Introduction: 
Metjivan G2 Tablet is a combination of Glimepiride (2 mg) and Metformin (500 mg), used to manage Type 2 Diabetes Mellitus. This combination helps control blood sugar levels in patients whose blood glucose is not adequately managed with diet, exercise, or single-drug therapy. Glimepiride stimulates insulin secretion, while Metformin improves insulin sensitivity and decreases glucose production in the liver.

Uses: 
Type 2 Diabetes Mellitus: Helps lower blood sugar levels to prevent complications like nerve damage, kidney problems, blindness, and cardiovascular issues.

Side Effects: 
Common side effects:
Hypoglycemia (low blood sugar), symptoms include sweating, dizziness, headache, shaking, and hunger.
Gastrointestinal issues like nausea, vomiting, diarrhea, or abdominal discomfort.
Headache or fatigue.

Serious side effects:
Lactic acidosis: A rare but severe side effect of Metformin, characterized by rapid breathing, persistent nausea, vomiting, and stomach pain.
Allergic reactions: Such as rash, swelling, or difficulty breathing.
Seek immediate medical attention if serious side effects occur.

How to Use: 
Take Metjivan G2 Tablet as directed by your doctor, usually once or twice daily with meals to reduce stomach upset.
Swallow the tablet whole with water; do not crush, chew, or break it.
Take it at the same time daily to maintain consistent blood sugar control.

How Drug Works: 
Glimepiride: A sulfonylurea that stimulates the pancreas to release insulin, reducing blood sugar levels.
Metformin: A biguanide that decreases glucose production in the liver and improves insulin sensitivity, helping the body use insulin more effectively.

Storage Instructions: 
Store below 25°C, in a dry place, away from direct sunlight.

Safety Advice: 
Pregnancy: Consult your doctor; not typically recommended unless the benefits outweigh the risks.
Breastfeeding: Avoid use as it may pass into breast milk.
Alcohol: Avoid alcohol as it increases the risk of lactic acidosis and low blood sugar.
Kidney/Liver Issues: Inform your doctor if you have kidney or liver disease, as dosage adjustments may be necessary.
Driving: Exercise caution when driving or operating machinery, as low blood sugar levels may cause dizziness.

Lifestyle Advice
Follow a balanced diet and maintain a regular exercise routine to optimize blood sugar control.
Regularly monitor your blood glucose levels as advised by your healthcare provider.