Triglaz Plus

Triglaz Plus Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Triglaz Plus is a brand name. Its generic name is Pioglitazone + Glimepiride + Metformin.

Introduction

Triglaz Plus is a combination drug comprising of three active ingredients; Pioglitazone, Glimepiride, and Metformin. It is used in the management of type 2 diabetes mellitus. The drug improves glucose control and can help reduce the risk of major cardiovascular events.

Uses

Triglaz Plus is used to lower blood glucose levels in people with type 2 diabetes. It increases insulin sensitivity allowing the body to better utilize glucose from the blood. It also helps reduce LDL (bad) cholesterol, and reduce the risk of major cardiovascular events.

Mechanism of Action

Pioglitazone is a thiazolidinedione antidiabetic drug that works by reducing insulin resistance in the body. Pioglitazone increases sensitivity to insulin and improves glucose metabolism. Glimepiride belongs to the class of sulfonylureas. It helps the body make more insulin and better use the existing insulin in the body allowing the body to better regulate blood glucose levels. Metformin belongs to the biguanide class of antidiabetic drugs. It helps reduce glucose production, glucose absorption from the diet, and glucose release from the liver.

How Long Does it Take to Work?

Triglaz Plus can take up to 2 weeks to start working, and during this time you should continue monitoring and managing your blood glucose levels.

Absorption

Pioglitazone has an oral bioavailability of 91%, and peaks in 1.3-3 hours. Glimepiride has an oral bioavailability of 85%, and peaks in 1.5 to 4.5 hours. Metformin has an oral bioavailability of 50-60%, and peaks in 2 hours.

Route of Elimination

Pioglitazone is eliminated mainly in the urine. Glimepiride is eliminated mainly in the urine and its metabolites are eliminated mainly in the bile. Metformin is eliminated mainly in the urine.

Dosage

The dosage of Triglaz Plus varies depending on the individual patient. Generally, the dosage is between 15 - 30 mg of pioglitazone a day, 1 - 4 mg of glimepiride a day and 500 - 2,000 mg of metformin a day. However, it is important to take the lowest effective dose as directed by a healthcare provider.

Administration

Triglaz Plus should be taken orally at the same time every day, preferably with meals. It should not be crushed or chewed and should be swallowed as a whole.

Side Effects

The most common side effects of Triglaz Plus include: nausea, headache, dizziness, constipation, gas, diarrhea, vomiting, and weakness. These side effects commonly subside within a few weeks of starting the medication. Other side effects that can occur with this medication include hypoglycemia, anemia, weight gain, an increased risk of infection, and liver damage.

Toxicity

The acute toxicity of Triglaz Plus is low. Overdose can lead to hypoglycemia and lactic acidosis, which should be treated immediately.

Precautions

It is important to take Triglaz Plus exactly as prescribed by your healthcare provider. Do not stop taking the medication without consulting your healthcare provider. The medication can cause hypoglycemia so it is important to follow your healthcare provider’s instructions for monitoring and managing your blood glucose levels. Do not take this medication if you have had an allergic reaction to a sulfonylurea, biguanide, or a thiazolidinedione.

Interaction

Triglaz Plus may interact with certain medications. To reduce the risk of interactions, it is important to inform your healthcare provider about all the medications that you are currently taking.

Disease Interaction

Triglaz Plus may not be suitable for people with certain medical conditions. People with liver or kidney disease, or congestive heart failure should speak to their healthcare provider before taking this medication.

Drug Interaction

Triglaz Plus may interact with certain medications. The risk of interactions is increased if this medication is taken with blood thinners, steroids, beta-blockers, ACE inhibitors, or diuretics.

Food Interactions

It is important to take Triglaz Plus at the same time every day, preferably with meals. This helps reduce the risk of hypoglycemia and maximizes the effectiveness of the medication. If any major changes in diet occur, speak to your healthcare provider.

Pregnancy Use

Triglaz Plus should not be used by pregnant women. The safety of using this medication during pregnancy has not been established.

Lactation Use

Triglaz Plus should not be used by breastfeeding women. The safety of using this medication has not been established.

Acute Overdose

An overdose of Triglaz Plus can cause serious side effects. If an overdose is suspected, it is important to seek medical help immediately.

Contraindication

Triglaz Plus should not be used by people with certain medical conditions. People with kidney or liver disease, congestive heart failure, or those who are taking sulfonylureas, biguanides, or thiazolidinediones should not take this medication.

Use Directions

Triglaz Plus should be taken as prescribed by a healthcare provider. Do not take the medication more than the recommended dose or for a longer period of time than prescribed. Take the medication at the same time everyday, preferably with meals, and do not break, crush, or chew the tablets before swallowing.

Storage Condition

Triglaz Plus should be stored at room temperature and away from heat and moisture. Keep the medication in its original container away from direct sunlight and with the lid tightly closed.

Volume of Distribution

Pioglitazone has a volume of distribution of 184 L, glimepiride has a volume of distribution of 0.25 L/kg, and metformin has a volume of distribution of 0.6-1.4 L/kg.

Half Life

Pioglitazone has an elimination half-life of 4-8 hours, glimepiride has an elimination half-life of 4-8 hours, and metformin has an elimination half-life of 2.5-4.5 hours.

Clearance

Pioglitazone has a clearance of 0.150 L/h/kg, glimepiride has a clearance of 0.37 L/h/kg, and metformin has a clearance of 0.09 L/h/kg.

Here you find in details version of Triglaz Plus

Some Frequently Asked Questions About Triglaz Plus

1. What is Triglaz Plus?

Triglaz Plus is a combination medication used to treat type 2 diabetes. It contains three active ingredients: pioglitazone, glimepiride, and metformin. Pioglitazone and glimepiride improve glycemic control by helping the body produce more insulin and reduce blood sugar levels. Metformin helps the body use insulin better.

2. Does Triglaz Plus need to be taken with food?

It is important to take Triglaz Plus with food to reduce the chance of stomach-related side effects, such as nausea, vomiting, diarrhea, and loss of appetite.

3. What are the possible side effects of Triglaz Plus?

The most common side effects of Triglaz Plus include headaches, stomach pain, nausea, vomiting, diarrhea, loss of appetite, and weight gain. Less common side effects may include dizziness, drowsiness, muscle pain, and low blood sugar.

4. What is the recommended dosage of Triglaz Plus?

The recommended dosage of Triglaz Plus depends on the patient's age, weight, and medical history. It is important to follow your doctor's instructions closely to ensure that you are taking the correct dosage.

5. Can I drink alcoholic beverages while taking Triglaz Plus?

No. It is not recommended to Drink alcoholic beverages while taking Triglaz Plus. Alcohol can increase your risk of developing low blood sugar and other side effects.

6. What is the maximum daily dose of Triglaz Plus?

The maximum daily dose of Triglaz Plus is 45 mg of pioglitazone, 8 mg of glimepiride, and 2500 mg of metformin.

7. Is it safe to take Triglaz Plus while pregnant?

No. Triglaz Plus is not recommended for use during pregnancy due to a potential risk of harm to an unborn baby.

8. What should I do if I miss a dose of Triglaz Plus?

If you miss a dose of Triglaz Plus, take it as soon as you remember. If it is close to your next scheduled dose, skip the missed dose and continue with your normal schedule.

9. Can I take other medications while taking Triglaz Plus?

Yes. However, it is important to tell your doctor about all prescription, non-prescription, and herbal medicines that you are taking before starting Triglaz Plus so that possible interactions can be evaluated.

10. What should I do if I experience severe side effects from taking Triglaz Plus?

If you experience severe side effects from taking Triglaz Plus, such as dizziness, confusion, difficulty breathing, or rash, seek medical attention immediately.

11. When should I take my dose of Triglaz Plus?

It is recommended to take your dose of Triglaz Plus with meals, as directed by your doctor.

12. Does Triglaz Plus cause weight gain?

Yes. Triglaz Plus can cause weight gain. This is because the combination of these medicines can increase appetite and cause fluid retention.

13. Will taking Triglaz Plus interfere with my lifestyle?

No. Triglaz Plus does not usually interfere with day-to-day activities. However, it is important to follow your doctor's directions and discuss any potential lifestyle changes that may be needed.

14. What types of foods should be avoided while taking Triglaz Plus?

It is important to maintain a healthy, balanced diet when taking Triglaz Plus. Avoid processed foods and sugary drinks, as they can raise blood sugar levels. Foods that are high in fat and cholesterol, such as red meat and dairy products, should also be avoided.

15. What should I do if I have taken more than the recommended dose of Triglaz Plus?

If you have taken more than the recommended dose of Triglaz Plus, it is important to seek medical attention immediately. Symptoms of an overdose may include confusion, dizziness, shallow breathing, or seizures.

16. Is it possible to become addicted to Triglaz Plus?

No. Triglaz Plus is not habit-forming and cannot lead to dependency or addiction. However, it is important to take the medication as directed by your doctor.

17. Is Triglaz Plus safe for children?

No. Triglaz Plus is not recommended for use in children, as the safety and efficacy of this medication have not been established.

18. Does Triglaz Plus interact with any other medications?

Yes. Triglaz Plus may interact with certain medications, such as blood pressure medications, warfarin, and nonsteroidal anti-inflammatory drugs. Be sure to tell your doctor about any medications you are taking before starting Triglaz Plus.

19. What should I do if I am allergic to any of the ingredients in Triglaz Plus?

If you are allergic to any of the ingredients in Triglaz Plus, you should not take this medication. Tell your doctor immediately if you experience any signs of allergic reaction, such as rash, hives, or difficulty breathing.

20. Does Triglaz Plus have any long-term effects?

In some cases, long-term use of Triglaz Plus may lead to bone loss, an increased risk of diabetes-related complications, and an increased risk of heart failure. It is important to talk to your doctor about any long-term effects that may be associated with this medication.

21. Can Triglaz Plus be used to treat other disorders?

No. Triglaz Plus is indicated only for the treatment of type 2 diabetes. It should not be used to treat any other disorders.

22. Does Triglaz Plus have any potential side effects for elderly patients?

Yes. Elderly patients may be more sensitive to the effects of Triglaz Plus and may experience increased side effects, such as dizziness or confusion. It is important to inform your doctor if you are an elderly patient before beginning treatment.

23. Is it safe to take Triglaz Plus if I am breastfeeding?

No. Triglaz Plus is not recommended for use while breastfeeding due to a potential risk of harm to the baby.

24. Does Triglaz Plus cause kidney damage?

In some cases, long-term use of Triglaz Plus may lead to a decreased functioning of the kidneys. It is important to have your kidney function tested by a doctor periodically when taking this medication.

25. Does Triglaz Plus affect blood sugar levels?

Yes. Triglaz Plus is used to reduce blood sugar levels in people with type 2 diabetes. It works by helping the body produce more insulin and by helping cells absorb glucose.

26. Is it safe to take Triglaz Plus if I have liver disease?

No. Triglaz Plus should not be taken if you have severe liver disease, as it can worsen your condition. If you have a history of liver disease, talk to your doctor before taking this medication.

27. Does Triglaz Plus cause increased thirst?

Yes. Triglaz Plus can cause increased thirst. It is important to drink plenty of fluids and to talk to your doctor if you are experiencing this side effect.

28. Can I exercise while taking Triglaz Plus?

Yes. Exercise can help to improve your blood sugar control while taking Triglaz Plus. However, it is important to talk to your doctor before beginning any new physical activity to determine if it is the best option for you.

29. What is the most important information I should know about Triglaz Plus?

The most important information to remember about Triglaz Plus is to take it exactly as prescribed by your doctor. Do not miss any doses or stop taking this medication without consulting your doctor, as this could worsen your condition.

30. Does Triglaz Plus interact with any other dietary supplements?

Yes. Triglaz Plus may interact with certain dietary supplements, such as chromium, vitamin D, and zinc. It is important to talk to your doctor before taking any dietary supplements while taking this medication.