Glucovance 500mg/2.5mg Tablet

Brand Merck
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Glucovance 500mg/2.5mg Tablet is supplied as a tablet, with Metformin hydrochloride 500mg and Glibenclamide 2.5mg. It is supplied in pack sizes of 120s and 20s.

No prescription is required for this product, as it is a non-prescription medicine. This page is limited to product, safety and handling information.

If you would like guidance before buying, you can speak to a doctor or pharmacist through an online consultation on DoctorOnCall. Orders are dispensed by a registered pharmacist and delivered to your address.

Directions for Use

Glucovance 500mg/2.5mg Tablet should be taken with meals, exactly as prescribed by your doctor, to reduce gastrointestinal side effects and the risk of low blood sugar. It is important to eat regularly and not skip meals while taking this medicine, and to take it at the same times each day as instructed.

Dosage

The dosage of Glucovance 500mg/2.5mg Tablet is individualised based on your current antidiabetic treatment, blood glucose response, and tolerability. Doctors often start combination therapy at this lower glibenclamide-dose strength before considering an increase to a higher-strength Glucovance tablet if blood glucose control is not yet adequate. Do not increase, decrease, or stop your dose without consulting your doctor.

Shelf Life

Glucovance 500mg/2.5mg Tablet has a shelf life of approximately 24 to 36 months from the date of manufacture when stored correctly and left unopened. Always check the expiry date printed on the packaging before use and do not use the tablets beyond this date.

Storage Instructions

Store Glucovance 500mg/2.5mg Tablet below 30°C in a cool, dry place away from direct sunlight and moisture, in its original packaging until ready for use. Keep out of the reach and sight of children.

Side Effects

  • Nausea or vomiting
  • Diarrhea
  • Stomach discomfort or cramps
  • Metallic taste in the mouth
  • Loss of appetite
  • Weight loss (in some cases)

Contraindications

  • Known hypersensitivity to metformin, glibenclamide, other sulfonylureas, or sulfonamide-derived medicines
  • Type 1 diabetes or diabetic ketoacidosis
  • Severe kidney impairment
  • Severe liver impairment
  • Conditions with a risk of tissue hypoxia, such as recent heart attack, severe heart or respiratory failure
  • Acute or chronic metabolic acidosis
  • Pregnancy and breastfeeding
  • Before procedures requiring iodinated contrast media, as advised by your doctor

Drug / Food Interactions

  • Alcohol increases the risk of lactic acidosis with metformin and can worsen hypoglycaemia risk with glibenclamide
  • Iodinated contrast media used in certain imaging procedures may require temporary discontinuation of this medicine
  • Other antidiabetic medicines, including insulin, may increase the risk of hypoglycaemia when combined
  • Miconazole and certain other antifungals may increase glibenclamide’s blood-glucose-lowering effect
  • Diuretics, corticosteroids, and some other medicines may reduce this medicine’s effectiveness or affect kidney function

Quick Tips

  • Take Glucovance 500mg/2.5mg Tablet with meals to reduce stomach upset and hypoglycaemia risk
  • Never skip a meal after taking a dose
  • Carry a fast-acting sugar source such as glucose tablets in case of low blood sugar
  • Follow your doctor’s plan closely – this lower-dose strength may later be increased if your blood glucose needs further control
  • Watch for symptoms of lactic acidosis such as unusual muscle pain, difficulty breathing, or severe tiredness, and seek urgent medical attention if these occur
  • Monitor your blood glucose and kidney function regularly as advised by your doctor

Ingredients / Active Ingredients

  • Metformin hydrochloride 500mg (active ingredient)
  • Glibenclamide 2.5mg (active ingredient)
  • Microcrystalline cellulose
  • Povidone
  • Magnesium stearate

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Relevant Information

Glucovance 500mg/2.5mg Tablet is often chosen as a starting point for combination antidiabetic therapy, giving your body time to adjust to the added glibenclamide effect at a gentler dose before any increase is considered. It works best alongside a controlled-carbohydrate diet and regular physical activity, with regular follow-up to monitor blood glucose, kidney function, and liver function.

Frequently Asked Questions

Product Specifications

BrandMerck
ClassificationNon-prescription
Ingredients / Active IngredientsMetformin
Pack Size120s, 20s

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Important Medical Information

💊 Recommended Dosage:

The dosage of Glucovance 500mg/2.5mg Tablet is individualised based on your current antidiabetic treatment, blood glucose response, and tolerability. Doctors often start combination therapy at this lower glibenclamide-dose strength before considering an increase to a higher-strength Glucovance tablet if blood glucose control is not yet adequate. Do not increase, decrease, or stop your dose without consulting your doctor.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to metformin, glibenclamide, other sulfonylureas, or sulfonamide-derived medicines
  • Type 1 diabetes or diabetic ketoacidosis
  • Severe kidney impairment
  • Severe liver impairment
  • Conditions with a risk of tissue hypoxia, such as recent heart attack, severe heart or respiratory failure
  • Acute or chronic metabolic acidosis
  • Pregnancy and breastfeeding
  • Before procedures requiring iodinated contrast media, as advised by your doctor
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Nausea or vomiting
  • Diarrhea
  • Stomach discomfort or cramps
  • Metallic taste in the mouth
  • Loss of appetite
  • Weight loss (in some cases)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.