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Antidiabetic / sulfonylurea

Gliclazide: uses, side effects & precautions

Also known as Diamicron, Diamicron MR, Glyade, Nidem, Reclide.

Diese Informationen dienen ausschließlich der allgemeinen Orientierung und stellen keine medizinische Beratung dar. Konsultieren Sie bei persönlichen gesundheitlichen Anliegen stets eine qualifizierte medizinische Fachkraft. Wählen Sie im Notfall Ihre örtliche Notrufnummer.

What it is used for

  • Type 2 diabetes (to lower blood sugar when lifestyle measures or metformin alone are not enough)

How it works

Gliclazide encourages the pancreas to release more of its own insulin, which lowers blood sugar. Like other sulfonylureas it can cause blood sugar to fall too low if meals are missed.

How it is taken

Comes as standard tablets and modified-release (slow-release) tablets taken by mouth, usually with a meal. Take it exactly as your doctor, pharmacist, or the label directs; the two forms are not interchangeable.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Low blood sugar (hypoglycaemia)
  • Stomach upset, nausea, or indigestion
  • Weight gain
  • Mild skin rash or itching

Serious effects — get help

  • Severe low blood sugar with confusion, seizures, or loss of consciousness — seek emergency care
  • Serious skin or allergic reaction (blistering, widespread rash, swelling)
  • Signs of liver problems such as yellowing skin or eyes

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other glucose-lowering medicines and insulin
  • Alcohol (worsens low blood sugar)
  • Some antibiotics, antifungals, and anti-inflammatory medicines
  • Certain blood-pressure and steroid medicines that affect blood sugar

Who should take care

  • Greater risk of low blood sugar in older adults and people with kidney or liver disease
  • Keep meals regular and carry a fast-acting sugar source
  • Generally avoided in pregnancy and breastfeeding unless advised by a doctor
  • Tell your doctor about any other medicines, including over-the-counter and herbal products

Frequently asked questions

Is the slow-release version the same as the standard tablet?
No. The modified-release and standard tablets are absorbed differently and are not directly swappable. Always use the exact form your doctor prescribed.
Can gliclazide cause low blood sugar?
Yes. Because it boosts insulin release, it can lower blood sugar too much, especially if you skip meals, exercise hard, or drink alcohol. Carry a fast-acting sugar source.
Will it make me gain weight?
Some weight gain can occur. A healthy diet and regular activity help. Discuss concerns with your care team.
Do I need blood tests?
Your doctor will monitor your blood sugar control and may check kidney and liver function periodically.
Is Gliclazide safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

Related conditions

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