Product image of Liamid (Glibenclamide) supplied by GNH India

Liamid

Active Ingredient:
Glibenclamide
Origin:
EU

Liamid (Glibenclamide)

Glibenclamide, the active ingredient in Liamid, is a second‑generation sulfonylurea presented as an oral tablet for oral administration. It acts by enhancing insulin secretion from pancreatic β‑cells, thereby reducing elevated blood glucose levels. Liamid is indicated for the treatment of type 2 diabetes mellitus in adult patients requiring oral hypoglycemic therapy.

GNH India supplies Liamid as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with distribution channels aligned to EU regulatory standards. The company ensures product quality through rigorous testing and adherence to Good Manufacturing Practices.

Manufacturer / TM Owner

Milpharm Limited

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Indications & Clinical Uses

Liamid (glibenclamide) is used within the sulfonylurea class to improve glycaemic control in patients with type 2 diabetes mellitus.

  • Type 2 diabetes mellitus (adult): lowers fasting and post‑prandial glucose by stimulating insulin release.
  • Hyperglycaemia secondary to type 2 diabetes: helps achieve target HbA1c levels when diet and exercise are insufficient.
  • Adjunct to diet and exercise in type 2 diabetes: provides additional glucose‑lowering effect alongside lifestyle measures.

How It Works

  • Glibenclamide binds to the sulfonylurea receptor subunit of the ATP‑sensitive potassium channel on pancreatic β‑cells, causing channel closure. This depolarises the cell membrane, opens voltage‑dependent calcium channels, and increases intracellular calcium, which triggers exocytosis of insulin granules, thereby raising circulating insulin levels and reducing blood glucose.

Side Effects

Common Side Effects

  • Hypoglycaemia: feeling of shakiness, sweating, or confusion due to low blood sugar.
  • Weight gain: modest increase in body weight associated with improved glycaemic control.
  • Nausea or abdominal discomfort: mild gastrointestinal upset.
  • Skin rash or pruritus: mild dermatologic reactions.
  • Headache: transient head discomfort.

Serious or Rare Side Effects

  • Severe hypoglycaemia: can lead to loss of consciousness or seizures.
  • Allergic reactions such as Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Hemolytic anaemia or other blood dyscrasias.
  • Hepatic dysfunction: elevated liver enzymes or jaundice.
  • Cardiovascular events in susceptible patients.

Precautions & Warnings

Before initiating therapy, consider the following precautions:

  • Monitor blood glucose regularly: adjust dose based on glycaemic response.
  • Adjust dose in renal impairment: reduced clearance may increase risk of hypoglycaemia.
  • Use caution in elderly patients: increased sensitivity to insulin‑secretagogue effects.
  • Avoid in patients with known sulfonylurea hypersensitivity: risk of severe allergic reactions.
  • Pregnancy and lactation: safety not established, consult a physician before use.
  • Store at room temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Glibenclamide may interact with several medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Concomitant use with insulin or other sulfonylureas: markedly increased risk of severe hypoglycaemia.
  • Strong CYP2C9 inhibitors (e.g., fluconazole, amiodarone): may raise glibenclamide plasma levels, leading to toxicity.

Moderate Interactions (Monitor Closely)

  • CYP2C9 inducers (e.g., rifampicin, carbamazepine): may reduce drug efficacy.
  • Thiazide diuretics: can attenuate glucose‑lowering effect and increase blood pressure.
  • NSAIDs or ACE inhibitors: may affect renal function, altering glibenclamide clearance.

Frequently Asked Questions

Liamid contains glibenclamide, a second‑generation sulfonylurea that is prescribed to improve blood‑sugar control in adults with type 2 diabetes mellitus when diet, exercise, or other oral agents are insufficient.

Glibenclamide binds to the sulfonylurea receptor on pancreatic β‑cells, closing ATP‑sensitive potassium channels. This depolarises the cell, opens calcium channels, and triggers insulin release, thereby lowering circulating glucose levels.

The dose of Liamid is individualized by the prescribing clinician based on the patient’s glycaemic status, renal function, and response to therapy. The prescriber determines the starting dose and any subsequent adjustments.

Safety of glibenclamide in pregnancy and lactation has not been conclusively established. Women who are pregnant, planning pregnancy, or breastfeeding should discuss potential risks and alternatives with their healthcare provider.

To order Liamid, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Liamid (glibenclamide) belongs to the sulfonylurea class, which directly stimulates insulin secretion. Compared with metformin, which reduces hepatic glucose production, glibenclamide provides a rapid insulin‑dependent effect but carries a higher risk of hypoglycaemia, especially in renal impairment or the elderly.

Liamid tablets should be stored at room temperature, below 25 °C, in the original container to protect them from moisture and light. Keep the product out of reach of children and avoid storing in damp or excessively hot environments.

Liamid is taken orally, usually with breakfast or the first main meal of the day. The tablet should be swallowed whole with a glass of water and not crushed or chewed unless otherwise directed by a healthcare professional.

The most serious risks include severe hypoglycaemia, which can cause loss of consciousness or seizures, and rare allergic reactions such as Stevens‑Johnson syndrome. Patients should be educated to recognise early signs of low blood sugar and seek prompt medical attention for any severe skin reactions.

Liamid is contraindicated in individuals with a known hypersensitivity to sulfonylureas, in patients with type 1 diabetes, diabetic ketoacidosis, or severe hepatic or renal impairment. It should also be avoided in patients taking other insulin‑secretagogue agents without careful medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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