DIANORM TOTAL 60 Tablet 15's
Key Information
Generic Name
Generic Name Gliclazide 60 mg+Metformin 500 mg+Pioglitazone 15 mg
Manufacturer
Micro Labs Ltd
Variant
15 Tablet(s) in a Strip
Country of Origin
India
Detailed Information
Introduction
DIANORM TOTAL 60MG TABLET is a combination of Gliclazide, Metformin and Pioglitazone which belongs to the group of medicines called Antidiabetic agents. It is used in adults to manage type II diabetes mellitus when diet, exercise and management with single agents does not result in adequate sugar control. Type II diabetes mellitus is a chronic disease characterized by abnormally high levels of glucose in the blood. It is caused due to inadequate production of a hormone called insulin (produced by pancreas to metabolize glucose) in the body or due to inadequate sensitivity of body cells to the actions of insulin. Before taking DIANORM TOTAL 60MG TABLET, inform your doctor if you have any liver, kidney or heart problems. You must also inform your doctor if you have any eye problems, hormonal imbalance, alcoholism, or if you are malnourished, starved, on an irregular diet as a precaution. DIANORM TOTAL 60MG TABLET is strictly not recommended for use in patients with type I diabetes mellitus, bladder cancer, severe heart failure or lactic acidosis. It is also not suitable for use in pregnant or breastfeeding women. Along with the management, follow the diet and lifestyle changes advised by your doctor to achieve better results. Avoid smoking and consumption of alcohol while taking DIANORM TOTAL 60MG TABLET as it may aggravate your existing condition. The most common
Uses
OF DIANORM TOTAL 60MG TABLET Management of Type II diabetes mellitus
How It Works
DIANORM TOTAL 60MG TABLET stimulates the pancreas to secrete more insulin (a hormone involved in glucose metabolism). It also makes our body more sensitive to insulin which helps in digesting the circulating sugars (glucose) in the blood, thereby reducing blood sugar levels. Additionally, it can also reduce the glucose produced by the liver and reduces its absoprtion in the body.
Directions for Use
Take DIANORM TOTAL 60MG TABLET preferably just before meals or during 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. Do not stop taking DIANORM TOTAL 60MG TABLET unless your doctor advice you to stop.
Side Effects
taking DIANORM TOTAL 60MG TABLET 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 DIANORM TOTAL 60MG TABLET Management of Type II diabetes mellitus HOW DIANORM TOTAL 60MG TABLET WORKSDIANORM TOTAL 60MG TABLET stimulates the pancreas to secrete more insulin (a hormone involved in glucose metabolism). It also makes our body more sensitive to insulin which helps in digesting the circulating sugars (glucose) in the blood, thereby reducing blood sugar levels. Additionally, it can also reduce the glucose produced by the liver and reduces its absoprtion in the body. DIRECTIONS FOR USETake DIANORM TOTAL 60MG TABLET preferably just before meals or during 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. Do not stop taking DIANORM TOTAL 60MG TABLET unless your doctor advice you to stop. SIDE EFFECTS OF DIANORM TOTAL 60MG TABLETCOMMON hypoglycemia (low blood sugar levels) nausea, vomiting diarrhea, stomach pain, loss of appetite, flatulence changes in taste, metallic taste headache, dizziness joint pain, back pain, muscle pain impotence respiratory infection, sinus infection, sore throat weight gain UNCOMMON difficulty in sleeping (insomnia) proteins in urine spinning sensation (vertigo) Stop taking DIANORM TOTAL 60MG TABLET and contact your doctor immediately if you experience any of the following side effects: 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) signs and symptoms of bladder cancer (such as blood in your urine, pain while urinating or urgent need to pee) 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 (such as hives, swelling of the face, lips, tongue or throat causing difficulty in breathing or swallowing) signs of liver problems (such as nausea or vomiting, stomach pain, unusual or unexplained tiredness, loss of appetite, dark urine, yellowing of the skin or the whites of the eyes)
Warnings & Precautions
& PRECAUTIONSPREGNANCYContraindicatedDIANORM TOTAL 60MG TABLET is not recommended for use in pregnant women. Therefore, consult your doctor before taking it. BREASTFEEDINGContraindicatedDIANORM TOTAL 60MG TABLET is not recommended for use in breastfeeding women. Therefore, consult your doctor before taking it. DRIVING AND USING MACHINESUse with CautionDo not drive or operate any heavy tools or machines if your ability is affected by DIANORM TOTAL 60MG TABLET. ALCOHOLConsult your doctorAvoid consumption of alcohol while taking DIANORM TOTAL 60MG TABLET as it may increase the risk of unwanted side effects. KIDNEYConsult your doctorDIANORM TOTAL 60MG TABLET is not recommended for use in patients with severe kidney problems. It should be used with caution in patients with other kidney problems. Therefore, consult your doctor before taking it. LIVERConsult your doctorDIANORM TOTAL 60MG TABLET is not recommended for use in patients with severe liver problems. It should be used with caution in patients with other liver problems. Therefore, consult your doctor before taking it. ALLERGYContraindicatedDo not take DIANORM TOTAL 60MG TABLET if you are allergic to Gliclazide, Metformin, Pioglitazone or to any other sulfonylureas (Ex. glyburide, glimepiride) or sulphonamides (Ex. sulfasalazine). LUNGSContraindicatedDIANORM TOTAL 60MG TABLET is not recommended for use in patients with breathing problems (such as asthma or COPD). Therefore, consult your doctor before taking it. HEART DISEASEConsult your doctorDIANORM TOTAL 60MG 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. Therefore, consult your doctor before taking it. USE IN PEDIATRICSContraindicatedDIANORM TOTAL 60MG TABLET is not recommended for use in children and in adolescents (aged below 18 years). Therefore, consult your doctor before taking it. USE IN GERIATRICSUse with CautionDIANORM TOTAL 60MG TABLET should be used with caution in elderly patients (aged above 65 years). Therefore, consult your doctor before taking it. OTHERSDIANORM TOTAL 60MG TABLET is not recommended for use if you: have type I diabetes mellitus (insulin dependent diabetes) have lactic acidosis (build-up of lactic acid in the body) have diabetic ketoacidosis (a diabetic complication causing episodes of fatigue, nausea, frequent urination and muscular stiffness) have bladder cancer pass bloody urine are scheduled for any surgery recently met with any accident have any serious infection Before taking DIANORM TOTAL 60MG 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 (Ex. disorders of pituitary gland, adrenal cortex or thyroid gland) are an alcoholic have edema (swelling of body parts) smoke have special type of diabetic eye disease called macular oedema (swelling of the back of the eye with worsening of your vision) have cysts on your ovaries (polycystic ovarian syndrome) previously had stroke have anemia (low RBC in blood) have any bone problems or at risk of developing bone fractures are a premenopausal woman have thyroid problems
Drug Interactions
SA. Drug-Drug Interactions: Before taking DIANORM TOTAL 60MG TABLET, inform your doctor if you are taking any of the following medicines: other antidiabetic agents (such as teneligliptin, rosiglitazone, insulin, glimepiride) pain killers (Ex. aspirin, ibuprofen, celecoxib, phenylbutazone, azopropazone, oxyphenbutazone) antibiotics for UTI (amikacin, nitrofurantoin, sulfamethoxazole) other antibiotics (such as tetracyclines, chloramphenicol, ciprofloxacin, clarithromycin) antifungal agents (Ex. fluconazole, miconazole, isuvaconazole) medicines used for male sex hormone replacement therapy (Ex. testosterone) antidepressants (such as moclobemide, isocarboxazid, phenelzine, tranylcypromine, fluoxetine, St.John’s Wort) H2 receptor antagonist (such as ranitidine, famotidine) lipid lowering agents (Ex. fenofibrate, nicotinic acid, colesevelam) antihypertensive agents (Ex. enalapril, lisinopril, ramipril, atenolol, propranolol, telmisartan, olmesartan, clonidine, guanethidine and reserpine) anticancer agents (Ex. cyclophosphamide, ifosfamide, trofosfamide, vandetanib, crizotinib and olaparib) anti-allergic medicines (Ex. tritoqualine) hormonal replacement therapy (used to manage menstrual disorders in women) Ex. estradiol thiazide diuretics (used to manage edema and high blood pressure) Ex. hydrochlorothiazide antipsychotic drugs (such as chlorpromazine, prochlorperazine, lithium) corticosteroids (used to manage pain and inflammation) Ex. prednisolone, betamethasone anti-asthmatics (Ex. salbutamol, terbutaline) anti-epileptic drugs (Ex. phenytoin) cimetidine (a medicine used to manage stomach ulcers) rifampicin (an anti-TB medicine) dolutegravir (an antiviral agent) ranolazine (a medicine used in the management of chest pain) trimethoprim (an antibiotic) ritodrine (a medicine used in the management of premature labour) Overdosage: If you or anyone else accidentally took more DIANORM TOTAL 60MG 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. SYNOPSIS Drug : Gliclazide, Metformin, Pioglitazone Pharmacological Category : Sulfonylureas, Biguanides, PPAR-gamma and PPAR-alpha agonists Therapeutic Indication : Type II diabetes mellitus Dosage Forms : Tablet MORE INFORMATION Keep DIANORM TOTAL 60MG TABLET out of reach of children Store DIANORM TOTAL 60MG TABLET at room temperature
Frequently Asked Questions
Common questions and answers about DIANORM TOTAL 60 Tablet 15's.
What is DIANORM TOTAL 60MG TABLET used for?
DIANORM TOTAL 60MG TABLET is an antidiabetic medicine used in the management of Type II diabetes mellitus when diet, exercise and management with single agents does not result in adequate response.
How and when to take DIANORM TOTAL 60MG TABLET?
Take DIANORM TOTAL 60MG TABLET preferably just before meals or during meals or as advised by your physician. Swallow the medicine with a glass of water. Do not cursh 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.
How long should I take DIANORM TOTAL 60MG TABLET?
You need to take DIANORM TOTAL 60MG TABLET 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.
What is the best time to take DIANORM TOTAL 60MG TABLET?
DIANORM TOTAL 60MG TABLET must be just before meals or during meals to avoid gastrointestinal side effects.
What to do if I forgot to take a dose of DIANORM TOTAL 60MG TABLET?
If you forgot to take a dose of DIANORM TOTAL 60MG TABLET, take it as soon as you remember. However, if it is time for the next dose of DIANORM TOTAL 60MG TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of DIANORM TOTAL 60MG TABLET to compensate the missed ones.
Can I stop taking DIANORM TOTAL 60MG TABLET without consulting your doctor?
No. You should not stop taking DIANORM TOTAL 60MG TABLET without consulting your doctor because it may lead to reversal of symptoms. If you feel better after using DIANORM TOTAL 60MG TABLET, consult your doctor for advice.
Will taking a higher dose of DIANORM TOTAL 60MG TABLET be more effective?
No, taking a higher dose of DIANORM TOTAL 60MG TABLET 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.
Can I take medication for high blood pressure along with DIANORM TOTAL 60MG TABLET?
It is not advisable to take medicines to control blood pressure while taking DIANORM TOTAL 60MG TABLET without consulting your doctor, as they have known interactions with DIANORM TOTAL 60MG TABLET.
How to manage the side effects of DIANORM TOTAL 60MG TABLET?
Low blood sugar is a common side effect of taking DIANORM TOTAL 60MG TABLET. 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.
Can DIANORM TOTAL 60MG TABLET be taken with insulin?
Co-administration of DIANORM TOTAL 60MG TABLET with insulin is considered risky as they can increase the chances of hypoglycemia (low blood sugar levels). Therefore, consult your doctor before taking it.
Can DIANORM TOTAL 60MG TABLET be used in pregnant women?
DIANORM TOTAL 60MG TABLET is not recommended for use in pregnant women. Therefore, consult your doctor for advice before taking it.
Does DIANORM TOTAL 60MG TABLET cause bone fractures?
DIANORM TOTAL 60MG TABLET may cause bone fractures in some individuals. Therefore, it is important for you to inform your doctor before taking DIANORM TOTAL 60MG TABLET if you have any bone problems or at risk of developing any bone fractures (such as menopause).
Does DIANORM TOTAL 60MG TABLET cause weight gain?
Yes. DIANORM TOTAL 60MG TABLET 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.
What are the side effects of taking DIANORM TOTAL 60MG TABLET?
The most common side effects of taking DIANORM TOTAL 60MG TABLET 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.
Article Information
Written By
DETAILS Written By Srilekha. R
Medical Content Writer
Reviewed By
Dr. Sankara Babu Gorle
Medical Expert
Last Updated
31 Jan 2024