Aristo Pharmaceuticals Pvt Ltd

Triglimiprex 2mg Tablet 10'S

Diabetes
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    Introduction About TRIGLIMIPREX 2MG TABLET

    What is Triglimiprex 2mg Tablet?

    Triglimiprex 2mg Tablet is prescribed by healthcare professionals to support chronic diabetes management. This medication acts by aiding glucose control through a unique combination approach. Latest clinical data supports its suitability for adults managing persistent blood sugar fluctuations, especially those seeking compatibility with moderating diet and activity routines.

    Administer exactly as per doctor’s guidance. It is suitable for once-daily oral use with or after meals as directed. Dosage may be adjusted according to age, co-existing conditions, and other medicines. Consult medical guidance for missed doses and modifications.

    Always review food interactions, existing conditions, and compatibility with regular activities. Discuss ongoing medications with the healthcare team to avoid possible drug-drug or drug-food interactions.

    Pregnancy, breastfeeding, and elderly advice should be personalized through medical consultation.

    Before taking Triglimiprex 2mg, inform your doctor if you have any liver, kidney or heart problems. It is strictly not recommended for use in patients with type I diabetes mellitus, bladder cancer, severe heart failure or lactic acidosis.

    Along with the management, follow the diet and lifestyle changes advised by your doctor to achieve better results. The most common side effects are low blood sugar levels, nausea, stomach upset, constipation, sore throat, muscle pain, headache, dizziness and weight gain. Consult your doctor if any of these side effect worsens.

    Uses Of TRIGLIMIPREX 2MG TABLET

    Benefits of TRIGLIMIPREX 2MG TABLET

    1. Multi-Mechanism Glucose Management:

    The combination targets different pathways glimepiride stimulates insulin secretion from the pancreas, metformin decreases sugar production in the liver, and pioglitazone increases insulin sensitivity resulting in more stable and effective blood sugar control compared to single-agent therapy.

    2. Helps to Avoid Diabetes Complications:

    By Maintaining optimal blood sugar levels can manage the risk of developing diabetic complications such as kidney damage, eye problems, and nerve issues, contributing to improved long-term health outcomes.

    3. Supports Lifestyle Adaptations:

    Triglimiprex is designed to work together with diet and exercise, making it easier for patients to achieve desired blood sugar targets and incorporate sustainable changes into their daily routines.

    4. Convenient Dosing for Better Adherence:

    Often prescribed as a once-daily tablet with a meal, Triglimiprex simplifies medication routines, leading to increased adherence and consistent diabetes management.

    How TRIGLIMIPREX 2MG TABLET Works

    1. How Triglimiprex 2mg Tablet Regulates Blood Sugar

    This medicine combines glimepiride, metformin, and pioglitazone, each working through distinct pathways:

    • Glimepiride increases insulin release from the pancreas, enabling more glucose to be cleared from the blood into body cells
    • Metformin lowers glucose production in the liver and delays its absorption from the intestines, and it also increases the body's sensitivity to insulin
    • Pioglitazone further improves insulin sensitivity, allowing tissues such as muscle and fat cells to utilize glucose more efficiently

    2. Triglimiprex 2mg Tablet dosage instructions

    • Take Triglimiprex 2mg Tablet exactly as prescribed by the healthcare provider, usually once daily with food (breakfast or the main meal)
    • Swallow the tablet whole, do not crush, chew, or break it
    • Adhere to a consistent routine for best results and optimal absorption
    • If a dose is missed, take it as soon as remembered unless it is nearly time for the next dose, never double the dose to catch up

    3. Triple Mechanism: Glimepiride, Metformin, Pioglitazone

    • Glimepiride (sulfonylurea): Promotes insulin release from beta cells in the pancreas, directly lowering blood sugar
    • Metformin (biguanide): Decreases hepatic glucose output, reduces intestinal glucose absorption, increases cellular insulin response
    • Pioglitazone (thiazolidinedione): Boosts body-wide insulin sensitivity, helping liver, muscle, and fat cells absorb and use glucose properly.

    How to use TRIGLIMIPREX 2MG TABLET

    1. Triglimiprex 2mg dosage instructions

    • Take Triglimiprex 2mg Tablet precisely as prescribed by the healthcare provider, typically once daily
    • The exact dosage and duration depend on individual health needs and blood sugar response

    2. Triglimiprex tablet with food or empty stomach?

    This tablet should be taken with food preferably during or immediately following the main meal (often breakfast). Taking it with food enhances absorption and decreases the risk of experiencing stomach upset or low blood sugar

    3. Steps to follow when forgetting a Triglimiprex dose

    • Take the missed dose as soon as detected, unless the next dose is soon, then skip and resume normal timing
    • Do not double up to catch up, as this may increase the risk of side effects
    • Maintain regular meal and medication schedules for best blood sugar control
    • If missed doses occur frequently, consult a healthcare provider for advice on safe management

    What if I forgot to take TRIGLIMIPREX 2MG TABLET

    • If a scheduled dose is missed, take it as soon as remembered
    • If it is nearly time for the next dose, skip the missed one and continue with the regular schedule
    • Never take two doses at the same time to compensate for the missed dose

    Overdose

    • If you or anyone else accidentally took more Triglimiprex 2mg Tablet, you may experience the signs of hypoglycemia (such as increased hunger, sweating, headache, feeling clammy, restless or aggressive, shakiness, fast heartbeat and confusion)
    • To manage this, consume any sugary food immediately. If the symptom did not improve or worsens contact your doctor immediately
    • Other symptoms of overdosage might include vomiting, stomach pain with muscle cramps, feeling generally unwell with severe tiredness and difficulty in breathing.

    Side Effects Of TRIGLIMIPREX 2MG TABLET

    Side effects to watch for in Triglimiprex use

    • hypoglycemia (low blood sugar levels)
    • diarrhea
    • stomach pain
    • loss of appetite
    • flatulence
    • changes in taste
    • metallic taste
    • joint pain
    • back pain
    • muscle pain

    When to consult a doctor?

    • signs of lactic acidosis (cold hands or feet, dizziness or light-headedness, slow or irregular heartbeat, weakness or tiredness, unusual muscle pain, trouble breathing, sleepiness or drowsiness, stomach pains, nausea or vomiting)
    • symptoms of heart failure (such as unusual shortness of breath or trouble in breathing, rapid increase in weight or localised swelling (oedema), especially in the ankles or legs, unusual tiredness)
    • increased risk of fractures (especially in the bones of hand, upper arm, or foot in women)
    • blurred vision due to swelling at the back of the eye or worsening of existing blurred vision
    • serious allergic reaction (hives, swelling of the face, lips, tongue or throat causing difficulty in breathing or swallowing)
    • signs of liver problems (nausea or vomiting, stomach pain, unusual or unexplained tiredness, loss of appetite, dark urine, yellowing of the skin or the whites of the eyes)

    How To Manage Side Effects

    Diarrhea

    Taking the tablet with meals helps mitigate stomach upset and diarrhea. Staying hydrated and eating small, frequent meals may also alleviate symptoms. If severe, consult your healthcare provider.Taking the tablet with meals helps mitigate stomach upset and diarrhea. Staying hydrated and eating small, frequent meals may also alleviate symptoms. If severe, consult your healthcare provider.

    Dizziness Or Drowsiness

    Ensure proper hydration and rest. Avoid sudden changes in posture to prevent dizziness. If symptoms persist or worsen, seek medical advice.

    Hypoglycemia

    Recognize early signs such as sweating, dizziness, and weakness. Keep quick sources of sugar like glucose tablets, fruit juice, or candies handy and consume them immediately if symptoms occur. Always take Triglimiprex with food to reduce this risk.

    Warning & Precautions

    Pregnancy

    Consult your doctor

    There are no adequate human data to determine the safety of Triglimiprex 2mg Tablet during pregnancy.

    Breastfeeding

    Consult your doctor

    It is not known if Triglimiprex 2mg Tablet passes into human milk and if it can harm your baby. Talk to your doctor about the best way to control your blood glucose levels while breastfeeding.

    Driving and Using Machines

    Use with Caution

    Do not drive or operate any heavy tools or machines if your ability is affected by Triglimiprex 2mg Tablet.

    Alcohol

    Consult your doctor

    Consumption of alcohol with Triglimiprex can unpredictably affect blood sugar and raise the risk of lactic acidosis, especially with metformin content in the combination.

    Kidney

    Consult your doctor

    Triglimiprex 2mg Tablet is not recommended for use in patients with severe kidney problems. It should be used with caution in patients with other kidney problems.

    Liver

    Consult your doctor

    Triglimiprex 2mg Tablet is not recommended for use in patients with severe liver problems. It should be used with caution in patients with other liver problems.

    Allergy

    Contraindicated

    Do not take Triglimiprex 2mg Tablet if you are allergic to Glimepiride, Metformin, Pioglitazone or to any other ingredients of this medicine.

    Heart Disease

    Consult your doctor

    Triglimiprex 2mg Tablet is not recommended for use in patients with severe heart problems (such as heart failure). It should be used with caution in patients with other heart problems.  

    Use In Pediatrics

    Contraindicated

    Triglimiprex 2mg Tablet is not recommended for use in children and in adolescents (aged below 18 years).  

    Use In Geriatrics

    Use with Caution

    Triglimiprex 2mg Tablet should be used with caution in elderly patients (aged above 65 years).

    Other Warnings for TRIGLIMIPREX 2MG TABLET

    Before taking  Triglimiprex 2mg Tablet inform your doctor if you:

    • are recovering from any injury, operation, infections or from any form of stress
    • have G6PD deficiency
    • are on fating or malnourished, starved, on an irregular diet, or feeling weak
    • perform extreme physical exercises without proper carbohydrate intake
    • are severely dehydrated
    • have hormonal problems
    • have edema  
    • have macular oedema  
    • have polycystic ovarian syndrome)
    • previously had stroke
    • have anemia  
    • have any bone problems or at risk of developing bone fractures
    • are a premenopausal woman
    • have thyroid problems

    Who should not take [GBNKEYWORD

    It is not recommended for use if you:

    • have type I diabetes mellitus  
    • have lactic acidosis  
    • have diabetic ketoacidosis
    • have bladder cancer
    • pass bloody urine

    Diet and Lifestyle Advice

    Patient Benefits and Lifestyle Considerations

    • Triglimiprex works through three complementary agents glimepiride, metformin, and pioglitazone to lower blood glucose by stimulating insulin release, reducing glucose production in the liver, and increasing insulin sensitivity in body tissues
    • These combined actions contribute to more consistent blood sugar levels throughout the day. When taken regularly as prescribed alongside a healthy diet and regular exercise, Triglimiprex 2mg Tablet can help manage the risk of diabetes-related complications like kidney damage, nerve problems, and vision impairment
    • Patients using Triglimiprex are encouraged to maintain regular meal patterns and avoid skipping doses to sustain optimal glucose control
    • Incorporating physical activity and following dietary advice, such as limiting simple sugars and refined carbohydrates, enhances medication effectiveness
    • It is also important to monitor blood sugar levels consistently and observe for symptoms of low blood sugar (hypoglycemia)
    • Avoidance of alcohol and consultation with healthcare providers regarding other medications reduces the risk of adverse interactions.

    Drug - Drug interaction

    1. Increased Effects:

    Medicines, including H2-antagonists, anticoagulants, beta-blockers, fluconazole, salicylates, gemfibrozil, sulfonamides, tricyclic antidepressants, and MAO inhibitors, can enhance the blood sugar-lowering effects of Triglimiprex, increasing the risk of hypoglycemia.

    2. Increased Toxicity:

    Medicines like cimetidine may increase hypoglycemic side effects. Others such as thiazide diuretics, corticosteroids, phenothiazines, thyroid products, estrogens, oral contraceptives, and phenytoin might raise blood sugar levels, potentially decreasing Triglimiprex effectiveness.

    3. Antibiotics and Antifungals:

    Rifampicin, tetracycline, clarithromycin, and fluconazole may interact adversely with Triglimiprex, requiring dose adjustment or vigilant monitoring.

    4. Other Considerations:

    Triglimiprex should be used cautiously with other antidiabetics to avoid excessive blood sugar lowering. Inform your healthcare provider of any heart, kidney, liver conditions, or other diseases before starting treatment as they might influence drug interactions.

    Drug - Food interaction

    Grapefruit Juice:

    It is advisable to avoid consuming grapefruit or grapefruit juice while taking Triglimiprex 2mg Tablet, as grapefruit may interact with the medication and potentially affect its effectiveness or increase side effects

    No Known Major Food Interactions:

    No specific foods or beverages besides grapefruit and alcohol are known to have significant interactions with Triglimiprex 2mg Tablet. Maintaining a balanced diet, low in simple sugars and refined carbohydrates, is beneficial for overall diabetes management but does not directly interact with the medication.

    Synopsis

    Drug :   Glimepiride, Metformin, Pioglitazone
    Pharmacological Category :   Sulfonylureas, Biguanides, PPAR-gamma and PPAR-alpha agonist
    Therapeutic Indication :   Type II diabetes mellitus    
    Dosage Forms :   Tablet

    More Information

    Alternatives to Triglimiprex

    • Glimin PM 2mg Tablet
    • Gemer P1 Tablet
    • Gluconorm PG 1 Tablet
    • Ziglim Plus 2mg Tablet

    Medication/Combination

    Components

    Mechanism of Action

    Dosing Convenience

    Common Side Effects

    Triglimiprex 2mg Tablet

    Glimepiride + Metformin + Pioglitazone

    Stimulates insulin release, reduces hepatic glucose production, increases insulin sensitivity

    Once daily with meals

    Hypoglycemia, weight gain, GI disturbances

    Metformin Alone

    Metformin

    Reduces liver glucose production and intestinal absorption

    Usually twice daily with meals

    GI upset, vitamin B12 deficiency (long term)

    Glimepiride + Metformin

    Glimepiride + Metformin

    Stimulates insulin release, reduces hepatic glucose production

    Usually twice daily

    Hypoglycemia, weight gain, GI upset

    Pioglitazone Alone

    Pioglitazone

    Increases insulin sensitivity

    Once daily

    Weight gain, edema, risk of heart failure in susceptible patients

    DPP-4 Inhibitors + Metformin

    Sitagliptin + Metformin, etc.

    Increases incretin levels, enhances insulin secretion

    Once daily

    Generally well tolerated, mild GI symptoms

    SGLT2 Inhibitors

    Empagliflozin, Canagliflozin, etc.

    Increases glucose excretion via urine

    Once daily

    Genitourinary infections, dehydration

    FAQs About TRIGLIMIPREX 2MG TABLET

    Q: What is Triglimiprex 2mg used for?

    A: Triglimiprex 2mg is an antidiabetic medicine used to manage type II diabetes mellitus when diet, exercise and management with single agent does not result in adequate response.

    Q: How and when to take Triglimiprex 2mg?

    A: Take Triglimiprex preferably after meals or as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

    Q: Can I take Triglimiprex with other diabetes medicines?

    A: Yes, Triglimiprex 2mg Tablet can be taken along with other diabetes medicines, but this should always be done under strict medical supervision due to potential drug interactions and increased risk of side effects.

    Q: How long should I take Triglimiprex?

    A: You need to take Triglimiprex as long as your doctor or physician prescribes you the medicine. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition.

    Q: What is the best time to take Triglimiprex 2mg?

    A: Triglimiprex 2mg must be taken with meals to avoid gastrointestinal side effects.

    Q: What to do if I forgot to take a dose of Triglimiprex 2mg Tablet?

    A: If you forgot to take a dose of Triglimiprex 2mg, take it as soon as you remember. However, if it is time for the next dose of Triglimiprex 2mg Tablet, skip the missed dose and take the next one regularly.

    Q: Can I stop taking Triglimiprex 2mg Tablet without consulting your doctor?

    A: No. You should not stop taking Triglimiprex 2mg Tablet without consulting your doctor because it may lead to reversal of symptoms.

    Q: Will taking a higher dose of Triglimiprex 2mg Tablet be more effective?

    A: No, taking a higher dose of  Triglimiprex 2mg  will not be effective, rather it can lead to toxicity. Always take the dose prescribed by your doctor. If the prescribed dose is not effective for you, consult your doctor for advice. Your doctor might increase the dose or suggest an alternative therapy.

    Q: Can I take medication for high blood pressure along with Triglimiprex 2mg?

    A: It is not advisable to take medicines to control blood pressure while taking Triglimiprex 2mg without consulting your doctor, as they have known interactions with Triglimiprex 2mg.

    Q: How to manage the side effects of Triglimiprex 2mg Tablet?

    A: Low blood sugar is a common side effect of taking Triglimiprex 2mg. Try to have sugar rich food items such as fruit juice, glucose tablets or gel, soft drinks, honey or sugary candy. Check your blood sugar after 10 minutes. If not gained optimum level, take another sugary snack, or drink, and check the blood sugar levels once again. If your condition did not improve, consult your doctor immediately.

    Q: Can Triglimiprex 2mg be taken with insulin?

    A: Co-administration of Triglimiprex 2mgwith insulin is considered risky as they can increase the chances of hypoglycemia (low blood sugar levels). Therefore, consult your doctor before taking it.

    Q: Does Triglimiprex 2mg cause weight gain?

    A: Yes. Triglimiprex 2mg may cause weight gain in some individuals. To avoid this, follow a healthy diet and regular physical activity as advised by your physician. However, if you experience any weight gain due to swelling of body parts (such as in face, legs, or hands), consult your doctor immediately.

    Q: What are the side effects of taking Triglimiprex 2mg?

    A: The most common side effects of taking Triglimiprex 2mg are low blood sugar levels, nausea, stomach upset, constipation, sore throat, muscle pain, headache, dizziness and weight gain. Consult your doctor if any of these side effect worsens.

    Q: Is Triglimiprex safe for older adults?

    A: Triglimiprex 2mg Tablet can be used safely by older adults, but with certain precautions due to age-related changes in kidney and liver function, which can affect drug metabolism and clearance.

    Q: How long does Triglimiprex take to show effects?

    A: Triglimiprex 2mg Tablet typically starts to show its blood sugar-lowering effects within 2 to 3 hours after administration. The medicine remains active in the body for about 24 hours, which supports its usual once-daily dosing schedule with food to maintain consistent blood glucose control throughout the day.

    Q: Will Triglimiprex cause weight gain or vitamin B12 deficiency?

    A: Triglimiprex 2mg Tablet may cause weight gain in some patients, which is a known side effect associated with certain components like pioglitazone and sulfonylureas such as glimepiride. Patients concerned about weight changes should discuss this with their healthcare provider for personalized management strategies.

    References

    1. KD. Tripathi. Insulin, Oral Hypoglycaemic Drugs and Glucagon. Essentials of medical pharmacology. Seventh edition. 2013. Page – 270, 275 & 277.

    2. Jeong Mi Kim, Sang Soo Kim, Jong Ho Kim, Mi Kyung Kim, Tae Nyun Kim, Soon Hee Lee, Chang Won Lee, Ja Young Park, Eun Sook Kim, Kwang Jae Lee, Young Sik Choi, Duk Kyu Kim and In Joo Kim. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. July 2019. [Accessed on September 20th 2025] 

    3. Brown & Burk UK Limited. Electronic Medicines Compendium (EMC). [Revised in December 2020] [Accessed on September 20th 2025] 

    4. Milpharm Limited. Electronic Medicines Compendium (EMC). [Revised in June 2020] [Accessed on September 20th 2025] 

    5. Rx Farma Limited. Electronic Medicines Compendium (EMC). [Revised in September 2019] [Accessed on September 20th 2025] 

    6. Gerard Laboratories. Electronic Medicines Compendium (EMC). [Revised in August 2020] [Accessed on September 20th 2025] 

    7. Cipla Ltd. TRIEXER ER Tablets (Glimepiride + Pioglitazone hydrochloride + Metformin hydrochloride). Ciplamed. [Revised in September 2020] [Accessed on September 20th 2025] 

    8. Central Drugs Standard Control Organization. FDC of Glimepiride (1mg/2mg) + Pioglitazone (15mg) + Metformin (500mg E.R) Tablet. August 2005. [Accessed on September 20th 2025] 

     

    Author Details

    Written By Srilekha. R - B.Pharm
    Reviewed For Accuracy By Dr. Jaya Prabakaran - MBBS, MD (Diabetology and Family Medicine)
    Last updated on 20 Nov 2024 | 12:08 PM(IST)
    Lab updated