Amaryl is an oral hypoglycemic medication, referred to the group of drugs called sulfonylureas. The primary effect of this medication is prolonged. The mechanism of action of Amaryl is quite simple. It stimulates the secretion and release of insulin from beta cells of the pancreas, known as pancreatic effect. Amaryl as well increases the sensitivity of fat and muscle tissues to the action of insulin.
Amaryl blocks the cytoplasmic ATP-dependent potassium channel of beta cells of the pancreas, which leads to the opening of calcium channel beta-cell membranes and to the increase in the calcium access. The active ingredient of Amaryl is glimepiride, which quickly disconnects and connects with beta-cell protein.
Extrapancreatic effect of Amaryl leads to a decrease in insulin resistance and a slight influence on the cardiovascular system. Amaryl performs antiplatelet, antiatherogenic and antioxidant actions. This medication rapidly increases the activity and number of transport proteins, resulting in the improved absorption of glucose. During the clinical trials no blocking effect on the ATP-dependent potassium channels of myocytes of the heart was observed. Yet, during the administration of this medication the possibility of metabolic adaptation of cardiomyocytes to ischemic conditions still exists.
Amaryl is recommended for the treatment of insulin-dependent diabetes mellitus (type II) as a monotherapy or in combination with insulin. Amaryl pill must be taken orally, as whole, with a glass of water. It is vital to have a meal after the pill administration.
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