INTRODUCTION ABOUT TRIBET FORTE 2MG TABLET

TRIBET FORTE 2MG TABLET is a combination of Glimepiride, 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.

Take TRIBET FORTE 2MG TABLET preferably after meals or as advised by your physician. Before taking TRIBET FORTE 2MG 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.

TRIBET FORTE 2MG 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 TRIBET FORTE 2MG TABLET as it may aggravate your existing condition.

The most common side effects of taking TRIBET FORTE 2MG 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 TRIBET FORTE 2MG TABLET

Management of Type II diabetes mellitus

HOW TRIBET FORTE 2MG TABLET WORKS

TRIBET FORTE 2MG 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 TRIBET FORTE 2MG TABLET 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.

Do not stop taking TRIBET FORTE 2MG TABLET unless your doctor advice you to stop.

SIDE EFFECTS OF TRIBET FORTE 2MG TABLET

COMMON

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 TRIBET FORTE 2MG 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)

HOW TO MANAGE SIDE EFFECTS

Bloating

To manage flatulence, consider dietary adjustments and lifestyle changes. Identify and limit gas-producing foods such as beans, cabbage, and carbonated drinks. Chew food thoroughly to aid digestion and reduce the likelihood of swallowing air. Introduce probiotics through yogurt or supplements to promote a healthy gut flora. Regular physical activity can also aid digestion. If persistent, consult a healthcare professional to rule out underlying issues and discuss potential solutions, such as medications or further dietary modifications.

Dizziness Or Drowsiness

Managing dizziness involves addressing potential underlying causes and making lifestyle adjustments. If you experience sudden or severe dizziness, it's important to sit or lie down to manage the risk of falling. Ensure proper hydration and maintain a balanced diet to regulate blood sugar levels. Avoid sudden movements and try to rise slowly from a seated or lying position. If dizziness persists, it's advisable to consult with a healthcare professional to rule out any serious medical conditions.

Headache

TRIBET FORTE 2MG TABLET is not recommended for use in children and in adolescents (aged below 18 years). Therefore, consult your doctor before taking it.

USE IN GERIATRICS

Use with Caution

TRIBET FORTE 2MG TABLET should be used with caution in elderly patients (aged above 65 years). Therefore, consult your doctor before taking it.

OTHERS

TRIBET FORTE 2MG 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

Before taking TRIBET FORTE 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 (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

INTERACTIONS

A. Drug-Drug Interactions:

Before taking TRIBET FORTE 2MG TABLET, inform your doctor if you are taking any of the following medicines:

antidiabetics (such as teneligliptin, rosiglitazone, insulin, gliclazide)
pain killers (Ex. aspirin, ibuprofen, celecoxib, phenylbutazone, azopropazone, oxyphenbutazone, phenazone)
antibiotics (amikacin, nitrofurantoin, sulfamethoxazole, tetracyclines, chloramphenicol, ciprofloxacin, clarithromycin, fusidic acid, erythromycin, clarithromycin, telithromycin)
Antifungal agents (Ex. fluconazole, miconazole, isuvaconazole)
medicines used to manage blood clotting (Ex. warfarin)
medicines used for male sex hormone replacement therapy (Ex. testosterone)
Antidepressants (such as moclobemide, isocarboxazid, phenelzine, tranylcypromine, fluoxetine, St John’s wort)
Heart medicines (Ex. enalapril, lisinopril, ramipril, atenolol, propranolol, telmisartan, olmesartan, clonidine, guanethidine and reserpine, disopyramide, prazosin, doxazosin, ranolazine, amlodipine, diltiazem, digoxin, verapamil, amiodarone)
gout medicines (Ex. allopurinol, probenecid, sulfinpyrazone)
Anticancer agents (Ex. cyclophosphamide, ifosfamide, trofosfamide, vandetanib, crizotinib and olaparib)
fenfluramine (a medicine used for obesity and fits)
pentoxifylline (a medicine which can improve blood flow in the body)
anti-allergic medicines (Ex. tritoqualine)
alpha blockers (medicines used to manage high blood pressure or prostate problems) Ex.
hormonal replacement therapy (used to manage menstrual disorders in women) Ex. estradiol
thiazide diuretics (Ex. hydrochlorothiazide)
levothyroxine (a medicine used for thyroid problems)
Antipsychotics (such as chlorpromazine, prochlorperazine, lithium)
corticosteroids (used to manage pain and inflammation) Ex. prednisolone, betamethasone
Antiasthmatics (Ex. salbutamol, terbutaline)
adrenaline (a medicine used to manage emergency conditions)
medicines used to manage constipation (Ex. lactulose, liquid paraffin)
glucagon, diazoxide (medicines used to manage signs of low blood sugar levels)
cimetidine (a medicine used to manage stomach ulcers)
rifampicin (a medicine used for tuberculosis)

Overdosage:

If you or anyone else accidentally took more TRIBET FORTE 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.

SYNOPSIS

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

MORE INFORMATION

Keep TRIBET FORTE 2MG TABLET out of reach of children
Store TRIBET FORTE 2MG TABLET at room temperature

FAQs ABOUT TRIBET FORTE 2MG TABLET

Q: What is TRIBET FORTE 2MG TABLET used for?

A: TRIBET FORTE 2MG 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.

Q: How and when to take TRIBET FORTE 2MG TABLET?

A: Take TRIBET FORTE 2MG TABLET preferably after 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.

Q: How long should I take TRIBET FORTE 2MG TABLET?

A: You need to take TRIBET FORTE 2MG 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.

Q: What is the best time to take TRIBET FORTE 2MG TABLET?

A: TRIBET FORTE 2MG TABLET must be taken with meals to avoid gastrointestinal side effects.

Q: What to do if I forgot to take a dose of TRIBET FORTE 2MG TABLET?

A: If you forgot to take a dose of TRIBET FORTE 2MG TABLET, take it as soon as you remember. However, if it is time for the next dose of TRIBET FORTE 2MG TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of TRIBET FORTE 2MG TABLET to compensate the missed ones.

Q: Can I stop taking TRIBET FORTE 2MG TABLET without consulting your doctor?

A: No. You should not stop taking TRIBET FORTE 2MG TABLET without consulting your doctor because it may lead to reversal of symptoms. If you feel better after using TRIBET FORTE 2MG TABLET, consult your doctor for advice.

Q: Will taking a higher dose of TRIBET FORTE 2MG TABLET be more effective?

A: No, taking a higher dose of TRIBET FORTE 2MG 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.

Q: Can I take medication for high blood pressure along with TRIBET FORTE 2MG TABLET?

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

Q: How to manage the side effects of TRIBET FORTE 2MG TABLET?

A: Low blood sugar is a common side effect of taking TRIBET FORTE 2MG 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.

Q: Can TRIBET FORTE 2MG TABLET be taken with insulin?

A: Co-administration of TRIBET FORTE 2MG 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.

Q: Can TRIBET FORTE 2MG TABLET be used in pregnant women?

A: TRIBET FORTE 2MG TABLET is not recommended for use in pregnant women. Therefore, consult your doctor for advice before taking it.

Q: Does TRIBET FORTE 2MG TABLET cause bone fractures?

A: TRIBET FORTE 2MG TABLET may cause bone fractures in some individuals. Therefore, it is important for you to inform your doctor before taking TRIBET FORTE 2MG TABLET if you have any bone problems or at risk of developing any bone fractures (such as menopause).

Q: Does TRIBET FORTE 2MG TABLET cause weight gain?

A: Yes. TRIBET FORTE 2MG 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.

Q: What are the side effects of taking TRIBET FORTE 2MG TABLET?

A: The most common side effects of taking TRIBET FORTE 2MG 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.

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 9th January 2023] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043969/

3. Brown & Burk UK Limited. Electronic Medicines Compendium (EMC). [Revised in December 2020] [Accessed on 22nd January 2024] https://www.medicines.org.uk/emc/files/pil.10742.pdf

4. Milpharm Limited. Electronic Medicines Compendium (EMC). [Revised in June 2020] [Accessed on 22nd January 2024] https://www.medicines.org.uk/emc/files/pil.594.pdf

5. Rx Farma Limited. Electronic Medicines Compendium (EMC). [Revised in September 2019] [Accessed on 22nd January 2024] https://www.medicines.org.uk/emc/files/pil.11951.pdf

6. Gerard Laboratories. Electronic Medicines Compendium (EMC). [Revised in August 2020] [Accessed on 22nd January 2024] https://www.medicines.org.uk/emc/files/pil.8836.pdf

7. Cipla Ltd. TRIEXER ER Tablets (Glimepiride + Pioglitazone hydrochloride + Metformin hydrochloride). Ciplamed. [Revised in September 2020]. [Accessed on 22nd January 2024] https://www.ciplamed.com/content/triexer-er-tablets

8. Central Drugs Standard Control Organization. FDC of Glimepiride (1mg/2mg) + Pioglitazone (15mg) + Metformin (500mg E.R) Tablet. August 2005. [Accessed on 9th January 2023] https://cdscoonline.gov.in/CDSCO/Drugs

USEFUL DIAGNOSTIC TESTS

Glucose-Fasting Blood
HbA1C, Also known as Glycated Hemoglobin, Glycosylated Hemoglobin
Blood Glucose Fasting (FBS)
Post Prandial Blood Sugar (PPBS)
Netmeds Diabetic Checkup
Advance Diabetes Monitoring (Senior Female)

AUTHOR DETAILS

Written By Srilekha. R, B.Pharm
Last updated on 24 Jan 2024 | 06:08 PM(IST)