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QUESTION: sir age 53 height 5.7 diabetes moderate level  around 200to 250 if diet control failed. metformin is not working  because cont since 8 years acerbose and voglibose create digestive problem with stomac upset now compel to take Sulfonylureas the question is that which drug-glimepiride 1 mg or Gliclazide  30 mg  film coated or dpp 4  is better in my case of vpc-heart rythem -undignostic( Echoo and trademil normaleventhough frequent vpc) problem???"

ANSWER: Hi Mr. Hind,
Before deciding which sufonylurea to use I would like to establish that you have maximized the metformin dose. What dose of metformin are you taking?
Thank you for using Allexperts
Sincerely,
Eric Brandt, B.Sc. Pharm

---------- FOLLOW-UP ----------

QUESTION: 2 sr 500   1  +   1 per day

Answer
Hi Mr. Hind,
You are taking a low dose of metformin. I suggest you see your doctor about a dosage adjustment to optimize therapy with metformin before swwitching to another medication.
Thank you for using Allexperts
Sicerely,
Eric Brandt, B.Sc. Pharm

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Eric Brandt

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I am a practicing pharmacist.On my drug information website, I have answered hundreds of questions to date. The articles posted on my site include Parkinson`s disease. depression, menopause, diabetes, sleep and aging, congestive heart failure, calcium channel blockers, thyroid hormone replacement therapy, ADHD, multiple sclerosis an more.

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I have experience in retail as well as hospital pharmacy pracice. Currently working in a hospital pharmacy. I am experienced in drug information. Over the last 6 years I have developed a successful web site for drug information.

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