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<DOCUMENT author="perl program" datec=020199 title="leaflet" book="ABPI" edition="1996-97" section="company">
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Patient Information Leaflet    What is in
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your medicine?
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Glibenese tablets are white oblong tablets with a score line across them to assist in breaking the tablets should this be necessary. Each tablet contains 5mg glipizide. The tablet also contains lactose, maize starch, microcrystalline cellulose and stearic acid.
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The tablets come in packs of 56 tablets
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Product Licence Holder and Manufacturer Pfizer Limited, Sandwich, Kent CT13 9NJ What type of medicine
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is Glibenese?
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Glibenese is one of a group of medicines called sulphonylureas. It is an antidiabetic medicine which is taken by mouth.
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What is your
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medicine for?
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Glibenese is used to lower blood sugar (glucose) in patients with non-insulin-dependent diabetes mellitus (NIDDM for short). This is also called maturity-onset (adult) or Type II diabetes.
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It is always used in conjunction with a diet which restricts sugars and fats.
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Before you use Glibenese Be sure to tell your doctor if
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You have been told you are allergic to Glibenese or any of the ingredients in Glibenese.
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You have insulin dependent (juvenile) diabetes.
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You have ketone bodies and sugar in your urine (this may mean you have ketoacidosis).
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You have liver or kidney problems
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You have thyroid problems
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You are about to have major surgery or you have recently suffered a severe illness or infection. At such times diabetic control may be lost.
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You are pregnant or trying to become pregnant
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You are breast feeding
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You are under 16 years of age
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If any of the above applies to you this medicine may not be suitable for you to use. Your doctor will advise you.
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Can I drive whilst
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taking this medicine?
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All diabetic patients who drive need to be particularly careful to avoid hypoglycaemia (See section &quot;Does your medicine cause undesirable effects"). if you are affected do not drive or operate machinery.
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Can Glibenese be taken with
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other medicines?
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A number of medicines may interact with Glibenese and affect diabetic control. You should tell your doctor if you are taking any of these medicines or any other medicines which you are unsure about
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Anti-inflammatory agents (used to treat muscle and joint pain)
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Salicylates, such as aspirin (used as a pain killer).
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Sulphonamides (used to treat bacterial infections)
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Chloramphenicol (an antibiotic used to treat bacterial infections)
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Probenecid (used to treat gout or sometimes given with an antibiotic)
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Coumarins (used to prevent blood clots).
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Monoamine oxidase inhibitors (used to treat depression)
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Betablockers (used to treat high blood pressure and certain heart conditions)
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Diuretics (water tablets)
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Steroids
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Phenothiazines (used to treat psychiatric conditions)
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Thyroid products (used to treat patients with low production of thyroid hormones).
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Oestrogens and oral contraceptives
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Phenytoin (used to treat epilepsy)
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Nicotinic acid (used to lower cholesterol and other lipid levels) <FIGURE></FIGURE>
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MORE INFORMATION ON GLIBENESE  
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Sympathomimetics, such as nasal decongestants and bronchodilators (used to treat asthma).
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Calcium channel blocking drugs (used to treat angina and high blood pressure).
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Isoniazid (used to treat tuberculosis)
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Alcoholic drinks (wine, beer, spirits) may upset diabetic control.
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How to take your medicine
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Glibenese should only be taken by mouth. It is important that you take your tablets according to the instructions of your doctor. These will be written on the label of the pack. Do not take more Glibenese than your doctor has recommended. The following dosage recommendations are only guidelines.
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The usual starting dose is one 5mg tablet taken approximately &#189;
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If you are elderly, have mild diabetes or suffer from liver or kidney problems you may be started on 2.5mg daily.
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If your doctor feels your dose needs to be increased, he will instruct you to adjust the dose in small increments - usually in 2.5 - 5mg steps.
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The maximum recommended dose is 40mg daily.
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The label on the pack will tell you what dose 
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YOU
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 should take and how often to take it. If you are still not sure, ask your doctor or pharmacist
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Do not stop taking the tablets or adjust your dosage without seeing your doctor. Stopping the medicine may make the diabetes worse.
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What if you take
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too many tablets?
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If you accidentally take too many tablets seek medical advice immediately. If you suffer faintness, confusion, sweating or shaking these may be symptoms of low blood sugar. You should eat or drink something sugary. If fits or loss of consciousness occur, call urgently for medical assistance.
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What if you
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miss a tablet?
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If you miss a tablet take one before your next meal.
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Does your medicine cause
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undesirable effects?
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The most common effect is low blood sugar (hypoglycaemia), in rare cases this can be serious.
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Hypoglycaemia may cause faintness, sweating, shaking, weakness and confusion.
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It may be due to lack of food or too high a dose of the medicine.
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It can be put right by eating or drinking something sugary. If this occurs you should tell your doctor.
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If you suffer any of the effects listed below tell your doctor if they are troublesome, severe, or do not wear off as treatment goes on:
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Nausea
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Diarrhoea
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Constipation
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Pain in the stomach
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Itchy skin, skin rash or eczema
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Dizziness
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Drowsiness
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Headache The following effects have occurred in patients being given this medicine, but they may not be due to the drug
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Abnormalities in liver function or other biochemical tests.
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The following effect is very rare and you should
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 check with your doctor as soon possible if it occurs
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:
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Jaundice
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SERIOUS UNDESIRABLE
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EFFECTS ARE RARE.
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Hypersensitivity effects
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A few patients are allergic to medicines. This may cause sudden wheeziness, rash or itching all over the body. If any of these effects occur when you take Glibenese you should 
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check with your doctor immediately
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.
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It is important to tell your doctor or pharmacist if you suffer any other undesirable effects which are not listed above.
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Look after your medicine
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This treatment is for 
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YOU
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. Do not give it to others. It may not suit them. Do not take this medicine after the date stamped on the pack.
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Where to keep your medicine
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Keep your medicine in a cool (below 25°C), dry place.
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Keep all medicines out of the reach of children
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Further
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information This leaflet does not contain all the information about this medicine. If you have any questions or are not sure about anything, ask your doctor or pharmacist
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The information in this leaflet is about Glibenese only.
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Date Glibenese leaflet United Kingdom last revised - August 1995 &copy; Pfizer Limited 1995 <FIGURE></FIGURE>
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