glicaday-m tablet - Gliclazide (80mg) + Metformin (500mg) medicine

Glykind-M Tablet: Comprehensive Guide to Uses, Side Effects, and Safety

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🏭 Care Formulation Labs Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 24, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for the treatment of type 2 diabetes.
Reviewed by
SaathiMed Expert Panel | Sep 24, 2026

When to Call Your Doctor IMMEDIATELY

  • Rapid breathing, muscle pain, extreme tiredness, or stomach pain (possible lactic acidosis)
  • Severe hypoglycemia with confusion, unconsciousness, or seizures
  • Severe abdominal pain radiating to the back with nausea and vomiting (possible pancreatitis)
  • Swelling of face, lips, tongue, or throat, or difficulty breathing (allergic reaction)
  • Yellowing of skin or eyes, dark urine, or severe fatigue (liver problems)
  • Decreased urine output or swelling in legs (kidney problems)

If experiencing severe symptoms, call emergency services immediately.

What is glicaday-m tablet used for?

This medicine is a combination of gliclazide and metformin used to treat type 2 diabetes. It lowers blood sugar by increasing insulin release and improving insulin sensitivity. It should be taken with meals and requires regular monitoring.

  • Generic Name: Gliclazide (80mg) + Metformin (500mg)
  • Manufacturer: Care Formulation Labs Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 glicaday-m tablet के बारे में (Hindi Summary)

उपयोग: यह दवा टाइप 2 डायबिटीज (मधुमेह) के इलाज के लिए इस्तेमाल की जाती है। इसमें ग्लिक्लाजाइड और मेटफॉर्मिन दो दवाएं होती हैं जो मिलकर ब्लड शुगर को कंट्रोल करती हैं। ग्लिक्लाजाइड पैंक्रियाज से इंसुलिन निकालने में मदद करती है और मेटफॉर्मिन शरीर में इंसुलिन के असर को बढ़ाती है। यह दवा उन लोगों के लिए है जिनका शुगर सिर्फ डाइट और एक दवा से कंट्रोल नहीं हो रहा। इसे खाने के साथ लेना चाहिए।

साइड इफेक्ट्स: आम साइड इफेक्ट्स में शुगर कम होना (हाइपोग्लाइसीमिया), जी मिचलाना, दस्त, पेट में गड़बड़ी और मुंह में धातु जैसा स्वाद शामिल हैं। गंभीर साइड इफेक्ट्स में लैक्टिक एसिडोसिस, गंभीर हाइपोग्लाइसीमिया, पैंक्रियाटाइटिस और एलर्जी शामिल हैं। अगर सांस तेज चले, मांसपेशियों में दर्द, अत्यधिक थकान या पेट में तेज दर्द हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को हमेशा खाने के साथ लें। खाना न छोड़ें। ब्लड शुगर नियमित रूप से जांचें। शराब न पिएं क्योंकि इससे लैक्टिक एसिडोसिस और शुगर कम होने का खतरा बढ़ता है। किडनी या लिवर की बीमारी हो तो डॉक्टर को बताएं। कोई भी नई दवा शुरू करने से पहले डॉक्टर से सलाह लें। शुगर कम होने पर तुरंत ग्लूकोज या मिठाई लें।

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

💊 glicaday-m tablet Uses & Benefits

  • [{"condition":"Type 2 diabetes mellitus","description":"Used as an add-on therapy in adults whose blood sugar is not controlled by diet, exercise, and a single oral antidiabetic drug.
  • It helps lower fasting and post-meal blood glucose levels.","evidence":"Well-established"},{"condition":"Type 2 diabetes with insulin resistance","description":"The metformin component improves insulin sensitivity, while gliclazide increases insulin secretion, making this combination useful in patients with both defects.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Polycystic ovary syndrome (PCOS)","description":"Metformin alone is sometimes used off-label in PCOS to improve insulin resistance and menstrual regularity, but the combination with gliclazide is not standard for this use.","evidence":"Limited"}]

Primary treatment for: Type 2 diabetes mellitus

Also treats: Insulin resistance, Metabolic syndrome

📋 Drug Information

Generic Name(s)Gliclazide (80mg) + Metformin (500mg)
Brand Nameglicaday-m tablet
ManufacturerCare Formulation Labs Pvt Ltd
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. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information. Guidelines generally recommend metformin as first-line therapy for type 2 diabetes, with sulfonylureas as add-on options.
ICMR GuidelineNot established from the available information. ICMR guidelines for type 2 diabetes recommend individualized therapy, with metformin as initial therapy and sulfonylureas as add-on if needed.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always 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
Avoid alcohol completely while taking this medicine to prevent lactic acidosis and hypoglycemia.
4
Inform your doctor if you have kidney or liver problems, as dose adjustments may be needed.
5
Carry a fast-acting sugar source like glucose tablets or candy to treat low blood sugar promptly.
6
Do not stop or change the dose without consulting your doctor, even if you feel better.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

High blood sugar (hyperglycemia)
This medicine is prescribed to lower blood sugar in type 2 diabetes.
Likely Use
Frequent urination and excessive thirst
These are symptoms of high blood sugar that this medicine helps control.
Likely Use
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionGliclazide is absorbed from the gastrointestinal tract, with food not significantly affecting the extent of absorption. Metformin is absorbed mainly from the small intestine; food slightly delays but does not reduce the extent of absorption.
DistributionGliclazide is distributed throughout the body, with about 95% bound to plasma proteins. Metformin is rapidly distributed to various tissues, including the liver, kidney, and gastrointestinal tract; it is not bound to plasma proteins.
Protein BindingGliclazide is approximately 95% bound to plasma proteins. Metformin is negligibly bound to plasma proteins.
MetabolismGliclazide is extensively metabolized in the liver, primarily by CYP2C9, to inactive metabolites. Metformin is not metabolized in humans and is excreted unchanged.
Half-LifeThe elimination half-life of gliclazide is approximately 10-12 hours. Metformin has a plasma elimination half-life of approximately 6.5 hours.
ExcretionGliclazide metabolites are excreted mainly in the urine. Metformin is excreted unchanged in the urine by active tubular secretion.
BioavailabilityThe bioavailability of gliclazide is approximately 97%. Metformin has an absolute bioavailability of approximately 50-60%.
Onset of ActionThe onset of blood glucose lowering effect for gliclazide is within 1-2 hours. Metformin's effect on glucose control develops over days to weeks.
Peak Plasma TimeGliclazide reaches peak plasma concentrations within 2-4 hours after oral administration. Metformin reaches peak plasma concentrations within 2-3 hours.
Duration of ActionThe glucose-lowering effect of gliclazide lasts approximately 12-24 hours. Metformin's effect is sustained with continued dosing.

How It Works

This medicine combines two antidiabetic agents with complementary mechanisms. Gliclazide binds to sulfonylurea receptors on pancreatic beta cells, closing ATP-sensitive potassium channels, which leads to membrane depolarization, calcium influx, and increased insulin release. Metformin decreases hepatic glucose production, reduces intestinal glucose absorption, and enhances peripheral insulin sensitivity by activating AMP-activated protein kinase (AMPK). The combined effect lowers blood glucose levels through both insulin secretion and improved insulin action.

Mechanism Steps

1
Gliclazide binds to SUR1: Gliclazide binds to the sulfonylurea receptor on pancreatic beta cells, inhibiting ATP-sensitive potassium channels.
2
Calcium influx and insulin release: Channel closure depolarizes the cell membrane, opening voltage-gated calcium channels. Increased intracellular calcium triggers insulin secretion.
3
Metformin activates AMPK: Metformin activates AMP-activated protein kinase in the liver and muscle, leading to reduced glucose production and increased glucose uptake.
4
Reduced hepatic glucose output: Metformin suppresses gluconeogenesis and glycogenolysis in the liver, lowering fasting blood glucose.
5
Improved insulin sensitivity: Metformin enhances peripheral glucose uptake and utilization, especially in skeletal muscle and adipose tissue.

💡 How to Take glicaday-m tablet

Strength: Each tablet contains Gliclazide 80 mg and Metformin 500 mg.

1Take this medicine with a meal to reduce stomach upset and the risk of low blood sugar.
2Swallow the tablet whole with a glass of water. Do not crush or chew.
3If you take it twice daily, take the doses with breakfast and dinner.
4Do not skip meals while taking this medicine.
5Follow your doctor's instructions exactly and do not change the dose without consulting them.

Dosage Information

Adult DosageThe usual starting dose is one tablet taken once or twice daily with meals, depending on your blood sugar levels and kidney function. Your doctor may adjust the dose gradually to achieve target glucose control. The maximum daily dose should not exceed what your doctor prescribes. 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 may be more sensitive to the effects of this medicine, especially the risk of hypoglycemia and lactic acidosis. Doses should be started low and increased cautiously based on kidney function and blood glucose monitoring.
Renal ImpairmentThis medicine is contraindicated in severe kidney impairment (eGFR <30 mL/min/1.73 m²). In mild to moderate kidney impairment, dose adjustments and close monitoring are required. Consult your doctor for personalized dosing.
Hepatic ImpairmentUse with caution in patients with liver disease. Dose adjustment may be necessary, and regular monitoring of liver function is advised. Avoid in severe liver disease.
Maximum Daily DoseThe maximum daily dose is determined by your doctor based on your condition and kidney function. Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With meals
Take with meals
Reduces stomach upset and risk of hypoglycemia.
Alcohol
Avoid
Increases risk of lactic acidosis and hypoglycemia.

⏰ 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 glicaday-m tablet

✅ Common Side Effects

Hypoglycemia (Common (5-10%))
Treat with fast-acting sugar if mild. If severe or recurrent, contact your doctor.
Nausea (Common (5-10%))
Take with food. If persistent, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If severe or persistent, seek medical advice.
Metallic taste (Common (1-5%))
Usually resolves over time. Chewing sugar-free gum may help.
Abdominal discomfort (Common (1-5%))
Take with meals. If it continues, consult your doctor.

🚨 Serious Side Effects

Lactic acidosis (Rare (<0.1%))
Seek emergency medical attention if you have rapid breathing, muscle pain, extreme fatigue, or stomach pain.
Severe hypoglycemia (Uncommon (0.1-1%))
If you cannot swallow or become unconscious, emergency medical help is needed. Otherwise, take fast-acting sugar and inform your doctor.
Pancreatitis (Rare (<0.1%))
Seek immediate care if you have severe abdominal pain that radiates to your back, with nausea and vomiting.
Allergic reactions (Rare (<0.1%))
Get emergency help if you develop rash, itching, swelling of the face, lips, tongue, or throat, or difficulty breathing.

⚠️ Rare Side Effects

Blood disorders (anemia, leukopenia, thrombocytopenia)
Report unusual bruising, bleeding, or signs of infection to your doctor.
Liver enzyme elevation
Regular liver function tests may be needed. Report yellowing of skin or eyes.
Vitamin B12 deficiency
Long-term metformin use may lower B12 levels. Periodic monitoring is advised.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

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

🚨 Major Interactions

  • Alcohol
  • Iodinated contrast media
  • Other sulfonylureas or insulin

⚡ Moderate Interactions

  • Beta-blockers
  • Diuretics (thiazides, loop)
  • Corticosteroids
  • ACE inhibitors

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it increases the risk of lactic acidosis and can cause dangerous drops in blood sugar. It may also worsen stomach upset and liver problems.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Type 1 diabetes mellitus","Diabetic ketoacidosis","Severe kidney impairment (eGFR

⚠️ Warnings & Precautions

["Risk of lactic acidosis with metformin, especially in patients with kidney impairment, liver disease, or conditions causing tissue hypoxia.","Hypoglycemia risk is higher with gliclazide, especially in elderly, malnourished, or those with kidney or liver impairment.","Temporarily discontinue before surgery or iodinated contrast procedures as advised.","Avoid excessive alcohol intake.","Monitor kidney function regularly.","Use with caution in patients with adrenal or pituitary insufficiency.","May cause vitamin B12 deficiency with long-term use."]

🤱 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. Symptoms include shakiness, sweating, confusion, rapid breathing, and stomach pain. If overdose is suspected, seek emergency medical care immediately. Treatment is supportive and may include glucose administration and dialysis for metformin accumulation.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember if it is less than half the dosing interval away. If more than half the interval has passed, 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 meals to lower the chance of stomach upset and low blood sugar. Do not skip meals while on this medicine. Check your blood sugar regularly as advised by your doctor. Avoid alcohol because it can increase the risk of lactic acidosis and hypoglycemia. Tell your doctor if you have kidney or liver problems, or if you are scheduled for surgery or an imaging test with contrast dye. Do not start or stop any other medicine without consulting your doctor. Carry a source of fast-acting sugar, such as glucose tablets or candy, to treat low blood sugar. Wear a medical alert card or bracelet stating you have diabetes and are taking this medicine.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of hypoglycemia and lactic acidosis. Doses should be started low and increased cautiously. Regular monitoring of kidney function and blood sugar is essential. Avoid skipping meals.

🤰 Pregnancy Planning (TTC)

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

🏥 Post-Surgery Considerations

This medicine may need to be temporarily stopped before surgery or procedures involving contrast dye. Follow your doctor's instructions carefully. Blood sugar monitoring is crucial during the perioperative period.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. Dental procedures can affect your blood sugar and eating habits. You may need to adjust your medication timing on the day of the procedure.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight through balanced diet and regular exercise.
🥗
Eat meals at regular times and do not skip meals.
😴
Monitor your blood sugar as advised and keep a log.
💧
Stay physically active with at least 30 minutes of moderate exercise most days.
🧘
Limit alcohol intake and avoid smoking.
🌞
Manage stress through relaxation techniques like yoga or meditation.

🏋️ 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 very low or very high. Consult your doctor before starting a new exercise program.

🥗 Diet Recommendations

Choose complex carbohydrates like whole grains, fruits, and vegetables.
Limit sugary drinks and refined carbohydrates.
Include lean protein and healthy fats in your meals.
Eat at regular intervals and do not skip meals.
Stay well hydrated with water.

💼 Impact on Daily Work & Life

This medicine may cause low blood sugar, which can affect your ability to drive or operate machinery. Be cautious until you know how it affects you. Carry a sugar source and inform your colleagues about your condition. Regular meals and monitoring can help you manage your work routine safely.

🛑 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 and your doctor advises stopping, follow their guidance. Stopping suddenly can cause blood sugar to rise.

📅 Long-Term Use Effects

Long-term use may lead to vitamin B12 deficiency due to metformin, requiring periodic monitoring. Kidney function should be checked regularly. The risk of hypoglycemia persists, especially in elderly patients. Cardiovascular outcomes are generally favorable with gliclazide. Regular follow-up with your doctor is essential to adjust therapy.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Diet and exercise

Lifestyle modifications are the foundation of diabetes management and can help reduce medication needs.

Evidence: Well-established
Other oral antidiabetic drugs

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

People with diabetes should stay up to date with recommended vaccines, including influenza, pneumococcal, and hepatitis B vaccines. Consult your doctor about the best timing.

📦 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. If traveling across time zones, consult your doctor about adjusting the timing of doses. Store at room temperature and avoid direct sunlight. 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 sugar episodes.
💡 Lesson: Taking this medicine with meals improves tolerability and helps achieve better glucose control.
👤 A 65-year-old woman with type 2 diabetes and mild kidney impairment
She was started on a low dose of this medicine with careful monitoring of kidney function. Her blood sugar improved, but she experienced one episode of mild hypoglycemia after skipping breakfast. She now never misses meals and checks her sugar regularly.
💡 Lesson: Elderly patients and those with kidney issues need lower doses and must not skip meals to avoid 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 the full effect 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. Your doctor will check your kidney function and may adjust the dose or choose a different medicine.

Q: What are the symptoms of low blood sugar?

A: Symptoms include shakiness, sweating, confusion, rapid heartbeat, and hunger. Treat promptly with fast-acting sugar.

🤔 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 glicaday-m 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 along with diet and exercise.
  • Myth: You can stop taking this medicine once your sugar levels are normal.
    Fact: Stopping without medical advice can cause blood sugar to rise again. Always consult your doctor before stopping.
  • 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

  • Gliclazide 80 mg + Metformin 500 mg tablet (generic)

Brand Alternatives

  • Glykind-M Tablet
  • Diamicron LM
  • Glimestar-M
  • Ziglim-M
  • Gliclazide Metformin Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Gliclazide + Metformin","class":"Sulfonylurea + Biguanide","key_difference":"Dual mechanism: increases insulin secretion and improves insulin sensitivity."},{"medicine":"Glimepiride + Metformin","class":"Sulfonylurea + Biguanide","key_difference":"Similar mechanism but glimepiride may have a longer duration and different side effect profile."},{"medicine":"Sitagliptin + Metformin","class":"DPP-4 inhibitor + Biguanide","key_difference":"Lower risk of hypoglycemia compared to sulfonylureas; weight neutral."}]

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