Diaprel Mr

Leaflet attached to the packaging: patient information

Warning! Keep the leaflet! Information on the immediate packaging in a foreign language.

DIAPREL MR (DIAMICRON MR)

60 mg, tablets with modified release

Gliclazide
DIAPREL MR and DIAMICRON MR are different trade names for the same drug.

You should carefully read the contents of the leaflet before taking the medicine, as it contains important information for the patient.

• You should keep this leaflet so that you can read it again if necessary.
• In case of any doubts, you should consult a doctor or pharmacist.
• This medicine has been prescribed specifically for you. Do not pass it on to others. The medicine may harm another person, even if their symptoms are the same.
• If the patient experiences any side effects, including any side effects not listed in this leaflet, they should tell their doctor or pharmacist. See section 4.

Table of contents of the leaflet:

• 1. What is Diaprel MR, tablet with modified release, and what is it used for
• 2. Important information before taking Diaprel MR, tablet with modified release
• 3. How to take Diaprel MR, tablet with modified release
• 4. Possible side effects
• 5. How to store Diaprel MR, tablet with modified release
• 6. Contents of the packaging and other information

1. What is Diaprel MR, tablet with modified release, and what is it used for

to take
Diaprel MR, tablet with modified release is a medicine that reduces blood sugar levels (contains an oral antidiabetic drug belonging to the group of sulfonylurea derivatives).
Diaprel MR, tablet with modified release is used to treat a certain form of diabetes (type 2 diabetes) in adults, when following a diet, exercising, and losing weight is not enough to maintain a normal blood sugar level.

2. Important information before taking Diaprel MR, tablet with modified release

release
When not to take Diaprel MR tablet with modified release:

Warnings and precautions

Before starting to take Diaprel MR, tablet with modified release, you should discuss it with your doctor.
You should follow your doctor's recommendations for treatment to achieve proper blood sugar control. This means that in addition to taking the tablets regularly, you should follow a diet, exercise, and, if necessary, lose weight.
During treatment with gliclazide, it is necessary to regularly check blood sugar levels (and possibly urine) and also check glycated hemoglobin (HbA1c).
The risk of low blood sugar (hypoglycemia) may be increased during the first few weeks of treatment. For this reason, close medical monitoring is particularly necessary.
Low blood sugar (hypoglycemia) may occur if:

• the patient takes meals irregularly or skips meals;
• the patient fasts;
• the patient is undernourished;
• the patient changes their diet;
• the patient increases physical activity, and carbohydrate intake is not sufficient;
• the patient consumes alcohol, especially if they skip meals;
• the patient takes other medicines or natural remedies at the same time;
• the patient takes too high a dose of gliclazide;
• the patient has certain hormonal disorders (thyroid, pituitary, or adrenal disorders);
• kidney or liver function is severely impaired.

If the patient has low blood sugar, the following symptoms may occur:
headache, strong hunger, nausea, vomiting, fatigue, sleep disturbances, anxiety, aggression,
impaired concentration, reduced alertness and reaction time, depression, disorientation, speech or vision disorders, tremors, sensory disturbances, dizziness, weakness.
The following symptoms may also occur: sweating, moist skin, anxiety, rapid or irregular heartbeat, high blood pressure, sudden, severe chest pain that may radiate (angina pectoris).
If blood sugar levels continue to decrease, significant confusion (delirium), convulsions, loss of self-control, shallow breathing, slow heartbeat, or loss of consciousness may occur.
In most cases, the symptoms of low blood sugar disappear very quickly when the patient consumes some sugar, e.g., glucose tablets, sugar cubes, or a sweet drink.
Therefore, you should always carry some sugary products with you (glucose tablets, sugar cubes). Remember that artificial sweeteners are not effective. You should contact your doctor or the nearest hospital if consuming sugar does not help or if the symptoms recur.
Symptoms of low blood sugar may not occur, may be mild, or may develop very slowly, or the patient may not be aware that their blood sugar level has decreased. This can happen if the patient is elderly and taking certain medicines (e.g., those acting on the central nervous system and beta-adrenolytics).
In stressful situations (accidents, surgical operations, fever, etc.), your doctor may temporarily change the treatment to insulin therapy.
Symptoms of high blood sugar (hyperglycemia) may occur if gliclazide does not sufficiently reduce blood sugar levels, if the patient does not follow the treatment plan recommended by their doctor, if the patient takes preparations containing St. John's wort (Hypericum perforatum) (see section "Diaprel MR, tablet with modified release and other medicines"), or in special stressful situations. This may be thirst, frequent urination, dry mouth, dry, itchy skin, skin infections, and decreased activity.
If these symptoms occur, the patient should contact their doctor or pharmacist.
When taking Diaprel MR with antibiotics from the fluoroquinolone group, especially in elderly patients, disturbances in blood sugar levels (low and high blood sugar) may occur. In this case, the doctor will remind the patient of the importance of monitoring blood sugar levels.
If there is a history of congenital glucose-6-phosphate dehydrogenase deficiency (G6PD) in the patient's family or in the patient (abnormal red blood cells), a decrease in hemoglobin levels and breakdown of red blood cells (hemolytic anemia) may occur. Before taking this medicine, you should consult your doctor.
In patients with porphyria (a genetic disease characterized by the accumulation of porphyrins or their precursors in the body), cases of porphyria exacerbation have been reported after taking certain other sulfonylurea derivatives.
Diaprel MR, tablet with modified release, is not recommended for use in children due to the lack of data.

Diaprel MR, tablet with modified release, and other medicines

You should tell your doctor or pharmacist about all medicines you are currently taking or have recently taken, as well as any medicines you plan to take.
The blood sugar-reducing effect of gliclazide may be enhanced, and symptoms of low blood sugar may occur when taking one of the following medicines:

• other medicines used to treat high blood sugar (oral antidiabetic drugs, GLP-1 receptor agonists, or insulin);
• antibiotics (sulfonamides, clarithromycin);
• medicines used to treat high blood pressure or heart failure (beta-adrenolytics, ACE inhibitors, such as captopril or enalapril);
• medicines used to treat fungal infections (miconazole, fluconazole);
• medicines used to treat stomach or duodenal ulcers (H receptor blockers);
• medicines used to treat depression (MAO inhibitors);
• analgesic or anti-rheumatic medicines (phenylbutazone, ibuprofen);
• medicines containing alcohol.

The following medicines may reduce the effect of gliclazide and cause an increase in blood sugar levels:

• medicines used to treat central nervous system disorders (chlorpromazine);
• anti-inflammatory medicines (corticosteroids);
• medicines used to treat asthma or used during childbirth (intravenously administered salbutamol, rytodrine, terbutaline);
• medicines used to treat breast diseases, heavy menstrual bleeding, and endometriosis (danazol);
• preparations containing St. John's wort (Hypericum perforatum).

When taking Diaprel MR with antibiotics from the fluoroquinolone group, especially in elderly patients, disturbances in blood sugar levels (low and high blood sugar) may occur.
Diaprel MR, tablet with modified release, may increase the effect of anticoagulant medicines (warfarin).
You should consult your doctor before starting to take another medicine.
If you are going to the hospital, you should inform the medical staff that you are taking Diaprel MR, tablet with modified release.

Diaprel MR, tablet with modified release, with food, drink, and alcohol

Diaprel MR, tablet with modified release, can be taken with food and non-alcoholic beverages.
It is not recommended to drink alcohol, as it may change diabetes control in an unpredictable way.

Pregnancy and breastfeeding

Diaprel MR, tablet with modified release, is not recommended during pregnancy.
If you are pregnant, think you may be pregnant, or plan to have a child, you should consult your doctor before taking this medicine.
Diaprel MR, tablet with modified release, should not be taken during breastfeeding.

Driving and using machines

If blood sugar levels are too low (hypoglycemia) or too high (hyperglycemia), or if vision is impaired due to abnormal blood sugar levels, the ability to concentrate or react may be impaired. You should remember that you may pose a risk to yourself or others (e.g., while driving or operating machines).
You should ask your doctor about the possibility of driving:

Diaprel MR, tablet with modified release, contains lactose monohydrate

If you have been diagnosed with intolerance to some sugars, you should consult your doctor before taking this medicine.

3. How to take Diaprel MR, tablet with modified release

Dose

This medicine should always be taken according to your doctor's or pharmacist's recommendations.
In case of doubts, you should consult your doctor or pharmacist.
The dose is determined by your doctor, depending on your blood sugar levels and urine tests.
Any changes related to external factors (weight loss, lifestyle changes, stress) or improved blood sugar control may require a change in gliclazide doses.
The recommended daily dose is from half a tablet to two tablets (maximum 120 mg), taken once during breakfast. The dose depends on the body's response to treatment.
The tablet can be divided into two halves.
Diaprel MR, tablet with modified release, is intended for oral use.
The tablet(s) should be taken with a glass of water during breakfast (preferably at the same time every day). You should swallow half a tablet or one whole tablet at a time. Do not chew or crush the tablets. You should always eat a meal after taking the tablet(s).
In combination therapy with Diaprel MR, tablet with modified release, and metformin, an alpha-glucosidase inhibitor, a thiazolidinedione, a dipeptidyl peptidase-4 inhibitor, a GLP-1 receptor agonist, or insulin, the proper dose of each medicine will be individually determined by your doctor.
If you notice that your blood sugar levels are high, even though you are taking the medicine as prescribed, you should consult your doctor or pharmacist.

Taking a higher than recommended dose of Diaprel MR, tablet with modified release

In case of taking too many tablets, you should immediately contact your doctor or go to the nearest hospital.
Symptoms of overdose are symptoms of low blood sugar (hypoglycemia) and are described in section 2. In such situations, eating sugar (4 to 6 sugar cubes) or drinking a sweet drink, followed by a snack or meal, may help. If the patient is unconscious, you should immediately inform the doctor and call for emergency help. The same applies if someone (e.g., a child) has taken this medicine by mistake. Unconscious patients should not be given food or drink.
You should make sure that someone who can call a doctor in case of an emergency is always informed in advance.

Missing a dose of Diaprel MR, tablet with modified release

It is important to take the medicine every day, as regularly taken medicine works better.
However, if you miss a dose of Diaprel MR, tablet with modified release, you should take the next dose at the usual time.
You should not take a double dose to make up for the missed dose.

Stopping treatment with Diaprel MR, tablet with modified release

Since diabetes treatment usually lasts a lifetime, you should consult your doctor before stopping this medicine.
Stopping treatment may cause an increase in blood sugar levels (hyperglycemia), which increases the risk of developing diabetes complications.
In case of any further doubts about taking this medicine, you should consult your doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
The most commonly observed adverse reaction is low blood sugar (hypoglycemia).
Subjective and objective symptoms are described in the "Warnings and precautions" section.
If these symptoms are left untreated, they may lead to drowsiness, loss of consciousness, or coma.
If the decrease in blood sugar levels is significant or prolonged, even if it is temporarily controlled by administering sugar, you should immediately consult your doctor.
Liver disorders
Single cases of impaired liver function have been observed, which may cause yellowing of the skin and eyes. If these symptoms occur, you should immediately contact your doctor. Symptoms usually disappear after discontinuing the medicine. The doctor will decide whether to discontinue treatment.
Skin disorders
Skin reactions, such as rash, redness, itching, hives, blisters, or angioedema (rapid swelling of tissues, such as eyelids, face, lips, mouth, or throat, which can cause breathing difficulties), have been observed. The rash may develop into widespread blistering or lead to skin peeling.
If you experience these symptoms, you should stop taking Diaprel MR and immediately contact your doctor and inform them that you are taking this medicine.
Exceptionally, symptoms of severe hypersensitivity reactions (DRESS, Drug Rush with Eosinophilia and Systemic Symptoms) have been reported: initially in the form of flu-like symptoms and a rash on the face, which then spread, and a high fever occurred.
Blood disorders
A decrease in the number of blood cells (e.g., platelets, red and white blood cells) may cause pallor, prolonged bleeding, bruising, sore throat, and fever. These symptoms usually disappear after discontinuing treatment.
Gastrointestinal disorders
Abdominal pain, nausea, vomiting, indigestion, diarrhea, and constipation. These symptoms can be reduced by taking Diaprel MR, tablet with modified release, with food as recommended.
Eye disorders
Vision may be impaired, especially at the beginning of treatment. This effect is related to changes in blood sugar levels.
As with other sulfonylurea derivatives, the following adverse reactions have been observed:
cases of significant changes in blood cell counts and allergic vasculitis, decreased sodium levels in the blood (hyponatremia), signs of liver damage (e.g., jaundice), which in most cases disappeared after discontinuing sulfonylurea derivatives, but in single cases may lead to life-threatening liver failure.

Reporting side effects

If you experience any side effects, including any side effects not listed in this leaflet, you should tell your doctor or pharmacist. Side effects can be reported directly to the Department of Drug Adverse Reaction Monitoring, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products, Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: +48 22 49 21 301, fax: +48 22 49 21 309, website: https://smz.ezdrowie.gov.pl.
By reporting side effects, you can help gather more information on the safety of this medicine.

5. How to store Diaprel MR, tablet with modified release

The medicine should be stored out of sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging. The expiry date refers to the last day of the month stated.
There are no special precautions for storage.
Medicines should not be disposed of via wastewater or household waste. You should ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Diaprel MR, tablet with modified release, contains

• The active substance of the medicine is gliclazide. Each tablet with modified release contains 60 mg of gliclazide.
• The other ingredients are: lactose monohydrate, maltodextrin, hypromellose, magnesium stearate, anhydrous colloidal silica.

What Diaprel MR, tablet with modified release, looks like and what the packaging contains

Diaprel MR is available in the form of white, elongated tablets with modified release, 15 mm long and 7 mm wide, with a dividing line and the inscription "DIA 60" on both sides. The tablets are available in blisters packaged in cardboard boxes containing 30, 60, and 90 tablets.
For more detailed information, you should contact the marketing authorization holder or the parallel importer.

Marketing authorization holder in Ireland, the country of export:

Les Laboratoires Servier, 50, rue Carnot, 92284 Suresnes cedex, France

Manufacturer:

Les Laboratoires Servier Industrie, 905 route de Saran, 45520 Gidy, France

Parallel importer:

InPharm Sp. z o.o., ul. Strumykowa 28/11, 03-138 Warsaw

Repackaged by:

InPharm Sp. z o.o. Services sp. k., ul. Chełmżyńska 249, 04-458 Warsaw
Marketing authorization number in Ireland, the country of export:PA 568/013/002

Parallel import authorization number: 215/24

This medicinal product is authorized in the countries of the European Economic Area under the following names:

Austria
DIAMICRON MR 60 mg
Belgium
UNI DIAMICRON 60 mg
Bulgaria
DIAPREL MR 60 mg
Croatia
DIAPREL MR 60 mg
Cyprus
DIAMICRON MR 60 mg
Czech Republic
DIAPREL MR 60 mg
Denmark
DIAMICRON UNO 60 mg
Estonia
DIAPREL MR 60 mg
France
DIAMICRON 60 mg
Germany
DIAMICRON UNO 60 mg
Greece
DIAMICRON MR 60 mg
Hungary
DIAPREL MR 60 mg
Ireland
DIAMICRON MR 60 mg
Italy
DIAMICRON 60 mg
Latvia
DIAPREL MR 60 mg
Lithuania
DIAPREL MR 60 mg
Luxembourg
DIAMICRON 60 mg
Malta
DIAMICRON MR 60 mg
Netherlands
DIAMICRON MR 60 mg
Poland
DIAPREL MR
Portugal
DIAMICRON LM 60 mg
Romania
DIAPREL MR 60 mg
Slovakia
DIAPREL MR 60 mg
Slovenia
DIAPREL MR 60 mg
Spain
DIAMICRON 60 mg

Date of leaflet approval: 27.05.2024

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