Glicam

Description:

Glicam 5mg contains Glibenclamide, an oral anti-diabetic medicine used to help control Type 2 Diabetes Mellitus. It works by stimulating the pancreas to release insulin, which lowers blood sugar levels. It is only effective when used alongside proper diet and lifestyle management. It is not meant for Type 1 Diabetes.

Doctor Review – Dr. Ayesha Khan (Endocrinologist, MBBS, FCPS):
Glibenclamide has been in clinical use for many years in Pakistan for managing Type 2 Diabetes. It is effective but needs careful monitoring because of the risk of low blood sugar, especially in elderly patients or those who skip meals. I always advise patients to take it exactly as prescribed and never without regular meal timings.

Primary Uses

• Type 2 Diabetes Management.

Indications

Used for:

• Maturity-onset diabetes (Type 2 Diabetes)

• Often combined with other oral anti-diabetic medicines when single therapy is insufficient

How to Use

• Take orally with water, preferably at the same time each day.

• Can be taken with or without food.

• Swallow whole — do not crush or chew.

• Follow your doctor’s timing and dosage instructions exactly.

Expert Advice

• Maintain regular meals to avoid sudden drops in blood sugar.

• Stay hydrated throughout the day.

• Do not skip or double doses.

• Avoid abrupt discontinuation without medical guidance.

• Monitor blood sugar levels regularly.

Side Effects

Possible reactions may include:

• Low blood sugar symptoms (sweating, dizziness, palpitations).

• Digestive discomfort.

• Headache or weakness.

Seek medical help if symptoms become severe.

Warnings

Pregnancy

Not recommended. If required, should be stopped at least two weeks before expected delivery.

Lactation

Considered safe with caution, but doctor consultation is necessary.

Driving

May cause dizziness or low sugar spells — avoid driving after taking it.

Liver & Kidney

Dose adjustment may be required in liver or kidney impairment.

Alcohol

Avoid alcohol — it can increase the risk of hypoglycemia.

Precautions

• Inform your doctor if you have heart disease, kidney or liver issues.

• Monitor kidney function regularly during use.

• Stop usage 48 hours before and after surgery.

• Patients must not discontinue on their own.

Contraindications

Not suitable for:

• Allergy to Glibenclamide or similar medicines.

• Children.

• Type 1 Diabetes / Diabetic Ketoacidosis.

• Severe kidney or liver impairment.

• Heart or breathing disorders.

• Heavy alcohol users.

FAQS

What class does it belong to?
It belongs to sulfonylureas — a group used to lower blood sugar.

Can it cause low blood sugar?
Yes, if meals are skipped or doses are higher than required.

What if I miss a dose?
Take it with the next meal if remembered soon. Do not double dose.

What happens if I skip meals?
You may feel palpitations, trembling, sweating — take sugar immediately in such cases.

Can I use it with insulin or BP medicines?
Some medicines may enhance its effect — only combine if doctor approves.

Is it safe for elderly patients?
Yes, but regular monitoring is important as hypoglycemia risk is higher.

Related Lab Tests

• Fasting Blood Glucose.

• HbA1c (Glycated Hemoglobin).

Disclaimer

This information is for educational reference only and must not be taken as medical advice or a prescription. Always consult a qualified healthcare professional before using any medicine.