Tripath Tablets

• If you are allergic to Glibenclamide, Metformin, Pioglitazone or any other components of this medicine.
• If you have a history of heart failure or any other serious heart condition.
• If you have bladder cancer or a history of bladder cancer.
• If you are passing blood in the urine or are unable to urinate.
• If you have experienced hypoxia due to a heart or lung condition or recently had a heart attack.
• If you have liver, kidney failure or you drink alcohol too often.
• If you have an excess of acid called metabolic acidosis such as lactic acidosis, diabetic ketoacidosis.
• If you have experienced diabetic pre-coma.
• If you have any conditions which can affect kidney functions such as dehydration, severe infection and shock.

• Anaemia
• Visual disturbance
• Weight gain
• Fatigue
• Headache
• Nausea
• Vomiting
• Diarrhoea
• Loss of appetite

Other General Warnings

• You are allergic to Pioglitazone, Metformin, Glibenclamide or any of the other ingredients of this medicine.
• You have or had heart failure in the past or had a heart attack, have severe circulatory problems including shock or breathing difficulties.
• You have liver disease or liver failure.
• You drink alcohol excessively (either every day or only from time to time).
• You have uncontrolled diabetes, with severe hyperglycaemia (high blood glucose), nausea, vomiting, diarrhoea, rapid weight loss, lactic acidosis or ketoacidosis.
• You have or had bladder cancer or you are passing blood in your urine.
• Your kidneys are not functioning properly.
• You have a severe infection or are dehydrated.
• You are going to have a certain type of X-ray with an injectable dye, talk to your doctor as you must stop taking medicine for a certain period of time before and after the examination.
• You are breast-feeding.
• You have cysts on your ovaries (polycystic ovary syndrome).

• Use this medicine as instructed by your doctor.
• The medicine is taken orally and may be taken with or without food.
• Take this medicine as a whole with a sufficient amount of water.

• Store it at room temperature, away from heat, moisture and direct light.
• Keep it out of the reach of children and pets.

Overdose

Missed a Dose

How Does It Work?

Interactions with other medicines

• There is limited information available on the interaction of Tripath Tablet with other medicines. However, since it contains three different components any interaction of these components with other medicines when taken alone may occur with a combination.
• Tell your doctor about all the medicines, herbal preparations or supplements you are currently taking or might take before you start taking this medicine.