Cilvoryl M 2/500 MG Tablet 10

Cilvoryl M 2/500 MG Tablet 10 interacts with the following medicines:

• CYP2C9 inhibitors: Medicines like fluconazole and amiodarone may increase the levels of glimepiride in your body, making you more susceptible to side effects like hypoglycaemia.
• Other glucose-lowering medications: If you're taking salicylates, sulphonamides, chloramphenicol, probenecid, or cimetidine, these can intensify the glucose-lowering effect of glimepiride resulting in low blood sugar levels.
• Cationic medications: These medicines, including amiloride, digoxin, morphine, procainamide, quinidine, ranitidine, triamterene, trimethoprim, and vancomycin, may reduce how quickly your body eliminates metformin, which could increase its action and side effects.

Cilvoryl M 2/500 MG Tablet 10 has known interactions with certain foods:

• High-fibre foods: These can slow down the absorption of metformin into your bloodstream. This may alter the effectiveness of this medicine.

Cilvoryl M 2/500 MG Tablet 10 interacts with the following diseases:

• Renal impairment: If you have severe kidney problems (eGFR <30 mL/min/1.73m²), this medicine is not recommended because it might accumulate in your body.
• Congestive heart failure: If you're suffering from heart failure requiring pharmacological treatment, this medication could worsen your condition.
• Metabolic acidosis: If you're suffering from acute or chronic metabolic acidosis (including diabetic ketoacidosis), this medicine is contraindicated as it can exacerbate the condition.

Your doctor will determine the daily dose of Cilvoryl M 2/500 MG Tablet 10 based on your specific needs. Follow the prescribed dosage and never alter it without consulting your doctor.

If you accidentally take more Cilvoryl M 2/500 MG Tablet 10 than recommended, you might experience symptoms like low blood sugar. If this happens, contact your doctor immediately.

If you miss a dose, take it as soon as you remember. But if it's nearly time for the next dose, skip the missed one and continue with your schedule.