Tricare-2M Tablet 15's
MRP ₹143.4
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₹21.5 Cashback (15%)
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About Tricare-2M Tablet 15's
Tricare-2M Tablet 15's belongs to the group of medications called ‘antidiabetic agents’ used in the treatment of Type 2 diabetes mellitus. Type 2 diabetes mellitus is a chronic or life-long condition in which blood sugar or glucose levels rise more than normal. It occurs when the body does not produce enough insulin (metabolizes glucose), or if produced, it cannot function properly in the body.
Tricare-2M Tablet 15's is a combination of three medicines, namely: Metformin, Glimepiride, and Pioglitazone. Metformin acts by decreasing liver glucose production and intestinal glucose uptake. Glimepiride acts by increasing the amount of insulin released by the pancreas. Pioglitazone works by decreasing the amount of glucose released by the liver and also by improving the sensitivity of tissues towards insulin effects.
You should take this medicine as prescribed by your doctor. You may experience side-effects of such as nausea (feeling sick), vomiting (falling sick), diarrhea, headache, stomach ache, respiratory infection, weight gain, sweating, palpitations, and vision problems. Some patients experience decline in blood sugar levels lower than normal (hypoglycemia) resulting in sweating, dizziness, headache, confusion, feeling hungry, temporary changes in vision, uneasiness, irritability, and weakness. In such cases, seek medical attention immediately.
Do not take Tricare-2M Tablet 15's if you are allergic to any of its contents. Do not use this medicine if you have heart failure, bladder cancer, or diabetic ketoacidosis (a complication of diabetes). Tricare-2M Tablet 15's may cause ‘lactic acidosis’ (accumulation of lactic acid in the blood), which requires immediate medical attention. The risk increases if you are previously diagnosed with kidney or liver diseases. Do not consume alcohol (risk of lactic acidosis) or fast for prolonged periods (risk of hypoglycemia). Also, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
Uses of Tricare-2M Tablet 15's
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Directions for Use
Key Benefits
Tricare-2M Tablet 15's contains Metformin, Glimepiride, and Pioglitazone. Tricare-2M Tablet 15's is given when single or dual therapy of hypoglycemic agents is not effective in diabetes patients. Metformin acts by decreasing liver glucose production and intestinal glucose uptake. Glimepiride acts by increasing the secretion of insulin by the pancreas. Pioglitazone works by decreasing the amount of glucose released by the liver and improving insulin sensitivity in muscle and fat.
Storage
- If you experience low blood sugar levels, inform your doctor. They will assess the severity and make recommendations for the next actions.
- Your doctor will assess your symptoms, blood sugar levels, and overall health before recommending the best course of action, which may include treatment, lifestyle modifications, or prescription adjustments.
- Follow your doctor's instructions carefully to manage the episode and adjust your treatment plan.
- Make medication adjustments as recommended by your doctor to prevent future episodes.
- Implement diet and lifestyle modifications as your doctor advises to manage low blood sugar levels.
- Monitor your blood sugar levels closely for patterns and changes.
- Track your progress by recording your blood sugar levels, food intake, and physical activity.
- Seek further guidance from your doctor if symptoms persist or worsen so that your treatment plan can be revised.
- Reduce salt intake to minimize fluid buildup.
- Use compression stockings, sleeves, or gloves.
- Gently massage the affected area towards the heart.
- Protect the swollen area from injury and keep it clean.
- Use lotion or cream to keep the skin moisturized.
- Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
- Divide your daily food intake into smaller, more frequent meals to reduce nausea.
- Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
- Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
- Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
- Use ginger (tea, ale, or candies) to help relieve nausea.
- Get adequate rest and also avoid strenuous activities that can worsen nausea.
- Talk to your doctor about taking anti-nausea medication if your nausea is severe.
- Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
- Preventing Vomiting (Before it Happens)
- Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
- Having a small meal before taking your medication can help reduce nausea and vomiting.
- Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
- Managing Vomiting (If it Happens)
- Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
- What to Do if Vomiting Persists
- Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.
- Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
- Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
- Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
- Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
- Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
- Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
- Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Drug Warnings
Tricare-2M Tablet 15's should be used with caution in patients with heart diseases as it increases the risk of heart failure. Tricare-2M Tablet 15's may cause ‘lactic acidosis’ (buildup of lactic acid in the blood), characterized by abdominal pain, muscle cramps, vomiting, severe fatigue, and difficulty breathing. It is a life-threatening condition that requires immediate medical attention. Inform your doctor if you have any severe liver or kidney problems as their normal functioning is required to eliminate excess lactic acid from the body. Do not consume excess alcohol as it increases the risk of lactic acidosis. Tricare-2M Tablet 15's may lower vitamin B12 levels, so it is recommended to take blood tests regularly to identify any vitamin deficiencies.
Drug-Drug Interactions
Drug-Drug Interactions
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Co-administration of Tricare-2M Tablet with Metrizamide together can cause the risk of lactic acidosis (when the body produces too much lactic acid ).
How to manage the interaction:
Taking Tricare-2M Tablet with Metrizamide is generally avoided as it can possibly result in an interaction, it can be taken if a doctor has advised it. However, if you experience headaches, muscle cramps or pain, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Co-administration of Iofendylate with Tricare-2M Tablet can increase the risk of side effects.
How to manage the interaction:
Taking Tricare-2M Tablet with Iofendylate is generally avoided as it can result in an interaction, please consult your doctor before taking it.
Co-administration of Iohexol with Tricare-2M Tablet can increase the risk of side effects.
How to manage the interaction:
Taking Tricare-2M Tablet with Iohexol is generally avoided as it can result in an interaction, please consult your doctor before taking it.
Co-administration of Iopromide with Tricare-2M Tablet can increase the risk of lactic acidosis.
How to manage the interaction:
Taking Iopromide with Tricare-2M Tablet is not recommended, please consult a doctor before taking it. Do not discontinue the medication without consulting a doctor.
Co-administration of Iomeprol with Tricare-2M Tablet can increase the risk of side effects.
How to manage the interaction:
Taking Tricare-2M Tablet with Iomeprol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
Co-administration of Iopamidol with Tricare-2M Tablet can increase the risk of side effects.
How to manage the interaction:
Taking Tricare-2M Tablet with Iopamidol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
Co-administration of Ioglicic acid with Tricare-2M Tablet can increase the risk of side effects.
How to manage the interaction:
Taking Tricare-2M Tablet with Ioglicic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.
Co-administration of Iodixanol with Tricare-2M Tablet can increase the risk of side effects.
How to manage the interaction:
Taking Tricare-2M Tablet with Iodixanol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
Co-administration of Ioglycamic acid with Tricare-2M Tablet can increase the risk of side effects.
How to manage the interaction:
Taking Tricare-2M Tablet with Ioglycamic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.
Co-administration of Tricare-2M Tablet and Iobitridol can increase the risk of lactic acidosis (when the body produces too much lactic acid).
How to manage the interaction:
Taking Tricare-2M Tablet with Iobitridol is generally avoided as it can result in an interaction. Please consult your doctor before taking it.
Drug-Food Interactions
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Diet & Lifestyle Advise
- Fill your half plate with starchy veggies, a quarter with proteins, and a quarter with whole grain.
- Eat at regular intervals. Do not take the long gap between a meal or snack.
- Monitor your blood sugar level regularly especially when there are a lot of fluctuations.
- Invest at least 150 min of moderate-intensity physical activity and 15 minutes of high-intensity exercise every week.
- Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
- Replace refined carbohydrates containing foods with whole grain foods and increase intake of fruits and veggies and other fiber-enriched foods.
- Reduce intake of saturated fat (or hidden fats) in food like chips, crisps, pastries, biscuits, and samosas. Choose omega 3 fatty acid-containing oils for daily cooking. For frying, you may use palm oil, mustard oil, groundnut oil, rice bran oil, and safflower oil.
- Do not take stress as it may elevate your blood sugar level. You may adopt stress management techniques like mindfulness, yoga, or meditation to control stress-related blood sugar changes.
- Opt for low-fat dairy products (low-fat yogurt, fat-free milk, and cheese, etc.).
- Keep your blood pressure as normal (120/80) as possible as it reduces the risk of heart diseases in diabetes patients.
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Alcohol
Safe if prescribed
Alcohol may increase the risk of side-effects and worsen the condition.
Pregnancy
Consult your doctor
Tricare-2M Tablet 15's is a category C drug and may cause harmful effects to the unborn baby. So, it is used only when the benefits of this medicine outweigh the risks.
Breast Feeding
Consult your doctor
Tricare-2M Tablet 15's should not be used in breastfeeding mothers as it may get secreted in the breast milk and cause unwanted effects in the nursing babies.
Driving
Safe if prescribed
Tricare-2M Tablet 15's may cause vision problems. So, do not drive or operate heavy machinery if you have any problems with your vision while using Tricare-2M Tablet 15's.
Liver
Consult your doctor
Tricare-2M Tablet 15's should be taken with caution in patients with liver diseases. The dose may have to be adjusted by your doctor.
Kidney
Consult your doctor
Tricare-2M Tablet 15's should be taken with caution especially if you have a history of kidney diseases. The dose may have to be adjusted by your doctor.
Children
Safe if prescribed
Tricare-2M Tablet 15's is not recommended for use in children below 18 years of age.
FAQs
Tricare-2M Tablet 15's is a combination of three antidiabetic medicines, Metformin, Glimepiride, and Pioglitazone. It works by increasing insulin production, helping to restore your body's appropriate response to insulin, especially muscle and fatty tissues, thereby lowering your elevated blood sugar levels.
Patients with type 2 diabetes who have congestive heart failure, kidney problems, liver problems, vision problems, or diabetic ketoacidosis should not take Tricare-2M Tablet 15's. It is also not given to pregnant, breastfeeding, or a premenopausal woman.
Hypoglycemia refers to low blood glucose levels. Tricare-2M Tablet 15's may cause hypoglycemia. Hypoglycemia can occur if you miss or delay your food, drink alcohol, intense exercise, or take other antidiabetic medicine along with this medicine. So, take your medicine as advised by your doctor to avoid any unwanted effects of this medicine.
If you feel that your blood sugar levels are dropping, eat glucose tablets or chocolate immediately. This will help to increase your sugar levels instantly. So, it is always advised to carry glucose tablets or sugar candies with you.
Yes, type 2 diabetes may also occur in children. The risk increases if the child is overweight or obese.
You may experience high blood sugar, symptoms such as increased thirst and hunger, frequent urination, weight loss, delayed wound healing, and frequent infections. Consult a doctor or endocrinologist to confirm the diagnosis.
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