Glimepiride

Physical Activity, Type 2 Diabetes, Diet + 4 more

Treatment

8 FDA approvals

20 Active Studies for Glimepiride

What is Glimepiride

Glimepiride

The Generic name of this drug

Treatment Summary

Glimepiride is a medication used to treat type 2 diabetes. It belongs to a class of drugs called sulfonylureas, which help lower blood sugar levels by stimulating the release of insulin from the pancreas. Glimepiride has a longer duration of action than other similar drugs and is associated with a lower risk of developing hypoglycemia and weight gain. It is effective in reducing fasting plasma glucose, postprandial glucose, and glycosylated hemoglobin levels. Glimepiride was approved by the FDA in 1995 and is typically taken once daily in pill form. It is sold under the brand

Amaryl

is the brand name

image of different drug pills on a surface

Glimepiride Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Amaryl

Glimepiride

2000

269

Approved as Treatment by the FDA

Glimepiride, otherwise known as Amaryl, is approved by the FDA for 8 uses which include Type 2 Diabetes Mellitus and Physical Activity .

Type 2 Diabetes Mellitus

Used to treat Type 2 Diabetes Mellitus in combination with Pioglitazone

Physical Activity

Used to treat Exercise in combination with Pioglitazone

Diet

Used to treat Diet in combination with Pioglitazone

Type 2 Diabetes

Used to treat Type 2 Diabetes Mellitus in combination with Pioglitazone

inadequate response to monotherapy

Used to treat inadequate response to monotherapy in combination with Pioglitazone

Inadequate Glycaemic Control

Used in combination with Insulin glargine to help manage Inadequate Glycaemic Control

Sulfonylurea Compounds

Used to treat prior thiazolidinedione and sulfonylurea treatment in combination with Pioglitazone

Inadequate Glucose Control

Used to treat Inadequate Glucose Control in combination with Metformin

Effectiveness

How Glimepiride Affects Patients

Glimepiride helps the body respond better to insulin and use glucose from the blood. In studies, patients taking glimepiride had a lower fasting plasma glucose, post-prandial glucose, and HbA1c than those taking a placebo. The 4- and 8-mg doses of glimepiride had the most significant effects, but the 4-mg dose was the most effective.

How Glimepiride works in the body

Glimepiride works by blocking potassium channels in the pancreas that control insulin secretion. These channels open when the cell has a low ratio of ATP to ADP, which causes the cell to release potassium and become more negative. This inhibits insulin secretion. When the cell has a high ratio of ATP to ADP, the channels close and the cell becomes more positive. This leads to the opening of calcium channels, allowing calcium to enter the cell and cause the contraction of the filaments that trigger the release of insulin from stored vesicles. Glimepiride binds to both sulfonylurea receptor-1 and sulfony

When to interrupt dosage

The prescribed dose of Glimepiride is based on the diagnosed malady, including Type 2 Diabetes, Sulfonylurea Compounds and Diet. The dosage also varies as per the method of distribution (e.g. Tablet or Oral) laid out in the table beneath.

Condition

Dosage

Administration

inadequate response to monotherapy

, 1.0 mg, 4.0 mg, 2.0 mg, 3.0 mg, 6.0 mg, 8.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral

Sulfonylurea Compounds

, 1.0 mg, 4.0 mg, 2.0 mg, 3.0 mg, 6.0 mg, 8.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral

Type 2 Diabetes

, 1.0 mg, 4.0 mg, 2.0 mg, 3.0 mg, 6.0 mg, 8.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral

Diet

, 1.0 mg, 4.0 mg, 2.0 mg, 3.0 mg, 6.0 mg, 8.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral

Physical Activity

, 1.0 mg, 4.0 mg, 2.0 mg, 3.0 mg, 6.0 mg, 8.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral

Inadequate Glycaemic Control

, 1.0 mg, 4.0 mg, 2.0 mg, 3.0 mg, 6.0 mg, 8.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral

Inadequate Glucose Control

, 1.0 mg, 4.0 mg, 2.0 mg, 3.0 mg, 6.0 mg, 8.0 mg

, Oral, Tablet, film coated, Tablet, film coated - Oral, Tablet, Tablet - Oral

Warnings

Glimepiride Contraindications

Condition

Risk Level

Notes

Type 1 Diabetes

Do Not Combine

allergic reaction to sulfonamide derivatives

Do Not Combine

Diabetic Ketoacidosis

Do Not Combine

There are 20 known major drug interactions with Glimepiride.

Common Glimepiride Drug Interactions

Drug Name

Risk Level

Description

(R)-warfarin

Minor

Glimepiride may increase the anticoagulant activities of (R)-warfarin.

(S)-Warfarin

Minor

Glimepiride may increase the anticoagulant activities of (S)-Warfarin.

Abrocitinib

Minor

The metabolism of Abrocitinib can be decreased when combined with Glimepiride.

Alosetron

Minor

The metabolism of Alosetron can be decreased when combined with Glimepiride.

Amprenavir

Minor

The metabolism of Amprenavir can be decreased when combined with Glimepiride.

Glimepiride Toxicity & Overdose Risk

The most toxic dose of glimepiride in rats is greater than 10000mg/kg. In an experiment with rats, doses of up to 5000 parts per million (ppm) did not cause cancer. However, when given to mice in high doses for 24 months, benign tumors in the pancreas were observed. Glimepiride did not cause any mutations in laboratory tests. In male and female rat studies, glimepiride had no impact on fertility. If someone takes too much glimepiride, they may experience severe low blood sugar with coma, seizures, or other neurological issues. This can be treated with gluc

image of a doctor in a lab doing drug, clinical research

Glimepiride Novel Uses: Which Conditions Have a Clinical Trial Featuring Glimepiride?

196 active trials are currently being conducted to assess the potential of Glimepiride in alleviating Type 2 Diabetes, Sulfonylurea Compounds and improving Physical Activity.

Condition

Clinical Trials

Trial Phases

Sulfonylurea Compounds

0 Actively Recruiting

inadequate response to monotherapy

0 Actively Recruiting

Inadequate Glycaemic Control

0 Actively Recruiting

Diet

5 Actively Recruiting

Not Applicable, Phase 1

Physical Activity

24 Actively Recruiting

Not Applicable, Phase 1, Phase 2

Inadequate Glucose Control

0 Actively Recruiting

Type 2 Diabetes

167 Actively Recruiting

Not Applicable, Phase 1, Phase 2, Phase 3, Phase 4, Early Phase 1

Glimepiride Reviews: What are patients saying about Glimepiride?

5

Patient Review

9/15/2015

Glimepiride for Type 2 Diabetes Mellitus

Janumet was giving me cancer risks, so my doctor switched me to this medication. It's been great so far, though I have to be careful of low blood sugar if I work harder than normal. I've dropped down to 1 mg a day now. The only downside is that metformin tears up my stomach pretty badly.

5

Patient Review

9/8/2015

Glimepiride for Type 2 Diabetes Mellitus

I had a lot of trouble with Metformin and Onglyza, but adding glimepiride has really helped. My A1C levels have dropped from 7 to 5.0. Just be careful not to skip meals, as it can cause your blood sugar to drop too low.

5

Patient Review

4/5/2016

Glimepiride for Type 2 Diabetes Mellitus

I'm an 65 year old male who had been taking 1000 mg of metformin for about 5 years. I started to get itching and hives, so my doctor prescribed glimepiride 2 mg. It has helped control my blood sugar level, but I feel tired all day now. Maybe I should talk to my doctor about adjusting the dosage.

5

Patient Review

8/24/2018

Glimepiride for Type 2 Diabetes Mellitus

I've been really happy with this treatment, except for a few episodes of hypoglycemia that I experienced. These were resolved by taking glucose.

5

Patient Review

2/16/2017

Glimepiride for Type 2 Diabetes Mellitus

Glimepiride 2mg was incredibly effective in getting my A1C down from a range of 150-180 to 100-120. I haven't experienced any serious side effects, just fatigue throughout the day.

5

Patient Review

12/27/2016

Glimepiride for Type 2 Diabetes Mellitus

So far, Glimipirida has been the best drug I've taken for my condition. I take one milligram after breakfast and another one after dinner. This keeps my levels below 140 after a meal, and in the morning I wake up with 80.

4.7

Patient Review

8/12/2015

Glimepiride for Type 2 Diabetes Mellitus

I started taking this medication at 2mg, but it actually caused my numbers to go up. By the time I reached 8mg, I was feeling really weak and tired, as well as experiencing chest pressure and other issues. I stopped taking the medicine after 30 days and saw some improvement, but then went back down to 2mg and still felt no relief. So today I stopped taking it altogether.

4.3

Patient Review

12/4/2017

Glimepiride for Type 2 Diabetes Mellitus

I've been a Type 2 Diabetic for about 10 years now, and was managing my blood glucose (BG) levels with Metformin and diet. However, this year my numbers shot up into the 200s, so my doctor put me on Glimepiride. So far it's been effective in bringing my numbers back down into the 120s range. I'm hoping that my next A1C will reflect these lower levels.

4

Patient Review

3/16/2016

Glimepiride for Type 2 Diabetes Mellitus

This has been really great - my A1C was 8.4 and in six months, it's dropped to 7.1 without any negative side effects that I've noticed.

3.7

Patient Review

4/13/2020

Glimepiride for Type 2 Diabetes Mellitus

This treatment helped me regulate my blood sugar levels perfectly, but after a few months of taking it I developed severe diarrhea. It was so bad that I could hardly finish a meal before needing to use the bathroom.

3.3

Patient Review

7/29/2016

Glimepiride for Type 2 Diabetes Mellitus

I took this medication for eleven months in order to lower my A1c levels. However, I constantly experienced gastric reactions and became dangerously constipated. My liver counts also rose to a dangerous level; if I had not participate in my company's health fair, I would never have known. So, if you're feeling tired all the time, make sure to ask your doctor to check your liver function.

2.3

Patient Review

11/1/2015

Glimepiride for Type 2 Diabetes Mellitus

Glimepiride was working well for me, but my new doctor switched me to Metformin. Unfortunately, while my A1C dropped with Glimepiride, it rose significantly with Metformin. I also experienced terrible dizzy spells and nausea. So I'm back on Glimepiride now!

2.3

Patient Review

7/10/2015

Glimepiride for Type 2 Diabetes Mellitus

2.3

Patient Review

1/17/2020

Glimepiride for Type 2 Diabetes Mellitus

I started seeing an increase in my weight.

2

Patient Review

8/6/2015

Glimepiride for Type 2 Diabetes Mellitus

I was switched to a 4mg dose two days ago and have since seen my blood sugar levels rise significantly. I'm not sure why this is the case, as I've been eating relatively healthily.

2

Patient Review

3/6/2019

Glimepiride for Type 2 Diabetes Mellitus

This product was really terrible for me. My sugar levels were constantly spiking and I felt awful while taking it. Nauseous, dizzy, sleepy, lightheaded, and unable to focus. Once I stopped taking it everything went back to normal.

1

Patient Review

12/4/2016

Glimepiride for Type 2 Diabetes Mellitus

I'm extremely disappointed in this medication. It hasn't helped me even a little, and we've already increased the dosage. As someone with kidney disease, I have limited options for treatment, so this was really my last hope.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about glimepiride

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What glimepiride is used for?

"Glimepiride treats high blood sugar by increasing the amount of insulin produced by the pancreas. It is most effective when used in combination with another oral medicine, such as metformin."

Answered by AI

Is glimepiride the same as metformin?

"The medicine Amaryl is effective in lowering blood sugar, but it may cause weight gain as a side effect. Glucophage is the first choice medicine to control blood sugar and lower the risk of death from diabetes, although some people may not be able to tolerate the stomach side effects."

Answered by AI

What are the side effects of taking glimepiride?

"Some symptoms of low blood sugar levels are trembling or shaking, feeling nervous or anxious, being irritable, sweating, feeling lightheaded or dizzy, having a headache, or having a fast heart rate or palpitations. Other symptoms may include feeling nauseous, feeling weak, or gaining weight inexplicably."

Answered by AI

What is the best time of day to take glimepiride?

"You will typically take glimepiride once a day. You should take this medicine with food. Most people take it in the morning with their breakfast. If you do not eat breakfast, be sure to take it with your first meal of the day."

Answered by AI

Clinical Trials for Glimepiride

Image of University of Alabama at Birmingham in Birmingham, United States.

Post-Discharge Support for Type 2 Diabetes

18+
All Sexes
Birmingham, AL

This study tests whether a support program led by a nurse case manager and community health worker can help patients with type 2 diabetes manage their medications after leaving the hospital. Many patients with diabetes take multiple medications, and changes to these medications during hospital stays can cause confusion and lead to missed doses or incorrect use. This is especially common in communities with limited access to healthcare. The study uses a computer-based tool called MEDBRIDGE (MEDication BRIDGE) to identify patients who may be at higher risk for problems after discharge, such as worsening blood sugar control or return visits to the emergency department. Patients identified as high-risk will receive 3 months of support from a nurse case manager and community health worker team, who will help with medication questions, coordinate with their doctor, and provide follow-up check-ins. The main goal is to find out whether this type of support program is practical to deliver and acceptable to patients. The study will also track changes in blood sugar levels and emergency department visits. Forty-five patients will be enrolled over 6 months at the University of Alabama at Birmingham and Cooper Green Mercy Health Services in Jefferson County, Alabama.

Waitlist Available
Has No Placebo

University of Alabama at Birmingham (+1 Sites)

Seung-Yup Lee, PhD

Image of Institut de recherches cliniques de Montréal (IRCM) in Montreal, Canada.

Fish Oil for Type 2 Diabetes

40 - 70
All Sexes
Montreal, Canada

The purpose of this clinical trial is to find out whether one type of fish oil works better than another at improving metabolic health in people who are at high risk of developing type 2 diabetes. Some metabolic problems-such as difficulty controlling blood sugar, unhealthy particles that transport cholesterol in the blood, and poor fat tissue function-can increase the risk of type 2 diabetes. This study aims to determine whether different types of fish oil can: 1. Improve how well the body produces insulin and responds to it, 2. Improve the quality of the particles that carry "bad" cholesterol in the blood, and 3) Improve the health and function of participants' fat tissue. To answer these questions, researchers will compare the effects of two types of fish oil: EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid). These will be compared with corn oil, which is used as a placebo and does not contain EPA or DHA. When included in this study, participants will: A) Take softgel capsules containing EPA, DHA, or placebo (corn oil) every day for 12 weeks, B) Keep a daily log to record when they take their study softgels, and C) Visit the research unit six times, including one and a half days before and after the intervention, to complete specialized metabolic tests that are mostly only available in research settings.

Phase 2
Waitlist Available

Institut de recherches cliniques de Montréal (IRCM)

May Faraj, P.Dt., Ph.D.

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Image of The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine in Columbus, United States.

Nutrition Education and Support for Pregestational Diabetes

18+
Female
Columbus, OH

Nutrition insecurity (inclusive of food insecurity + poor diet quality) is a fundamental social need that must be addressed to improve treatment and health outcomes for high-risk pregnant women with pregestational type 1 and 2 diabetes, poor glucose control, and food insecurity for whom a healthy diet is critical. The NOURISH trial will provide evidence of a scalable, integrated, and theory-based healthcare-community partnership that includes weekly nutritious produce home delivery, monthly clinic-integrated diabetes, nutrition, and culinary group education, and continuous social needs assessment and support to improve glucose control and pregnancy outcomes. Given the increasing burden and devasting consequences of nutrition insecurity among high-risk pregnant women with diabetes and unmet social needs, NOURISH-an innovative and sustainable healthcare-community partnership-will have significant public health benefit.

Waitlist Available
Has No Placebo

The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine

Daniel Walker, PhD

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We made a collection of clinical trials featuring Glimepiride, we think they might fit your search criteria.
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Image of Alliance Clinical Canoga Park (Hope Clinical Research) in Canoga Park, United States.

HP-211 for Type 2 Diabetes

18+
All Sexes
Canoga Park, CA

Blood sugar levels are controlled by insulin, a hormone made by cells in the pancreas. After a meal, carbohydrates are broken down into glucose which is absorbed from the intestine into the blood leading to a rise in glucose (blood sugar) which triggers the secretion of insulin. Insulin binds to cells in several tissues including liver, muscle, and fat, triggering cells to take up glucose and bring the blood glucose level back to normal. A high blood sugar level is known as diabetes. The most common form of diabetes, type 2 diabetes, is caused by insulin resistance; that is, a reduced ability of insulin to stimulate glucose uptake into cells. The body compensates for insulin resistance by making more insulin; type 2 diabetes occurs when the pancreas can no longer make enough insulin to control blood glucose. The high blood glucose and insulin levels lead to long-term complications such as heart attacks, kidney failure, reduced sensation and poor circulation in the feet and legs. High insulin levels also increase the incidence of cancers, stroke, and dementia. Reducing blood glucose levels with oral medications and insulin reduces risk of diabetic complications. There are several types of oral medications available for treating diabetes; however, they do not always control blood glucose adequately. In addition, these drugs have complications and are not used to treat insulin resistance and prediabetes - a condition when blood glucose is higher than normal but not high enough to be classified as diabetes. Prediabetes often progresses to diabetes over a period of months or years. Effective and safe treatments for insulin resistance may prevent the onset of diabetes or even reverse diabetes if diagnosed in its early stages before substantial damage to the pancreas has occurred. HP-211 is a botanical extract whose active ingredients are derived from herbs and vegetables present in normal diets. HP-211 has been shown in laboratory studies in cell culture, in animal studies, and in a previous Phase 1 study to enhance the ability of insulin to stimulate glucose uptake into cells. Thus, HP-211 may reduce the blood glucose and circulating insulin levels of subjects with type 2 diabetes after a meal. HP-211 may also reduce glucose and insulin responses to a greater extent in insulin-resistant as compared to insulin-sensitive subjects. Subjects will take 0, 1, 2 or 3 tablets of HP-211 in the morning and evening for 90 days. Hemoglobin A1c (HbA1c, or "A1c"), a measure of the average amount of glucose present in the blood, will be measured during the trial period.

Phase 2
Recruiting

Alliance Clinical Canoga Park (Hope Clinical Research) (+24 Sites)

Housey Healthcare ULC

Image of Icahn School of Medicine at Mount Sinai in New York, United States.

Continuous Glucose Monitoring for Diabetes

18+
All Sexes
New York, NY

This is an investigator initiated prospective, randomized controlled trial which aims to compare two groups of patients with either type 2 or steroid-induced diabetes who are discharged with insulin. The intervention group will use the Libre 3 Plus continuous glucose monitoring (CGM) system at discharge, while the control group will use blinded CGM and fingerstick monitoring. Both the intervention and control groups will wear the sensor for 28 days post discharge and participate in telehealth diabetes management visits. The target enrollment for the study is 65 participants and participants are expected to be in the study for up to 35 days.

Waitlist Available
Has No Placebo

Icahn School of Medicine at Mount Sinai

Grenye O'Malley, MD

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We made a collection of clinical trials featuring Glimepiride, we think they might fit your search criteria.
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