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Glimepiride

Second-generation sulfonylurea · Prescription only · Tablet

Also known as: Amaryl, Mepiryl, Getryl

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Glimepiride is a sulfonylurea — a tablet that lowers blood sugar by prompting the pancreas to release more insulin. It is the newest of the sulfonylureas in common use, and the practical differences from the older glibenclamide matter: it is taken once daily, it is cleared partly by the liver rather than only the kidneys, and it causes fewer episodes of dangerously low blood sugar. For a country where glibenclamide has been the default second drug for decades, that last point is the important one.

In the NAFDAC register

53 registered products

from 32 registration holders

In force24 active · 29 lapsed
Where made4 in Nigeria · 20 imported
India13
Nigeria4
Pakistan3
Jordan2
Bangladesh1

+1 more country

See all 53 registered brands

What it costs online

about ₦17,885

₦596 per tablet (tablet/capsule)

Sampled from 4 listings across HealthPlus and MedPlus · August 2026

Full price breakdown →

Brands of Glimepiride in Nigeria

Those 53 products from 32 registration holders include combination products and older listings; below are the most common brands.

See all 53 registered Glimepiride brands

Glimepiride Price in Nigeria

As of August 2026, Glimepiride sells for about ₦17,885 online in Nigeria (₦3,840–₦24,800) across HealthPlus and MedPlus. That figure is for Mepiryl; 17 other glimepiride brands are NAFDAC-registered and generic versions usually cost less. Open-market prices (e.g. Idumota, Ogbogwu) are often lower.

Online retail (sampled)

₦3,840 for 30 tablets

₦13,270 for 30 tablets

Same 2mg Glimepiride — 3.5× the price for an identical pack, so the difference is the brand.

median ₦17,885 · 4 listings

CheapestMepiryl Glimepiride 2mg x30(HealthPlus)

₦3,840

PriciestAmaryl (Glimepiride) 2mg Tabs x30(HealthPlus)

₦13,270

4 listings across HealthPlus + MedPlus — brands and pack sizes vary · August 2026.

tablets: about ₦596 per tablet (₦128₦827), from the 4 listings that state a pack size.

First tracked August 2026.

How to Verify Your Glimepiride is Genuine

  1. 1Check the NAFDAC number on the pack — Mepiryl 2mg carries 04-9605 and Mepiryl 4mg carries 04-9439 in our copy of the register.
  2. 2Other registered products include Co-Mepiryl 2mg/500mg (A4-2825), Getryl 2mg (A4-6223) and Betix 2mg (B4-7578).
  3. 3Confirm any brand with our NAFDAC checker before paying.
  4. 4Check the strength carefully. Glimepiride comes in 1mg, 2mg, 3mg and 4mg tablets that look similar, and taking 4mg when you were prescribed 1mg is a hypoglycaemia risk, not a minor slip.
  5. 5Note whether your pack is glimepiride alone or a combination with metformin — the combination packs carry two figures such as 2mg/500mg.

Where to Buy

Buying Glimepiride by the carton

Cartons are bought at Nigeria's four open drug markets. Each guide names the sellers there you can contact, and how to buy safely:

No shop we list has Glimepiride on its confirmed product list yet — the market guides still tell you where the trade happens and how to buy there safely.

Wherever you buy, buy only from licensed pharmacies and verified distributors — not roadside vendors — and verify the pack's NAFDAC registration before you pay. Buying Glimepiride in bulk or for resale? See how to buy medicines in bulk in Nigeria safely.

Need Glimepiride in bulk, or can't find it near you?

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What is Glimepiride?

Nigeria's supply of glimepiride is well established. Our copy of the NAFDAC register shows twenty-four active registrations from twelve companies — seventeen of them glimepiride on its own and six fixed combinations with metformin in a single tablet. The field is led by May & Baker's Mepiryl and Co-Mepiryl, made in Nigeria, alongside Getz Pharma's Getryl and a number of Indian-made generics.

Glimepiride sits at a specific point in type 2 diabetes treatment: after metformin, when one drug is no longer holding blood sugar down, and usually before insulin. It is far cheaper than the newer classes — the SGLT2 tablets, the DPP-4 inhibitors, the GLP-1 injections — which is why it remains a mainstay in Nigerian practice regardless of what international guidelines now prefer.

What is Glimepiride used for?

In Nigeria, Glimepiride is commonly used for:

  • Type 2 diabetes, added to metformin when blood sugar remains above target
  • Type 2 diabetes as the first tablet where metformin is not tolerated or is contraindicated
  • As a fixed combination with metformin, reducing the number of tablets taken
  • Not for type 1 diabetes — there is no insulin-producing capacity left for it to stimulate
  • Not for diabetic ketoacidosis, which is an emergency needing insulin

Dosage

IMPORTANT

Always follow your doctor's or pharmacist's instructions. The information below is for general reference only.

Adults

Treatment starts low, usually at 1mg once daily with or immediately before breakfast, and is increased in 1mg steps at one- to two-week intervals according to blood sugar readings. Most people settle between 1mg and 4mg daily; going above that rarely adds much. It is taken once a day, always with the first main meal — and this is the part that matters most in practice: taking glimepiride and then skipping the meal is the classic way to end up with a hypo.

Children

Glimepiride is not established for use in children. Diabetes in a child is usually type 1 and needs insulin and specialist care.

Elderly

Older adults are at markedly higher risk of low blood sugar on any sulfonylurea, and less able to recognise it. Treatment starts at the lowest dose and increases slowly, and in frail or irregularly eating older people a sulfonylurea may be the wrong choice altogether.

KNOW WHAT A HYPO FEELS LIKE AND CARRY SUGAR. Low blood sugar comes on as sweating, shaking, hunger, a pounding heart, confusion or sudden irritability, and it is treated immediately with glucose, sweets or a sugary drink — not with food that takes time to digest. The risks rise when meals are skipped, during fasting, after unusual exercise and with alcohol. Ramadan fasting in particular needs the dose reviewed with a doctor BEFORE the month starts, not after the first difficult day.

Side Effects

Common side effects

  • Low blood sugar (hypoglycaemia) — the main one, and the reason for the meal rule
  • Weight gain
  • Nausea and stomach upset
  • Headache and dizziness
  • Rash

Serious side effects — seek medical help immediately

  • Severe or prolonged hypoglycaemia, which can cause seizures, coma and lasting harm
  • Severe allergic reactions, including rare serious skin reactions
  • Low blood counts — uncommon
  • Liver enzyme disturbance and, rarely, jaundice
  • Low blood sodium

When to see a doctor

Treat a hypo immediately with sugar, and seek urgent help if the person is confused, drowsy or cannot swallow — that is an emergency. See a doctor if hypos happen more than occasionally, since the dose is probably wrong. Report yellowing of the eyes or skin, an unexplained spreading rash, or dark urine. Anyone planning to fast, travel across time zones, or start significant exercise should have the dose reviewed first.

Warnings & Precautions

Do not take Glimepiride if you have:

  • Type 1 diabetes
  • Diabetic ketoacidosis
  • Severe kidney or liver impairment
  • Known hypersensitivity to glimepiride, other sulfonylureas or sulfonamides
  • Pregnancy and breastfeeding

Drug interactions

  • Alcohol — increases and prolongs the risk of hypoglycaemia, and can mask the warning signs
  • Other diabetes medicines, including insulin — additive glucose-lowering; doses need coordinating
  • Beta-blockers such as atenolol — these mask the warning symptoms of a hypo, which is the dangerous part
  • Fluconazole, co-trimoxazole and clarithromycin — raise glimepiride levels and hypo risk
  • Corticosteroids such as prednisolone, and diuretics — push blood sugar up, often unexpectedly
  • NSAIDs and warfarin — increased effect of glimepiride

Pregnancy & Breastfeeding

Glimepiride is not used in pregnancy. Blood sugar control in pregnancy matters enormously and is managed with insulin, or in some cases metformin, under specialist care — sulfonylureas are switched away from before conception where possible. Tell your doctor if you are planning a pregnancy. It is also avoided while breastfeeding.

Related Resources for Glimepiride

Guides, articles, and tools related to Glimepiride and other diabetes medicines in Nigeria.

Frequently Asked Questions

Sources

  • NAFDAC Greenbook — the official database of all products registered with Nigeria's National Agency for Food and Drug Administration and Control. Brand-level NAFDAC numbers for Glimepiride on this page were cross-referenced against the Greenbook.
  • British National Formulary (BNF) dosing and interaction guidance for Glimepiride.
  • Nigerian Standard Treatment Guidelines (Federal Ministry of Health).

Last updated: 15 August 2026

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