Suglow G 4mg/500mg Tablet - Glimepiride (4mg) + Metformin (500mg) medicine

Efoglim M 4mg/500mg Tablet SR: Complete Guide to Uses, Side Effects, and Safety

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🏭 BRD MediLabs 📦 strip of 10 tablets 💊 Allopathy 📅 Updated: Oct 22, 2026
🤰 Pregnancy Category Not established from the available information. Consult your doctor for guidance. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for type 2 diabetes mellitus.
Reviewed by
SaathiMed Expert Panel | Oct 22, 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
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When to Call Your Doctor IMMEDIATELY

  • Rapid breathing or shortness of breath
  • Severe muscle pain or weakness
  • Extreme tiredness or unusual sleepiness
  • Confusion or difficulty concentrating
  • Seizures or loss of consciousness
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is Suglow G 4mg/500mg Tablet used for?

This medicine is a combination of Glimepiride and Metformin used to treat type 2 diabetes. It helps control blood sugar by increasing insulin release and improving insulin sensitivity.

  • Generic Name: Glimepiride (4mg) + Metformin (500mg)
  • Manufacturer: BRD MediLabs
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Suglow G 4mg/500mg Tablet के बारे में (Hindi Summary)

उपयोग: यह दवा टाइप 2 डायबिटीज (मधुमेह) के इलाज में इस्तेमाल की जाती है। यह शरीर में इंसुलिन का स्तर बढ़ाकर और शुगर को कंट्रोल करके ब्लड शुगर को कम करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में कम ब्लड शुगर (हाइपोग्लाइसीमिया), जी मिचलाना, दस्त, पेट खराब होना और मुंह में धातु जैसा स्वाद शामिल हैं। गंभीर दुष्प्रभावों में लैक्टिक एसिडोसिस और गंभीर हाइपोग्लाइसीमिया हो सकते हैं।

सुरक्षा सलाह: इस दवा को भोजन के साथ लें ताकि पेट की परेशानी और कम ब्लड शुगर का खतरा कम हो। अपने डॉक्टर की सलाह के अनुसार नियमित रूप से ब्लड शुगर की जांच करें। शराब से बचें क्योंकि इससे लैक्टिक एसिडोसिस और हाइपोग्लाइसीमिया का खतरा बढ़ सकता है।

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

💊 Suglow G 4mg/500mg 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 who are not adequately controlled on monotherapy.","evidence":"Well-established"}]

Off-label uses: []

Primary treatment for: Type 2 Diabetes Mellitus

📋 Drug Information

Generic Name(s)Glimepiride (4mg) + Metformin (500mg)
Brand NameSuglow G 4mg/500mg Tablet
ManufacturerBRD MediLabs
Packaging / Formstrip of 10 tablets (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°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 a meal to reduce stomach upset and lower the risk of low blood sugar.
2
Monitor your blood sugar regularly and keep a log to share with your doctor.
3
Avoid alcohol completely while taking this medicine to prevent lactic acidosis.
4
Inform your doctor if you are scheduled for surgery or a contrast imaging test.
5
Report any symptoms of lactic acidosis such as rapid breathing, muscle pain, or extreme tiredness immediately.
6
Do not skip meals while on this medicine to prevent hypoglycemia.

🔍 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
This medicine helps reduce this symptom by controlling blood sugar.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionGlimepiride is rapidly and completely absorbed after oral administration. Metformin is slowly and incompletely absorbed from the gastrointestinal tract, with bioavailability of about 50-60%. Food may slightly delay but does not significantly reduce the extent of absorption of metformin.
DistributionGlimepiride is widely distributed in the body and is highly protein-bound. Metformin is rapidly distributed to various tissues and is not bound to plasma proteins.
Protein BindingGlimepiride is more than 99% bound to plasma proteins. Metformin is negligibly bound to plasma proteins.
MetabolismGlimepiride is extensively metabolized in the liver by cytochrome P450 2C9 to inactive metabolites. Metformin is not metabolized in humans.
Half-LifeThe elimination half-life of glimepiride is approximately 5-8 hours. Metformin has a plasma elimination half-life of approximately 6.5 hours.
ExcretionGlimepiride metabolites are excreted mainly in urine and feces. Metformin is excreted unchanged in urine by active tubular secretion.
BioavailabilityGlimepiride bioavailability is approximately 100%. Metformin bioavailability is approximately 50-60% under fasting conditions.
Onset of ActionGlimepiride onset of action is within 1-2 hours. Metformin onset of action is gradual, over several days.
Peak Plasma TimeGlimepiride peak plasma concentration occurs 2-3 hours after oral administration. Metformin peak plasma concentration occurs 2-3 hours after oral administration.
Duration of ActionGlimepiride duration of action is approximately 24 hours. Metformin duration of action is approximately 24 hours.

How It Works

This medicine combines two antidiabetic agents with complementary mechanisms. Glimepiride, a sulfonylurea, binds to ATP-sensitive potassium channels on pancreatic beta cells, causing depolarization and increased insulin secretion. Metformin, a biguanide, decreases hepatic glucose production, reduces intestinal glucose absorption, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization.

Mechanism Steps

1
Glimepiride binds to beta-cell potassium channels: Glimepiride binds to the sulfonylurea receptor on pancreatic beta cells, closing ATP-sensitive potassium channels.
2
Membrane depolarization and calcium influx: Channel closure leads to membrane depolarization, opening voltage-gated calcium channels and increasing intracellular calcium.
3
Insulin secretion: Increased calcium triggers exocytosis of insulin-containing granules from beta cells.
4
Metformin reduces hepatic glucose production: Metformin inhibits gluconeogenesis and glycogenolysis in the liver, reducing glucose output.
5
Metformin improves insulin sensitivity: Metformin enhances peripheral glucose uptake and utilization, particularly in skeletal muscle and adipose tissue.

💡 How to Take Suglow G 4mg/500mg Tablet

Strength: Tablet containing Glimepiride 4 mg and Metformin 500 mg (sustained-release).

1Take this medicine exactly as prescribed by your doctor.
2Swallow the tablet whole with a glass of water.
3Take with a meal to reduce stomach upset and risk of hypoglycemia.
4Do not crush, chew, or break the tablet.
5Follow a consistent schedule to maintain steady blood levels.

Dosage Information

Adult DosageThe usual starting dose is one tablet once daily with a meal. The dose may be adjusted by your doctor based on blood sugar levels and tolerability. The maximum daily dose is generally 8 mg glimepiride and 2000 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 may be more sensitive to the hypoglycemic effects of glimepiride. Start with a lower dose and monitor renal function regularly. Dose must be individualized by a qualified clinician.
Renal ImpairmentMetformin is contraindicated in severe renal impairment (eGFR <30 mL/min/1.73 m²). In moderate renal impairment (eGFR 30-45), metformin should be used with caution and dose adjusted. Glimepiride dose may need reduction. Consult your doctor for personalized dosing.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseGlimepiride: 8 mg; Metformin: 2000 mg. The maximum daily dose of this combination should not exceed these limits.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
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 Suglow G 4mg/500mg Tablet

✅ Common Side Effects

Hypoglycemia (Common (5-10%))
Eat or drink something sugary immediately if you feel symptoms like shakiness, sweating, or confusion. Consult your doctor if episodes are frequent.
Nausea (Common (5-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea is severe or persistent, contact your doctor.
Stomach upset (Common (5-10%))
Take with meals. If symptoms continue, consult your doctor.
Metallic taste (Common (5-10%))
Usually resolves over time. Chewing sugar-free gum may help.

🚨 Serious Side Effects

Lactic acidosis (Rare (<0.1%))
Seek immediate medical attention if you experience rapid breathing, muscle pain, extreme tiredness, or stomach discomfort.
Severe hypoglycemia (Uncommon (0.1-1%))
Seek emergency help if you have confusion, seizures, or loss of consciousness. Carry glucose tablets.
Allergic reactions (Rare (<0.1%))
Get emergency help if you notice rash, itching, swelling of face or throat, or difficulty breathing.

⚠️ Rare Side Effects

Hemolytic anemia
Report unusual tiredness or yellowing of eyes to your doctor.
Cholestatic jaundice
Seek medical attention if you notice yellowing of skin or eyes.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

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

🚨 Major Interactions

  • Alcohol
  • Contrast media (iodinated)
  • Diuretics

⚡ Moderate Interactions

  • Beta-blockers
  • ACE inhibitors
  • Corticosteroids

🍷 Alcohol Interaction

Avoid alcohol consumption while taking this medicine as it can increase the risk of lactic acidosis and severe hypoglycemia.

🔎 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, sepsis, dehydration, or alcohol use.","Hypoglycemia risk with glimepiride, particularly in elderly, malnourished, or those with adrenal/pituitary insufficiency.","Temporarily discontinue before surgery or contrast imaging.","Avoid in pregnancy and lactation unless clearly needed.","May cause vitamin B12 deficiency with long-term use."]

🤱 Lactation Safety

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

💊 Overdose Management

Overdose can cause severe hypoglycemia and lactic acidosis. Seek immediate medical attention. Treatment includes supportive care, glucose administration for hypoglycemia, and hemodialysis for metformin overdose.

⏰ Missed Dose

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

Additional Safety Advice

General Safety

Take this medicine with meals to reduce stomach upset and lower the risk of low blood sugar. Monitor your blood sugar regularly as advised by your doctor. Avoid alcohol as it can increase the risk of lactic acidosis and hypoglycemia. Inform your doctor if you have kidney or liver problems, or if you are scheduled for surgery or imaging tests with contrast dyes. 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. Regular monitoring of renal function and blood sugar is essential. Dose adjustments may be needed.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy. Consult your doctor for alternative treatments if you are planning pregnancy or are pregnant.

🏥 Post-Surgery Considerations

This medicine may need to be temporarily discontinued before surgery. Consult your surgeon and doctor for guidance.

🦷 Dental Procedures

Inform your dentist about this medicine. It may need to be stopped temporarily before certain procedures. Monitor blood sugar closely.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight through diet and exercise.
🥗
Eat a balanced diet rich in fiber and low in refined sugars.
😴
Exercise regularly, but monitor blood sugar before and after.
💧
Avoid smoking and limit alcohol.
🧘
Get regular check-ups for eyes, kidneys, and feet.

🏋️ Exercise Considerations

Exercise can lower blood sugar. Monitor your levels before and after exercise, and carry a source of glucose in case of hypoglycemia.

🥗 Diet Recommendations

Include whole grains, fruits, and vegetables.
Limit sugary drinks and processed foods.
Eat small, frequent meals to avoid blood sugar spikes.
Stay hydrated with water.

💼 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.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Stopping suddenly can cause blood sugar levels to rise and lead to complications.

📅 Long-Term Use Effects

Long-term use may lead to vitamin B12 deficiency, requiring periodic monitoring. Kidney function should be checked regularly. Blood sugar control should be maintained to prevent complications.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet and exercise are essential for managing diabetes and can reduce medication needs.

Evidence: Well-established
Other oral antidiabetics

Other classes like DPP-4 inhibitors, SGLT2 inhibitors, or insulin may be considered.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, maintain routine vaccinations as advised for diabetics.

📦 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. If traveling across time zones, consult your doctor about adjusting the timing of doses. Keep enough supply for the entire trip and carry it in your hand luggage.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with type 2 diabetes for 8 years
He was prescribed this medicine after his blood sugar remained high on metformin alone. Within a few weeks, his fasting and postprandial sugar levels improved significantly. He learned to take it with breakfast and monitor his sugar regularly.
💡 Lesson: Combination therapy can be effective when monotherapy fails, but adherence and monitoring are key.
👤 A 62-year-old woman with type 2 diabetes and mild kidney disease
She was started on this medicine with caution due to her kidney function. Her doctor adjusted the dose and monitored her renal function every 3 months. She maintained good sugar control without any serious side effects.
💡 Lesson: Regular monitoring of kidney function is essential when using metformin-containing medicines.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts lowering blood sugar within a few days, but full effects may take 1-2 weeks. Regular monitoring is important.

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

A: It depends on the severity of kidney problems. Metformin is contraindicated in severe renal impairment. Consult your doctor.

🤔 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 Suglow G 4mg/500mg 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 manage blood sugar levels but does not cure diabetes. Lifestyle changes and medication are needed for long-term control.
  • Myth: You can stop taking this medicine once your sugar levels are normal.
    Fact: Diabetes is a chronic condition. Stopping medication without consulting your doctor can lead to serious complications.

🔄 Alternative Options

Generic Alternatives

  • Glimepiride + Metformin combination generics are available.

Brand Alternatives

  • Efoglim M 4mg/500mg Tablet SR

📊 Comparison with Similar Medicines

[{"medicine":"Efoglim M 4mg/500mg Tablet SR","composition":"Glimepiride 4mg + Metformin 500mg SR","release_type":"Sustained release"},{"medicine":"Glimepiride 2mg + Metformin 500mg SR","composition":"Glimepiride 2mg + Metformin 500mg SR","release_type":"Sustained release"}]

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