Glimepiride 2 mg + Metformin 1000 mg + Pioglitazone 15 mg

Glimepiride 2 mg + Metformin 1000 mg + Pioglitazone 15 mg — Uses and Benefits

This medicine is used for the management of type 2 diabetes mellitus in adults whose blood sugar is not controlled by a single medicine or lifestyle changes alone.

WHAT THIS MEDICINE IS USED FOR

• To control high blood sugar levels in type 2 diabetes
• Used along with diet and exercise for better blood sugar control
• Used when a single diabetes medicine is not enough to control sugar levels

HOW IT WORKS

• Glimepiride helps the pancreas release more insulin
• Metformin reduces the amount of sugar made by the liver and improves insulin use
• Pioglitazone improves the body's sensitivity to insulin in muscle and fat tissue

WHAT IT IS NOT USED FOR

• Not used for type 1 diabetes
• Not used for diabetic ketoacidosis (a serious diabetes emergency)
• Not a substitute for insulin in situations where insulin is required
• Not used for weight loss or general fatigue

How to Use Glimepiride 2 mg + Metformin 1000 mg + Pioglitazone 15 mg

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily with the first main meal
• Swallow the tablet whole with water; do not crush or chew unless advised
• Do not skip meals after taking this medicine, as it can cause low blood sugar
• Continue diet and exercise recommendations given by your doctor
• Do not stop the medicine suddenly without consulting your doctor

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for your next dose, skip the missed dose
• Do not take two doses together to make up for a missed one
• If you frequently miss doses, inform your doctor

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep in the original packaging until use
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Glimepiride 2 mg + Metformin 1000 mg + Pioglitazone 15 mg — Side Effects

COMMON SIDE EFFECTS

• Nausea or stomach upset
• Diarrhoea
• Loss of appetite
• Weight gain
• Mild low blood sugar (hunger, sweating, shakiness)

LESS COMMON SIDE EFFECTS

• Headache
• Swelling in feet or ankles
• Metallic taste in mouth
• Dizziness

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Severe low blood sugar (confusion, blurred vision, fainting)
• Signs of liver problems (yellowing of skin/eyes, dark urine, severe tiredness)
• Signs of heart failure (sudden weight gain, breathlessness, swelling)
• Signs of lactic acidosis (muscle pain, difficulty breathing, unusual tiredness, stomach pain)
• Severe allergic reaction (rash, swelling of face/lips, difficulty breathing)
• Blood in urine or new bladder-related symptoms

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

Glimepiride 2 mg + Metformin 1000 mg + Pioglitazone 15 mg — Safety Information and Precautions

This medicine is available only with a valid doctor's prescription in India.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to glimepiride, metformin, pioglitazone, or sulfonamide medicines
• Have type 1 diabetes or diabetic ketoacidosis
• Have severe kidney or liver disease
• Have heart failure or a history of bladder cancer
• Are pregnant or breastfeeding without medical advice

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have any kidney, liver, or heart problems
• Have a history of bladder cancer or blood in urine
• Drink alcohol regularly
• Are scheduled for surgery or an imaging test requiring contrast dye
• Have a history of bone fractures or osteoporosis

MEDICINES THAT CAN INTERACT

• Insulin or other diabetes medicines (risk of low blood sugar)
• Steroids or diuretics (may raise blood sugar)
• Certain blood pressure medicines
• Alcohol (increases risk of low blood sugar and lactic acidosis)
• Contrast dye used in X-ray/CT scans

FREQUENTLY ASKED QUESTIONS

Can I take this medicine with alcohol?

It is best to avoid alcohol as it can increase the risk of low blood sugar and other side effects.

Will this medicine cause weight gain?

Some weight gain and fluid retention can occur; inform your doctor if this happens.

Can I stop taking this medicine once my sugar is normal?

• No, do not stop without consulting your doctor, as diabetes needs continuous management.
• Doctor ya pharmacist se salah lein.