Manufacturer: Lupin Ltd
Salt Composition : Empagliflozin(25mg)
Gibtulio 25mg Tablet can be taken with or without food at any time of day but you should try to take it at the same time every day. The dose will be decided by your doctor. Do not stop taking it without asking your doctor. If you do, your blood sugar levels may increase and put you at risk of serious complications like kidney damage and blindness. This medicine is only part of a treatment program that should include a healthy diet, regular exercise, and weight reduction as advised by your doctor.
The most common side effects of this medicine include nausea, frequent urge to urinate, increased thirst, urinary tract infections, and hypoglycemia (low blood sugar levels). It may cause the body to lose too much water. Hence, drink plenty of fluids to stay hydrated and to overcome the medicine side effects. Some people may develop fungal infections in the genital area. Maintaining good hygiene can help prevent this.
Before taking this medicine, inform your doctor if you have any kidney or liver problems or a urinary tract infection or if you are on water pills (diuretics). Pregnant or breastfeeding women should also consult their doctor before taking it. Avoid excessive alcohol intake while taking it as this may increase the risk of developing some side effects. Monitor your blood sugar levels regularly while taking this medicine.
In Type 2 diabetes your pancreas does not produce enough insulin to control the level of glucose in your blood, and thus your body is unable to utilize its insulin effectively. Certain protein like sodium-glucose co-transporter-2 (SGLT2) in the kidney, helps to maintain blood sugar levels by retaining glucose from urine. Gibtulio 25mg tablet medicine blocks the SGLT2 protein in your kidneys. This causes an excess of blood sugar to be removed from your urine. Thereby this medicine lowers the amount of sugar in your blood.
Empagliflozin works by inhibiting the sodium-glucose co-transporter-2 (SGLT-2) found in the proximal tubules in the kidneys. Through SGLT2 inhibition, empagliflozin reduces renal reabsorption of glucose and increases urinary excretion of glucose.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Gibtulio
Nausea
Frequent urge to urinate
Increased thirst
Urinary tract infection
Hypoglycaemia (low blood sugar level) in combination with insulin or sulphonylurea
an infection
low blood sugar
pituitary hormone deficiency
decreased function of the adrenal gland
inadequate vitamin B12
excess body acid
dehydration
alcoholism
alcohol intoxication
a heart attack
sudden and serious symptoms of heart failure called acute decompensated heart failure
liver problems
fever
a condition where the body is unable to maintain adequate blood flow called shock
excessive vomiting
excessive diarrhea
serious lack of oxygen in the blood
weakened patient
sepsis
chronic kidney disease stage 3B (moderate)
chronic kidney disease stage 4 (severe)
chronic kidney disease stage 5 (failure)
kidney disease with likely reduction in kidney function
high cholesterol
decreased blood volume
chronic kidney disease stage 3A (moderate)
chronic kidney disease stage 4 (severe)
necrotizing fasciitis, a condition where deep tissues die in the area of the genitals to the anus
Gibtulio 25mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
It is unsafe to consume alcohol with Gibtulio 25mg Tablet.
Information regarding the use of Gibtulio 25mg Tablet during breastfeeding is not available. Please consult your doctor.
Use with caution
Below 9years: Contraindicated
Empagliflozin is indicated as an adjunct to diet and exercise to improve glycemic control in adult patients with type 2 diabetes. It is also indicated to reduce the risk of cardiovascular death in adult patients with both type 2 diabetes mellitus and established cardiovascular disease.
EMPAGLIFLOZIN may interact with insulin, high blood pressure-lowering pills (hydrochlorothiazide, amlodipine), water pills/diuretics (furosemide), antibiotics used for eye infections (gatifloxacin), anti-hypertensive (metoprolol), steroids (prednisolone), thyroid hormones etc. So, tell your doctor if you are using these drugs before taking the EMPAGLIFLOZIN.
Do not chew, crush or break it. Gibtulio 25mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
Store below 30°C
If you miss a dose of Gibtulio 25mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Consult a doctor before taking any medicines.
Gibtulio 25mg Tablet is used alone or together with other diabetes medicines to control blood sugar and avoid long-term complications.
It may cause your body to lose too much fluid (dehydration) or you may urinate more often. Drink plenty of water and stay hydrated.
It may cause hypoglycemia (low blood sugar level) when used with other antidiabetic medicines, alcohol or if you delay or miss a meal.
Always carry some sugary food or fruit juice with you in case you experience hypoglycemia symptoms such as cold sweats, cool pale skin, tremor and anxiety.
It can cause genital fungal and/or urinary tract infections (UTIs) in both females and males, so practice good hygiene.
Monitor your blood sugar regularly while taking this medicine.
Inform your doctor immediately if you experience constant dizziness, joint pain, cold-like symptoms or unexplained nausea/vomiting.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Gibtulio 25mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
Q. What is the recommended method of taking Gibtulio 25mg Tablet?
Take the recommended dose advised by the doctor. Gibtulio 25mg Tablet may be taken with or without food. It should be swallowed whole with water, preferably at the same time each day. For best results, it is important to stay on a diet and exercise program as directed by your doctor.
Q. Can I stop taking Gibtulio 25mg Tablet?
No, do not stop taking Gibtulio 25mg Tablet without consulting your doctor. This can lead to a sudden increase in your blood glucose levels. Use the medicine strictly as per the dose and duration advised by the doctor. Never stop taking any medicine without consulting your doctor.
Q. Can Gibtulio 25mg Tablet be used with other diabetes medicine?
Yes, Gibtulio 25mg Tablet can be used alone or in combination with other diabetes medicines. However, along with medicines, proper diet and exercise should be followed.
Q. Can the use of Gibtulio 25mg Tablet cause hypoglycemia (very low blood sugar levels)?
Gibtulio 25mg Tablet on its own does not cause very low blood sugar. However, watch out for hypoglycemia if Gibtulio 25mg Tablet is taken along with other diabetes medicines such as insulin, sulfonylurea, or meglitinides.
Q. What is the significance of HbA1c test?
Your doctor may ask you to get your HbA1c tested every 3 months. This test is done to see how well you have managed your blood sugar for the past 2-3 months.
Q. I am taking furosemide for high blood pressure, can I take Gibtulio 25mg Tablet with it?
Gibtulio 25mg Tablet may cause excessive fluid loss or you may urinate more, resulting in dehydration. Since furosemide also causes fluid loss, taking it with Gibtulio 25mg Tablet, you may experience unusual thirst, lightheadedness or dizziness upon standing and fainting or loss of consciousness. Inform your doctor about furosemide before starting Gibtulio 25mg Tablet.
Q. If I forget to take Gibtulio 25mg Tablet, what should I do?
If you have forgotten to take Gibtulio 25mg Tablet and next dose is due after 12 hours, take it as soon as you remember and take the next dose at usual time. If it is less than 12 hours until your next dose, skip the missed dose. Then take your next dose at the usual time. Do not take a double dose of Gibtulio 25mg Tablet to make up for a forgotten dose.
