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Pmg 1 Mg/500 Mg/15 Mg Tablet Health Feed

Asked for male, 66 years old from Ahmedabad
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I have been taking glitaris m7. 5/500 one tablet after dinner for sugar control for more than 10 years. This has been banned again in india. My endocrinologist is of the opinion that I should not stop pioglitazone (the reason, it facilitates utilization of insulin in body cells). Secondly, I am taking it in low intensity (7.5 mg). My questions are the following. 1. Does it have harmful effect? 2. Is the side effect related to quantity of pioglitazone one is taking? Meaning, is to safe to take it in low amount as in my case? 3. Though this tablet is banned, glitaris 7.5 mg is available in market (exclusive pioglitazone). Can I take this with one additional tablet glycomet 500 (metformin)? If yes, 4. If combination tablet glitaris m7. 5/500 is unsafe (because it is banned) then how the same in separate form, glitaris 7.5 + glycomet 500, can be safe?

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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, thanks for the query.
As told by your endocrinologist pioglitazone does help insulin action by reducing resistance to its action. The combination has been banned because it is considered as irrational to have certain "fixed dose" combinations. Because it is difficult to make dosage adjustment in asuch a combination. However, using those separately is absolutely fine. Plus if you have been getting good glucose control with those drugs, then please do use separately. At the d...more
Asked for male, 30 years old from West Godavari
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Bachelor of Medicine, Bachelor of Surger...read more

Diabetologist•Chennai
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Medicines you are taking is not going to interfere your future planing of pregnancy, but you should maintain good blood sugar control to succeed for conceive your wife, so your diabetic status is also important. If you want to consult get online consultation for good control and your future success.
141 people found this helpful
Asked for male, 48 years old from Chennai
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Asked for female, 50 years old from Chennai
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Thanks for the query.
Madam looking at your height and weight, with a BMI of 33.2 kgs/Sq meter, you are having an excess of over 25 kgs. This can be the culprit for not being able to control the blood glucose.
Therefore, there is a need to give a closer look at your current dietary pattern, extent of daily exercise and even the drugs being taken.
In this communication we are supposed to give only general guidelines about treatment and lifestyle management. No prescription ca...more
Asked for male, 67 years old from Navi Mumbai
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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I am sorry to hear about your concern but will be happy to assist you.
Glipizide and metformin combination can cause low blood sugar. However, it also can occur if you delay or miss a meal or snack, drink alcohol, exercise more than usual, cannot eat because of nausea or vomiting, take certain medicines, or take glipizide and metformin with another type of diabetes medicine.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for yo...more
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MS - Obstetrics and Gynaecology

Gynaecologist•Delhi
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In pt of pcod there is increased insulin resistance ,metformin being a insulin sensitizer drug decreases the insulin resistance, it also helps in reducing wt and in ovulation. Total dose is 1500 mg taken in 2 or 3 divided doses.
Lifestyle changes for wt reduction should also be adopted.
Asked for male, 43 years old from Bhubaneswar
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Hubli-Dharwad
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please give following details: weight, height, waist circumference, fasting and pp (current) and hba1c%. Pioglitazone was banned only briefly, now it is available. Still better not to use. After I get all the details I would be able to guide. Your sugar levels now look good. But please give all the details.
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Asked for male, 66 years old from Ahmedabad
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MBBS Bachelor of Medicine and Bachelor o...read more

Diabetologist•
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Dear Lybrate user, I understand that you have been doing quite a bit of research on the medications, but I just want to make one correction. You are right about pioglitazone, but not the glimepiride whose main function is to stimulate insulin production from the pancreas and not to reduce insulin resistance. This is done by mostly metformin and pioglitazone. Hence you are taking combination of 2 tablets with similar function. If your sugars are controlled and you are not getting any side-effects...more
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Hello, Madam thanks for the query.
You have mentioned about having T2 DM but no thing about present control (Fasting, PP glucose levels & HbA1c%). No word about , diet and extent of exercise being done. By looking at your weight & height, with a BMI of 28.51 kgs/Sq meter, you are close to being in grade 1 obesity. Your ideal weight should be about 54 kgs.
Therefore, it is possible that there is back ache, due to no exercise and excess weight. Or there could be some problem with your ba...more
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