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What is DIANORM TOTAL?
DIANORM TOTAL contains combination of Gliclazide, Metformin and Pioglitazone which belongs to antidiabetic agents
CONSUMER MEDICINE INFORMATION
THERAPEUTIC USES
WARNING & PRECAUTIONS
INTERACTIONS
DIRECTIONS FOR USE
SIDE EFFECTS
MORE INFORMATION
Talk to your doctor before taking this medicine, if you:
- are allergic to Gliclazide, Metformin or Pioglitazone or any other ingredients of this medicine
- have insulin-dependent diabetes (type 1)
- have diabetic keto-acidosis, a diabetic pre-coma or coma (have ketone bodies and sugar in your urine)
- have severe kidney or liver disease
- suffer from hormone induced disorders (functional disorders of the thyroid gland, of the pituitary gland or adrenal cortex)
- have a severe blood circulation disorder, such as coronary heart disease, severe carotid artery impairment or diffuse vascular disease
- have or have had heart failure
- have eye disease
- have bladder cancer
- retain water (fluid retention) or have heart failure problems
- have cysts on your ovaries (polycystic ovary syndrome)
- have weak bones
Tell your doctor if you are taking, or recently taken or might take any other medicines such as:
- other medicines used to treat high blood sugar (oral anti-diabetics or insulin)
- antibiotics (e.g. sulphonamides or clarithromycin)
- medicines to treat high blood pressure or heart failure (beta blockers, ace-inhibitors such as captopril or enalapril)
- miconazole, fluconazole medicines to treat fungal infections
- medicines to treat ulcers in the stomach or duodenum
- medicines to treat depression (monoamine oxidase inhibitors)
- phenylbutazone, ibuprofen - painkillers or antirheumatics
- medicines containing alcohol
- chlorpromazine used to treat disorders of the central nervous system
- corticosteroids or tetracosactrin medicines reducing inflammation
- intravenous salbutamol, ritodrine and terbutaline medicines to treat asthma or used during labour
- danazol used to treat breast disorders, heavy menstrual bleeding and endometriosis
- gemfibrozil (used to lower cholesterol)
- rifampicin (used to treat tuberculosis and other infections)
- Always take this medicine exactly as your doctor has told you
- Take your tablet with a glass of water at breakfast time
- You must always eat a meal after taking your tablet
- The dose is determined by the doctor, depending on your blood and urine sugar levels
If you take more DIANORM TOTAL
- If you take more DIANORM TOTAL, contact your doctor or go to the nearest hospital immediately
If you forget to take DIANORM TOTAL
- Take the next dose at the usual time. Do not take a double dose to make up for a forgotten dose
If you stop taking DIANORM TOTAL
- You should discuss with your doctor before stopping this medicine. Stopping could cause high blood sugar (hyperglycaemia)
Like all medicines, DIANORM TOTAL can cause side effects, although not everybody gets them.
SERIOUS
COMMON
UNCOMMON
RARE
VERY RARE
Metformin:
- lactic acidosis (a buildup of an acid in the blood) that can cause death
Pioglitazone
- heart failure
- bladder cancer
- localized swelling
- broken bones
- blurred vision
- allergic reactions
Gliclazide:
- low blood sugar (hypoglycaemia)
- liver disorders (yellow skin and eyes)
- skin disorders skin reactions such as rash, redness, itching, hives and angioedema (rapid swelling of tissues such as eyelids, face, lips, mouth, tongue or throat that may result in breathing difficulty)
- blood disorders decrease in the number of cells in the blood (e.g. platelets, red and white blood cells) which may cause paleness, prolonged bleeding and bruising
- digestive disorders stomach pain or discomfort
- eye disorders: your vision may be affected for a short time especially at the start of treatment. this effect is due to changes in blood sugar levels
Metformin:
- diarrhea
- nausea and stomach upset
Pioglitazone
- respiratory infection, shortness of breath
- abnormal vision
- weight gain
- numbness
- decreased blood sugar (hypoglycaemia)
- headache
- dizziness
- joint or back pain
- impotence
- small reduction in red blood cell count
- flatulence
Disclaimer:
The contents of this website are for informational purposes only and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Please seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Do not disregard professional medical advice or delay in seeking it because of something you have read on this website.
