GLIMEPIRIDE(2MG) + METFORMIN(500MG) + PIOGLITAZONE(15MG)

This medicine is prescribed for the treatment of type 2 diabetes mellitus in adults. It is used when blood sugar levels are not adequately controlled by diet, exercise, and treatment with two antidiabetic medicines. It helps improve glycemic control as part of a comprehensive diabetes management plan that includes healthy eating and regular physical activity.

This medicine works through three different mechanisms. Glimepiride stimulates the pancreas to release more insulin. Metformin decreases glucose production in the liver and improves the body's response to insulin. Pioglitazone makes body tissues more sensitive to insulin, helping cells use glucose more effectively. Together, these three components work synergistically to lower blood sugar levels and improve overall glycemic control in type 2 diabetes.

Common side effects include low blood sugar (hypoglycemia), nausea, stomach upset, diarrhea, headache, weight gain, and swelling in hands or feet. Some patients may experience metallic taste in the mouth or vitamin B12 deficiency with long-term use. Most side effects are mild and temporary. However, seek immediate medical attention if you experience severe hypoglycemia, difficulty breathing, chest pain, severe stomach pain, or signs of liver problems like dark urine or yellowing of skin.

Take this medicine exactly as prescribed by your doctor. It is usually taken once or twice daily with meals to reduce stomach upset and minimize the risk of low blood sugar. 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. Always follow your doctor's or pharmacist's instructions carefully.

Avoid alcohol as it may increase the risk of low blood sugar and lactic acidosis. Inform your doctor if you have kidney or liver disease, as dose adjustment may be needed. Not recommended during pregnancy or breastfeeding; consult your doctor for safer alternatives. This medicine may cause dizziness or low blood sugar; be cautious while driving or operating machinery. Monitor blood sugar levels regularly. Inform your doctor about all other medicines you take, especially other diabetes medicines, blood pressure medications, or antibiotics. Temporary discontinuation may be needed before surgery or certain medical procedures.