TENELIGLIPTIN(20MG) + 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 with diet, exercise, and other diabetes medications. The combination helps improve blood sugar control by working through multiple pathways. It is particularly useful for patients who require more than one medicine to manage their diabetes effectively.

This medicine works through three different mechanisms to control blood sugar. Teneligliptin increases insulin release after meals by blocking the DPP-4 enzyme. Metformin reduces sugar production in the liver and improves how your body uses insulin. Pioglitazone makes your body's cells more sensitive to insulin. Together, these three components work to lower blood sugar levels throughout the day and after meals, providing comprehensive diabetes control.

Common side effects include nausea, vomiting, diarrhea, stomach upset, loss of appetite, headache, and metallic taste in the mouth. Some patients may experience weight gain, swelling in hands or feet, or low blood sugar (hypoglycemia) especially when combined with other diabetes medicines. Rarely, it may cause lactic acidosis or liver problems. Most side effects are mild and temporary. Contact your doctor if side effects persist or if you experience unusual tiredness, breathing difficulty, or yellowing of eyes.

Take this medicine exactly as prescribed by your doctor. It is usually taken once or twice daily 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. Continue with your prescribed diet and exercise plan while taking this medicine. Always follow your doctor's or pharmacist's specific instructions.

Avoid alcohol as it increases the risk of lactic acidosis and low blood sugar. Inform your doctor if you have kidney disease, liver disease, or heart problems, as dose adjustments may be needed. This medicine is not recommended during pregnancy or breastfeeding; consult your doctor for alternatives. May cause dizziness or low blood sugar affecting driving ability; be cautious. Inform your doctor about all other medicines you take. Regular monitoring of blood sugar, kidney function, and liver function is important. Stay well-hydrated and inform your doctor before any surgery or medical procedures.