Glicazide is the active ingredient of Austell-Glicazide, Diaglucide, Diamicron, Glucomed, Glycron, Glygard, Merck-Glicazide and Sandoz-Glicazide.
General information
Glicazide is an oral blood glucose-lowering drug. It is prescribed in the treatment and management of Type-2 diabetes that is not adequately controlled by diet and exercise alone.
Type-2 diabetes makes up 90 per cent or more of all cases of diabetes.
Treatment with oral antidiabetic drugs should only be started once all lifestyle and dietary measures have been tried for at least three months and have not controlled blood-glucose adequately. Once treatment with this medication is started, diet and exercise should, however, not be stopped.
Glicazide can be used on its own or in combination with other oral blood glucose-lowering drugs.
For glicazide to remain effective it needs to be taken regularly. It is best taken 30 minutes before a meal to allow the insulin that is released as a result, to cope with food.
Low blood sugar is a potential risk when being treated with this and similar drugs. Dosage should be titrated under supervision until the right dose has been found. It is therefore recommended to start treatment with low doses.
Glicazide tends to encourage weight gain, and weight control is of great importance.
This medication is used in general when the body is still making some insulin.
How does it work?
Glicazide acts by stimulating the release of insulin from the pancreas, thereby promoting sugar uptake in the body. This ultimately lowers the level of sugar in the blood.
Fast facts
Drug schedule: Schedule 3
Available as: Tablets
What does it do? Lowers blood sugar
Overdose risk: High
Dependence risk : Low
Available as a generic? Yes
Available on prescription only? Yes
User information
Onset of effect: Within 1 hour.
Duration of action: Up to 24 hours.
Dietary advice: Take this medication 30 minutes before a meal.
Stopping this medicine: Diabetes may worsen with premature discontinuation, so consult your doctor before stopping.
Prolonged use: No problems expected.
Special precautions
Alert your doctor before using this drug if:
- You have liver or kidney disease
- You have thyroid disease
- You have porphyria
- You have a disease/condition affecting your adrenal glands
- You are allergic to any medication
- You are taking other medication
Pregnancy: Avoid. Potential risk to the foetus has been reported. Consult your doctor before use, or if you are planning to fall pregnant.
Breastfeeding: Avoid. This medication is passed through breast milk and may affect your baby adversely. Consult your doctor before use.
Porphyria: Avoid. This medication may cause serious adverse effects. Consult your doctor before use.
Infants and children: This medication is not intended for use in children.
Elderly: Caution is advised in the elderly as side effects may be more common.
Driving and hazardous work: Caution is advised as use may lead to dizziness or light-headedness. Avoid such activities until you know how it affects you.
Alcohol: Avoid as concurrent use causes a "disulfiram-like" reaction.
Possible side effects
Side effect |
Frequency |
Consult your doctor |
Common |
Rare |
Only if severe |
In all cases |
Dizziness |
x |
|
x |
|
Confusion |
x |
|
x |
|
Nausea/ vomiting |
x |
|
x |
|
Diarrhoea/ Constipation |
x |
|
x |
|
Palpitations |
|
x |
|
x |
Sweating |
|
x |
x |
|
Rash |
|
x |
|
x |
Jaundice |
|
x |
|
x |
Weight changes |
|
x |
x |
|
Rapid pulse |
|
x |
|
x |
Slurred speech |
|
x |
|
x |
Seizures |
|
x |
|
x |
Fainting |
|
x |
|
x |
Interactions
Drug interactions
Acarbose |
Lowers blood sugar further |
ACE inhibitor blood pressure medication |
May lower blood sugar further |
Painkillers such as aspirin |
May lower blood sugar further |
Alcohol |
May cause a disulfiram reaction |
Certain antibiotics like sulphonamides, chloramphenicol, co-trimoxazole |
May lower blood sugar further |
Warfarin |
Increased risk of bleeding. May lower blood sugar further |
Phenytoin |
Risk of phenytoin toxicity |
Certain anti-fungal drugs such as fluconazole and miconazole |
May lower blood sugar further |
Beta blocking drugs |
May affect blood sugar in an unpredictable fashion |
Clonidine |
May mask signs of low blood sugar |
Corticosteroids |
May diminish effect on blood sugar |
Disopyramide |
May lower blood sugar further |
Diuretics |
May diminish effect on blood sugar |
Isoniazid |
May increase blood sugar |
Ketoconazole |
May lower blood sugar further |
Lithium |
May impair glucose tolerance |
Disease interactions
Consult your doctor before using this drug if you have liver or kidney disease, thyroid disease, porphyria or a disease/condition affecting your adrenal glands.
Overdose action
An overdose of this medication can be serious. Seek immediate emergency medical attention.
Recommended dosage
Adults: 40-80 mg daily up to a maximum of 320 mg/day
This material is not intended to substitute medical advice, but is for informational purposes only. Please consult a physician for specific treatment and recommendations.