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Glyburide

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Why is this medication prescribed?

Glyburide is a medication commonly prescribed to treat type 2 diabetes. It belongs to a class of drugs called sulfonylureas, which work by stimulating the pancreas to produce more insulin, thereby lowering blood sugar levels. This helps to control blood sugar levels in people with type 2 diabetes. Glyburide is typically used along with diet and exercise to manage diabetes. It is not used for the treatment of type 1 diabetes. Glyburide may also be prescribed for other purposes not listed here, as determined by a healthcare provider.

How should this medicine be used?

Glyburide should be used exactly as prescribed by a healthcare professional. The dosage and frequency of administration will vary depending on individual factors such as the severity of diabetes, other medications being taken, and overall health status. However, here are some general guidelines for using Glyburide:

  • Dosage: The typical starting dose of Glyburide for adults is usually 2.5 to 5 milligrams (mg) taken once daily with breakfast or the first main meal of the day. The dosage may be adjusted by a healthcare provider based on the individual’s response to the medication and blood sugar levels.
  • Administration: Glyburide is usually taken orally (by mouth) with a full glass of water. It’s important to take it at the same time each day to maintain consistent blood levels of the medication.
  • Follow Instructions: Follow the instructions provided by the prescribing healthcare professional or on the medication label carefully. Do not take more or less of the medication than prescribed, and do not stop taking it without consulting a healthcare provider.
  • Monitoring: Regular monitoring of blood sugar levels is important while taking Glyburide. This helps to ensure that the medication is working effectively and that blood sugar levels are within the target range.
  • Lifestyle Changes: Along with taking Glyburide, it’s essential to follow a healthy diet and engage in regular physical activity as recommended by a healthcare provider. These lifestyle changes can help improve blood sugar control and overall health.
  • Caution with Alcohol: Limit alcohol consumption while taking Glyburide, as it can increase the risk of low blood sugar (hypoglycemia).
  • Hypoglycemia Awareness: Be aware of the signs and symptoms of low blood sugar, such as sweating, shaking, fast heartbeat, blurred vision, confusion, and weakness. Carry a source of sugar (such as glucose tablets or candy) to treat low blood sugar episodes if they occur and inform close contacts about how to assist if needed.
  • Regular Check-ups: Attend regular check-ups with a healthcare provider to monitor blood sugar control, assess the effectiveness of treatment, and make any necessary adjustments to the treatment plan.

Always consult a healthcare professional for personalized advice and guidance regarding the use of Glyburide or any other medication.

Other uses for this medicine

Some off-label uses of Glyburide may include:

  • Gestational diabetes: In some cases, Glyburide may be prescribed off-label to manage gestational diabetes (diabetes that develops during pregnancy) when dietary and lifestyle measures alone are insufficient.
  • Polycystic ovary syndrome (PCOS): Glyburide may be used off-label in some cases to help regulate menstrual cycles and improve insulin sensitivity in women with PCOS who have insulin resistance.
  • Reactive hypoglycemia: In certain situations, Glyburide may be used off-label to manage reactive hypoglycemia, a condition characterized by low blood sugar levels occurring after meals.

What special precautions should I follow?

As for special precautions to follow when taking Glyburide, here are some important considerations:

  • Allergies: Inform your healthcare provider if you have any allergies to sulfonylureas (the class of medications to which Glyburide belongs) or any other substances.
  • Medical History: Provide a comprehensive medical history to your healthcare provider, including any history of kidney or liver disease, adrenal or pituitary gland problems, certain hormone disorders, or glucose-6-phosphate dehydrogenase (G6PD) deficiency.
  • Pregnancy and Breastfeeding: If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits of Glyburide with your healthcare provider. It is generally recommended to switch to insulin for diabetes management during pregnancy.
  • Interactions: Inform your healthcare provider about all prescription medications, over-the-counter drugs, vitamins, and herbal supplements you are taking, as they may interact with Glyburide and affect its effectiveness or increase the risk of side effects.
  • Hypoglycemia: Glyburide can cause low blood sugar (hypoglycemia), especially if taken with other medications that lower blood sugar levels or if not eating enough food. Be aware of the signs and symptoms of hypoglycemia and how to treat it.
  • Alcohol: Limit alcohol consumption while taking Glyburide, as it can increase the risk of hypoglycemia.
  • Driving and Operating Machinery: Glyburide may cause dizziness or blurred vision, which can impair your ability to drive or operate machinery. Use caution when engaging in activities that require alertness until you know how Glyburide affects you.

Always follow your healthcare provider’s instructions and recommendations for taking Glyburide, and do not hesitate to ask questions if you have any concerns about its use or potential side effects.

What special dietary instructions should I follow?

Special Dietary Instructions:

  • Consistent Meal Timing: Maintain a consistent schedule for meals and snacks to help regulate your blood sugar levels. Take Glyburide with your first meal of the day unless otherwise directed by your healthcare provider.
  • Balanced Diet: Follow a balanced diet that includes a variety of nutrient-rich foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit foods high in sugar and refined carbohydrates.
  • Limit Alcohol: Limit alcohol consumption, as it can increase the risk of hypoglycemia and interfere with blood sugar control.

What should I do if I forget a dose?

If you forget to take a dose of Glyburide:

  • Regular Dosing Schedule: Take the missed dose as soon as you remember, unless it is almost time for your next scheduled dose.
  • Skip if Close to Next Dose: If it is almost time for your next dose, skip the missed dose and take your next dose at the regular time. Do not double the dose to catch up.
  • Consult Healthcare Provider: If you are unsure about what to do, or if you have missed multiple doses, consult your healthcare provider or pharmacist for guidance.

What side effects can this medication cause?

Glyburide, like any medication, can cause side effects, although not everyone experiences them. Common side effects of Glyburide may include:

  • Hypoglycemia: This is the most common side effect of Glyburide and can occur if the medication lowers blood sugar levels too much. Symptoms of hypoglycemia include sweating, shaking, fast heartbeat, blurred vision, confusion, weakness, and hunger.
  • Weight gain: Some people may experience weight gain while taking Glyburide.
  • Nausea or upset stomach: This can occur initially when starting the medication but may improve over time.
  • Skin reactions: Some individuals may experience skin reactions such as itching, rash, or hives.
  • Gastrointestinal disturbances: This may include diarrhea or constipation.
  • Dizziness or drowsiness: Glyburide can sometimes cause dizziness or drowsiness, especially when starting the medication or when the dosage is increased.
  • Headache: Headaches may occur as a side effect of Glyburide.
  • Hypersensitivity reactions: In rare cases, some individuals may experience allergic reactions to Glyburide, which can manifest as swelling of the face, lips, tongue, or throat, difficulty breathing, or severe rash.
  • Liver problems: Although rare, Glyburide can affect liver function in some individuals.
  • Low sodium levels (hyponatremia): This is another rare side effect of Glyburide.

It’s important to note that this is not a comprehensive list of side effects, and other side effects may occur. Additionally, some individuals may experience serious side effects that require immediate medical attention. If you experience any unusual or severe symptoms while taking Glyburide, contact your healthcare provider promptly.

It’s essential to weigh the potential benefits of Glyburide in managing diabetes against the risks of side effects. Your healthcare provider can provide personalized guidance and monitor you for any adverse effects while taking this medication.

What should I know about storage and disposal of this medication?

Storage and Disposal:

  • Storage: Store Glyburide at room temperature away from moisture, heat, and light. Avoid storing it in the bathroom. Keep it out of reach of children and pets.
  • Disposal: Dispose of unused or expired Glyburide properly according to local regulations or guidelines. Do not flush medications down the toilet or pour them down the drain unless instructed to do so. Consult your pharmacist or local waste disposal facility for proper disposal methods.

In case of emergency/overdose

  • Symptoms of Overdose: Symptoms of Glyburide overdose may include severe hypoglycemia (low blood sugar), which can lead to confusion, seizures, loss of consciousness, and coma.
  • Seek Medical Attention: If you suspect an overdose of Glyburide or if someone has ingested it accidentally, seek emergency medical attention immediately. Call your local poison control center or emergency services for guidance.
  • Treatment: Treatment for Glyburide overdose typically involves raising blood sugar levels through the administration of glucose or other sugars. Hospitalization may be necessary for monitoring and supportive care.

What other information should I know?

  • Regular Monitoring: Regularly monitor your blood sugar levels as directed by your healthcare provider while taking Glyburide. This helps ensure that your blood sugar remains within the target range and allows for adjustments to your medication dosage if needed.
  • Medication Interactions: Inform your healthcare provider about all prescription medications, over-the-counter drugs, vitamins, and herbal supplements you are taking, as they may interact with Glyburide and affect its effectiveness or increase the risk of side effects.
  • Follow-up Appointments: Attend scheduled follow-up appointments with your healthcare provider for monitoring and evaluation of your diabetes management plan.
  • Lifestyle Modifications: Along with taking Glyburide, maintain a healthy lifestyle by following a balanced diet, engaging in regular physical activity, managing stress, and avoiding smoking and excessive alcohol consumption.
  • Medical Identification: Consider wearing a medical identification bracelet or necklace indicating that you have diabetes, especially if you are at risk of hypoglycemia or if you are unable to communicate during a medical emergency.

Always follow your healthcare provider’s instructions and recommendations for the safe and effective use of Glyburide, and do not hesitate to seek medical advice if you have any questions or concerns.

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