at all times.
4
Avoid alcohol completely while taking this medicine.
5
Inform your doctor if you have kidney or liver problems, or if you are scheduled for surgery or contrast imaging.
6
Report any unusual symptoms such as rapid breathing, muscle pain, or extreme tiredness 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 this.
Likely Use
✅
Frequent urination
May be a sign of high blood sugar; this medicine helps control it.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionGlibenclamide is rapidly absorbed from the gastrointestinal tract. Metformin is slowly and incompletely absorbed, mainly from the small intestine. Food may slightly delay but does not significantly reduce the extent of absorption of either component.
DistributionGlibenclamide is highly protein-bound and distributes into extracellular fluids. Metformin distributes widely into body tissues and is concentrated in the liver, kidney, and gastrointestinal tract.
Protein BindingGlibenclamide is approximately 99% bound to plasma proteins. Metformin is negligibly bound to plasma proteins.
MetabolismGlibenclamide is extensively metabolized in the liver, mainly by CYP2C9, to weakly active metabolites. Metformin is not metabolized in humans.
Half-LifeGlibenclamide: approximately 10 hours. Metformin: approximately 6.5 hours.
ExcretionGlibenclamide metabolites are excreted mainly in urine and bile. Metformin is excreted unchanged in urine by active tubular secretion.
BioavailabilityGlibenclamide: approximately 80%. Metformin: approximately 50-60% under fasting conditions.
Onset of ActionGlibenclamide: within 15-60 minutes. Metformin: several hours to days for full effect.
Peak Plasma TimeGlibenclamide: 2-4 hours. Metformin: 2-3 hours.
Duration of ActionGlibenclamide: 12-24 hours. Metformin: 24 hours with immediate-release formulations.

How It Works

This medicine combines two antidiabetic agents with complementary mechanisms. Glibenclamide binds to ATP-sensitive potassium channels on pancreatic beta cells, causing depolarization and insulin release. Metformin decreases hepatic glucose production, reduces intestinal glucose absorption, and improves peripheral insulin sensitivity.

Mechanism Steps

1
Glibenclamide binds to beta-cell potassium channels: Glibenclamide closes ATP-sensitive potassium channels on pancreatic beta cells, leading to membrane depolarization.
2
Calcium influx and insulin release: Depolarization opens voltage-gated calcium channels, raising intracellular calcium and triggering insulin secretion.
3
Metformin inhibits hepatic glucose production: Metformin reduces gluconeogenesis and glycogenolysis in the liver, lowering fasting glucose.
4
Metformin improves insulin sensitivity: Metformin enhances peripheral glucose uptake and utilization, especially in skeletal muscle and adipose tissue.
5
Combined glucose lowering: The two agents together provide better glycemic control than either alone.

💡 How to Take geben m forte 5mg/850mg tablet sr

Strength: Tablet: Glibenclamide 5 mg + Metformin 850 mg

1Take this medicine with meals to reduce stomach upset and hypoglycemia risk.
2Swallow the tablet whole with a glass of water.
3Do not crush, chew, or break the tablet unless advised by your doctor.
4Follow your prescribed dosing schedule exactly.
5Monitor your blood sugar as advised by your doctor.

Dosage Information

Adult DosageThe usual starting dose is one tablet taken once or twice daily with meals. The dose may be adjusted by your doctor based on blood sugar levels, kidney function, and tolerability. The maximum daily dose is generally 4 tablets (20 mg glibenclamide and 3400 mg metformin). 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 should start at the lower end of the dose range and be monitored closely for hypoglycemia and renal function. Dose must be individualized by a qualified clinician.
Renal ImpairmentContraindicated in severe renal impairment (eGFR <30 mL/min/1.73 m²). In mild to moderate renal impairment, dose reduction and close monitoring are required. Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in mild to moderate liver disease; contraindicated in severe liver disease. Dose adjustment and close monitoring are required.
Maximum Daily DoseMaximum daily dose is 20 mg glibenclamide and 3400 mg metformin (4 tablets of 5 mg/850 mg).

Dosage Timeline

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

🍽️ Food Timing Guide

Meals
Take with meals
Reduces stomach upset and risk of hypoglycemia.
Alcohol
Avoid
Increases risk of lactic acidosis and hypoglycemia.
High-fiber foods
May take together
Helps improve glycemic control.

⏰ 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 with food.
💡 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 geben m forte 5mg/850mg tablet sr

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food. If persistent, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If severe or persistent, contact your doctor.
Stomach discomfort (Common (5-10%))
Take with meals. Usually improves over time.
Metallic taste (Common (1-5%))
Usually temporary. Chewing sugar-free gum may help.
Hypoglycemia (mild) (Common (5-10%))
Carry fast-acting sugar. If symptoms occur, take 15 g glucose and recheck in 15 minutes.

🚨 Serious Side Effects

Lactic acidosis (Rare (<0.1%))
Seek immediate medical attention if you experience rapid breathing, muscle pain, extreme tiredness, or stomach pain.
Severe hypoglycemia (Uncommon (0.1-1%))
If you cannot swallow or lose consciousness, emergency medical help is needed. Otherwise, take glucose and seek medical advice.
Hemolytic anemia (Rare (<0.1%))
Report unusual tiredness, pale skin, or yellowing of eyes to your doctor immediately.
Pancreatitis (Rare (<0.1%))
Seek immediate care for severe abdominal pain radiating to the back.

⚠️ Rare Side Effects

Cholestatic jaundice
Report yellowing of skin or eyes, dark urine, or pale stools to your doctor.
Agranulocytosis
Report fever, sore throat, or mouth ulcers promptly for blood count check.
Severe skin reactions (e.g., Stevens-Johnson syndrome)
Stop the medicine and seek emergency care for rash, blisters, or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Contrast media Major
Alcohol Major
Beta-blockers Major
Diuretics Moderate
Corticosteroids Moderate
ACE inhibitors Moderate
NSAIDs Moderate
Antacids Minor
Cimetidine Minor

🚨 Major Interactions

  • Contrast media (iodinated)
  • Alcohol
  • Beta-blockers
  • Monoamine oxidase inhibitors (MAOIs)

⚡ Moderate Interactions

  • Diuretics (thiazides, loop)
  • Corticosteroids
  • ACE inhibitors
  • NSAIDs

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it increases the risk of lactic acidosis and severe hypoglycemia. It can also worsen liver function and interfere with blood sugar control.

🔎 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 (eGFR

⚠️ Warnings & Precautions

["Risk of lactic acidosis with metformin, especially in renal impairment, liver disease, alcohol use, or acute illness.","Risk of hypoglycemia, particularly with skipped meals, alcohol, or strenuous exercise.","Temporary discontinuation may be needed before surgery or contrast imaging.","Elderly patients are at higher risk of hypoglycemia and lactic acidosis.","Regular monitoring of kidney and liver function is essential.","Avoid alcohol during treatment."]

🤱 Lactation Safety

Not established from the available information. Consult your doctor before breastfeeding while taking this medicine.

💊 Overdose Management

Overdose can cause severe hypoglycemia and lactic acidosis. Seek emergency medical attention immediately. Treatment includes glucose administration, monitoring of blood glucose and electrolytes, and supportive care. Hemodialysis may be considered for metformin overdose.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember with food. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Always take this medicine with meals to lower the chance of stomach upset and low blood sugar. Check your blood sugar regularly as advised by your doctor. Carry a fast-acting sugar source like glucose tablets or candy in case of hypoglycemia. Avoid alcohol because it can increase the risk of lactic acidosis and low blood sugar. Tell your doctor if you have kidney or liver problems, or if you are scheduled for surgery or a contrast dye procedure. Do not stop or change the dose without consulting your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of hypoglycemia and lactic acidosis. Start with a lower dose and monitor kidney function regularly. Avoid alcohol and ensure adequate fluid intake.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before conception. This medicine is generally not recommended during pregnancy; insulin is preferred. Your doctor will adjust your treatment plan.

🏥 Post-Surgery Considerations

This medicine may need to be temporarily stopped before surgery due to the risk of lactic acidosis and hypoglycemia. Follow your doctor's instructions regarding fasting and medication adjustments.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. You may need to adjust your dose or meal timing around dental procedures. Monitor blood sugar closely.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight through balanced diet and regular exercise.
🥗
Eat small, frequent meals to help control blood sugar.
😴
Limit intake of sugary and processed foods.
💧
Stay physically active with at least 30 minutes of moderate exercise most days.
🧘
Monitor your blood sugar regularly as advised.
🌞
Get enough sleep and manage stress.

🏋️ Exercise Considerations

Exercise can lower blood sugar. Check your blood sugar before and after exercise, and carry a fast-acting sugar source. Avoid strenuous exercise if your blood sugar is very low or very high. Consult your doctor before starting a new exercise regimen.

🥗 Diet Recommendations

Include high-fiber foods like whole grains, vegetables, and legumes.
Choose lean proteins and healthy fats.
Limit refined carbohydrates and sugary drinks.
Stay well hydrated with water.
Avoid skipping meals.

💼 Impact on Daily Work & Life

This medicine may cause hypoglycemia, which can affect your ability to drive or operate machinery. Be cautious until you know how it affects you. Take regular breaks and meals during work hours. Inform your employer about your condition if necessary.

🛑 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 change your treatment. Always seek medical advice before stopping.

📅 Long-Term Use Effects

Long-term use requires regular monitoring of blood sugar, kidney function, liver function, and vitamin B12 levels. Prolonged use may increase the risk of hypoglycemia and lactic acidosis, especially in those with kidney or liver disease. Regular follow-up with your doctor is essential to adjust the dose and prevent complications.

🌿 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 medication needs.

Evidence: Well-established
Other oral antidiabetic agents

DPP-4 inhibitors, SGLT2 inhibitors, or GLP-1 receptor agonists may be alternatives based on individual needs.

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. Consult 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. Store it at room temperature and protect it from extreme heat or moisture. If traveling across time zones, consult your doctor about adjusting the timing of doses. Keep a fast-acting sugar source handy in case of hypoglycemia. 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 not controlled on metformin alone
He was prescribed this medicine to be taken twice daily with meals. After 3 months, his HbA1c dropped from 8.5% to 7.2%. He experienced mild nausea initially, which resolved after taking it with food. He monitors his blood sugar regularly and has not had any severe low blood sugar episodes.
💡 Lesson: Taking this medicine with meals improves tolerability and helps achieve better glycemic control.
👤 A 65-year-old woman with type 2 diabetes and mild kidney impairment
She was started on a lower dose of this medicine due to her age and kidney function. She was advised to check her blood sugar frequently. She experienced one episode of mild hypoglycemia after skipping breakfast, which was managed with glucose tablets. Her doctor adjusted her dose and emphasized the importance of regular meals.
💡 Lesson: Elderly patients and those with kidney issues need careful dose adjustment and regular monitoring to prevent hypoglycemia.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts lowering blood sugar within a few hours, but full effects on HbA1c may take 2-3 months of consistent use.

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

A: It depends on the severity of kidney disease. It is contraindicated in severe renal impairment. Consult your doctor for individualized advice.

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

A: Take 15 grams of fast-acting carbohydrate (e.g., glucose tablets, candy, or juice) and recheck your blood sugar in 15 minutes. 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 geben m forte 5mg/850mg tablet sr

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. Lifestyle changes and ongoing medical care are essential.
  • Myth: You can stop taking this medicine once your sugar levels are normal.
    Fact: Stopping suddenly can cause blood sugar to rise again. Always consult your doctor before making changes.
  • Myth: This medicine is safe for everyone with diabetes.
    Fact: It is not suitable for people with type 1 diabetes, severe kidney or liver disease, or certain other conditions.

🔄 Alternative Options

Generic Alternatives

  • Glibenclamide + Metformin 5mg/850mg tablet

Brand Alternatives

  • Bencomet Plus 5mg/850mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Glibenclamide + Metformin","class":"Sulfonylurea + Biguanide","key_feature":"Dual mechanism, low cost"},{"medicine":"Glimepiride + Metformin","class":"Sulfonylurea + Biguanide","key_feature":"Once-daily dosing, lower hypoglycemia risk"},{"medicine":"Sitagliptin + Metformin","class":"DPP-4 inhibitor + Biguanide","key_feature":"Weight neutral, low hypoglycemia risk"}]

😊 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