Voglibose+repaglinide+metformin Hydrochloride

Before taking Metformin Hydrochloride+repaglinide+voglibose, tell your doctor or healthcare professional if you are allergic to Repaglinide, Voglibose, Metformin Hydrochloride, or if you have any other allergies. This product may contain inactive ingredients that can cause allergic reactions or other issues. Metformin Hydrochloride+repaglinide+voglibose should not be stopped without consulting your doctor, even if you feel better. If you stop taking Metformin Hydrochloride+repaglinide+voglibose abruptly, your blood sugar levels may rise, increasing your risk of vision loss (retinopathy), kidney damage (nephropathy), and nerve damage (neuropathy). If you have type 1 diabetes or severe kidney or liver disease, you should not take the Metformin Hydrochloride+repaglinide+voglibose. Consult your doctor about the risks and benefits if you are pregnant/lactation, as this medication should be used only when clearly necessary during pregnancy/lactation. You may experience blurred vision, dizziness, or drowsiness due to low or high blood sugar levels. Do not drive, operate machinery, or engage in any activity that requires alertness or clear vision until you are confident in your ability to do so safely. Limit or avoid alcohol consumption while using this medication because it increases your chances of developing low blood sugar and a high ketone level. Keep your doctor informed about your health condition and all medications you take to rule out any negative effects/interactions.

Drug-Drug Interactions: Metformin Hydrochloride+repaglinide+voglibose may interact with certain diuretic medications (e.g. acetazolamide), certain medicines used to treat recurrent urinary tract infections (e.g. cinoxacin, nalidixic acid), certain antibiotics (e.g. ciprofloxacin, delafloxacin, moxifloxacin, gatifloxacin), certain antiplatelet medications (e.g. clopidogrel), certain immunosuppressant's (e.g. cyclosporine), certain medicines used to treat acute angle-closure glaucoma (e.g. dichlorphenamide, methazolamide), certain diagnostic agents (e.g. diatrizoate, iodamide, iodipamide, iodixanol), certain lipid-regulating medications (e.g. gemfibrozil), and certain anticonvulsants (e.g. topiramate, zonisamide),

Drug-Food Interactions: Intake of excessive alcoholic beverages may increase the chance of a life-threatening condition known as Lactic Acidosis. So, avoid intake of alcoholic beverages with Metformin Hydrochloride+repaglinide+voglibose.

Drug-Disease Interactions: Metformin Hydrochloride+repaglinide+voglibose may interact with disease conditions, including type I diabetes, lactic acidosis, cardiovascular risk, hypoglycaemia, B12 deficiency, liver disease, and renal impairment.

• Every week, devote at least 150 minutes to moderate-intensity physical activity or one hour and 15 minutes to high-intensity exercise.
• Losing weight gradually to achieve a healthy BMI (18.5 to 24.9).
• Replace refined carbohydrates with whole grain foods and increase intake of fruits and vegetables and other fibre-rich foods.
• Reduce your consumption of saturated fat (or hidden fats) in foods such as chips, crisps, pastries, biscuits, and samosas. Choose omega-3 fatty acid-rich oils for everyday cooking.
• Avoid excessive stress because it can raise your blood sugar level. You can control stress-related blood sugar changes using stress management techniques such as mindfulness, meditation, or yoga.
• Choose low-fat dairy products (low-fat yoghurt, fat-free milk and cheese etc.).
• Maintaining a normal blood pressure (120/80) as much as possible reduces the risk of cardiovascular disease in people with diabetes.

• Continue to take Metformin Hydrochloride+repaglinide+voglibose even if you believe your blood sugar levels are under control.
• If you miss a dose, do not double the dose. Seek advice from your treating physician.
• When taking Metformin Hydrochloride+repaglinide+voglibose, eat small, frequent meals and avoid fasting for long periods. Be aware of hypoglycemia (low blood sugar) symptoms such as sweating, dizziness, palpitations, shivering, intense thirst, dry mouth, dry skin, frequent urination, and so on. If you experience any of the above symptoms, immediately consume 5-6 candies, three glucose biscuits, or three teaspoons of honey/sugar and contact your doctor. Carry these with you at all times, especially during long journeys.
• Before your doctor prescribes Metformin Hydrochloride+repaglinide+voglibose, make sure your doctor is aware of any underlying conditions such as kidney or liver disease, a previous heart attack, alcohol consumption, and so on.
• While on Metformin Hydrochloride+repaglinide+voglibose, avoid drinking alcohol. It raises the risk of hypoglycemia (low blood sugar, which can be fatal in some cases) and lactic acidosis (when the lactic acid increases in the body, impacting the functioning of various organs in the body).
• Quit smoking and limit your intake of carbohydrate-rich foods such as potatoes, rice, mangoes, bread, sugar, and so on.
• Remember that lifestyle changes are the most important step in controlling blood sugar levels.