Tribetrol 2mg Forte Tablet 10'S

• If you are allergic to this medicine or any of the ingredients of this medicine.
• If you are pregnant or breastfeeding.
• If you have any kind of kidney or liver problem.
• If you have any metabolic acidosis (too much acid in the body fluids) like lactic acidosis, diabetic ketoacidosis or diabetic pre-coma.
• If you have a history of any kind of heart condition like shock, heart failure, etc.
• If you are an alcoholic.
• If you have a history of severe infection pre or post-surgery.
• If you have stomach or intestinal obstruction or disorder.

• Low blood sugar levels can present with headache, dizziness, restlessness, difficulty concentrating, loss of consciousness, sweating, fast heartbeat.
• Nausea, vomiting, diarrhoea, loss of appetite, stomach ache. These symptoms show at the beginning of treatment and settle gradually.
• Altered taste
• Bloating
• Flatulence

How Does It Work?

• This combination is known to control blood sugar to a greater extent than metformin, voglibose or glimepiride alone.
• Insulin moves sugar (glucose) from the blood into the cells. Glimepiride lowers the blood sugar level increasing release of insulin hormone from the pancreas.
• Metformin works by decreasing the amount of glucose absorbed from the intestine, lowering the amount of sugar created by the liver and facilitating the entry of sugar into the cells.
• Voglibose delays digestion and absorption of carbohydrates in the intestines and thereby prevents a spike in blood glucose levels that occur after a meal.

• Tribetrol Tablet should be taken orally as directed by your doctor.
• It should be taken with or after a meal, swallow it whole with a glass of water.
• It would be best if you took it at a fixed time for optimal results and not consume it more than that prescribed by your doctor.

Interactions with other medicines

• Tribetrol Tablet may interact with other medicines if taken at the same time. Always inform your doctor about all the medicine you are taking, that includes all prescribed or non-prescribed herbal med...

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• In particular, if you are taking medicines for brain and heart-related disorders, tuberculosis, acidity, fungal infections, painkillers, antihypertensive medicines, etc.
• You may have symptoms of high blood sugar if you are taking oral contraceptives, water pills, rifampicin (anti-tuberculosis medicine), medicines for constipation, phenytoin (anti-epileptic medicine), ...

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• Tribetrol Tablet may alter the way blood thinners work like phenprocoumon.
• Other medicines like oral contraceptives, other anti-diabetics, etc can affect blood glucose levels. Therefore, concomitant use should be undertaken with caution.

• Store the medicine below 25°C.
• Keep the medicine out of the reach of children.

Overdose

• An overdose of this medicine may cause hypoglycaemia (excessively low blood sugar) and may present with extreme weakness, confusion, tremors, fast heart rate, nausea, rapid breathing. You must immedia...

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Missed a Dose

• If you have missed any dose, take it as soon as you remember. If it is time for the next dose, skip the missed dose and continue your regular dosing schedule.
• Do not take a double dose of medicine to compensate for a missed one. Taking double doses can be harmful as it can drop the glucose level.