GLICLAZIDE(30MG) + PIOGLITAZONE(15MG) + METFORMIN(500MG)

This medicine is prescribed for the treatment of type 2 diabetes mellitus in adults when diet, exercise, and treatment with two medicines are not providing adequate blood sugar control. It helps in managing high blood glucose levels and preventing complications associated with diabetes such as kidney damage, eye problems, nerve issues, and cardiovascular disease.

This medicine works through three different mechanisms. Gliclazide stimulates the pancreas to release more insulin. Pioglitazone makes body tissues more sensitive to insulin, helping cells use glucose better. Metformin reduces glucose production in the liver, decreases glucose absorption from intestines, and improves insulin sensitivity. Together, they provide comprehensive control of blood sugar levels from multiple angles.

Common side effects include low blood sugar (hypoglycemia), nausea, vomiting, diarrhea, stomach upset, weight gain, headache, and metallic taste in the mouth. Some patients may experience swelling in hands or feet, cold-like symptoms, or muscle pain. Most side effects are mild and temporary. However, contact your doctor immediately if you experience severe hypoglycemia, unexplained weight gain, difficulty breathing, chest pain, or signs of liver problems like yellowing of skin or eyes.

Take this medicine exactly as prescribed by your doctor. It is usually taken with meals to reduce stomach upset and improve absorption. Swallow the tablet whole with water; do not crush, chew, or break it. Take it at the same time each day for best results. Never adjust the dose on your own. Follow your doctor's advice regarding diet and exercise along with this medication.

Avoid alcohol as it can increase the risk of low blood sugar and lactic acidosis. Inform your doctor if you have kidney or liver problems, as dose adjustment may be needed. Not recommended during pregnancy or breastfeeding; consult your doctor for alternatives. May cause dizziness or low blood sugar; be cautious while driving. Inform your doctor about all other medications you take. Regular monitoring of blood sugar, kidney function, and liver function is important. Watch for signs of low blood sugar and carry quick sugar source.