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compositionComposition:GLICLAZIDE-30MG+METFORMIN-500MG+PIOGLITAZONE-15MG
prescription
Prescription Medicine
info
Dianorm Total-30 Tablet 10's
Dianorm Total-30 Tablet 10's
Dianorm Total-30 Tablet 10's

Dianorm Total-30 Tablet is used to treat Type 2 diabetes. It works by increasing the insulin released by the pancreas, lowering glucose production in the liver, delaying glucose absorption from the intestines and increasing the body's response to insulin. It may cause side effects such as nausea, taste change, weight gain, vomiting, diarrhoea, stomach ache, and respiratory infection. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

GLICLAZIDE-30MG+METFORMIN-500MG+PIOGLITAZONE-15MG

Manufacturer/Marketer :

Micro Labs Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Dianorm Total-30 Tablet

Dianorm Total-30 Tablet is an oral prescription medicine used to manage type 2 diabetes in adults. It is prescribed when a single or double-ingredient medicine is not enough to keep blood sugar levels in a safe target range. This medicine helps your body respond better to its own insulin and control the amount of sugar in your blood.

For the best results, you must take Dianorm Total-30 Tablet consistently every day as directed by your healthcare provider. It is usually taken with meals to reduce the chance of experiencing an upset stomach. Combining Dianorm Total-30 Tablet with a balanced, low-sugar diet and regular physical activity is essential to achieve long-term control over your blood sugar levels.

While taking Dianorm Total-30 Tablet , you may experience some common side effects, such as mild stomach discomfort, low blood sugar, or slight weight changes. Most of these symptoms are temporary, but you should contact your doctor immediately if you notice more serious signs like severe abdominal pain, extreme fatigue, or yellowing of your skin or eyes.

Do not take Dianorm Total-30 Tablet if you have severe kidney disease, liver failure, active bladder cancer, or a history of severe heart failure. It is also not suitable for treating type 1 diabetes or diabetic ketoacidosis. Always share your complete medical history with your doctor before starting Dianorm Total-30 Tablet so they can ensure it is safe for you.

This medicine can interact with other prescriptions, over-the-counter drugs, and alcohol, which can significantly increase your risk of dangerously low blood sugar or liver strain. Pregnant or breastfeeding individuals, as well as elderly patients, must consult their doctor before using Dianorm Total-30 Tablet , as special dosage adjustments or alternative treatments may be necessary.

Uses of Dianorm Total-30 Tablet

Dianorm Total-30 Tablet is used to manage high blood sugar levels in individuals with type 2 diabetes. The detailed uses of Dianorm Total-30 Tablet are as follows:

  • Type 2 Diabetes Mellitus: Dianorm Total-30 Tablet helps lower high blood glucose (sugar) levels in adults whose diabetes cannot be controlled by diet, exercise, or other single-agent medications alone.
  • Prevention of Diabetes Complications: By maintaining steady, long-term control over blood sugar levels, Dianorm Total-30 Tablet helps reduce the risk of serious diabetes-related issues, such as kidney damage, nerve pain, eye problems, and cardiovascular complications like heart attacks or strokes.

Key Benefits

Dianorm Total-30 Tablet helps manage type 2 diabetes by improving overall blood sugar control throughout the day. Maintaining healthy glucose levels over time also supports long-term health and lowers the risk of diabetes-related complications.

Benefits may include:

  • Helps maintain healthier blood glucose levels throughout the day.
  • Helps relieve excessive thirst, frequent urination, and tiredness associated with high blood sugar.
  • Promotes more stable blood sugar levels between meals and after eating.
  • Helps protect the heart, kidneys, eyes, and nerves from diabetes-related damage.
  • Supports overall well-being and confidence in managing type 2 diabetes.
Side effects of Dianorm Total-30 Tablet
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Skin rash caused by allergies is due to irritants or allergens. Therefore, avoid contact with such irritants.
  • Consult your doctor for proper medication and apply an anti-itch medication. Follow the schedule and use the medication whenever needed.
  • Protect your skin from extreme heat and try to apply wet compresses.
  • Soak in the cool bath, which gives a soothing impact to the affected area.
Managing Medication-Triggered Flushing (Reddening of the skin): A Step-by-Step Guide:
  • Consult your doctor if you experience skin redness, itching, or irritation after taking medication.
  • Your doctor may adjust your treatment plan by changing your medication or providing guidance on managing your erythema symptoms.
  • Your doctor may recommend or prescribe certain medications to help alleviate symptoms.
  • Apply cool compresses or calamine lotion to the affected skin area to reduce redness and itching.
  • Stay hydrated by drinking plenty of water to help alleviate symptoms and keep your skin hydrated.
  • Monitor your skin condition closely and promptly report any changes, worsening symptoms, or concerns to your healthcare provider.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.

Directions for Use

  • Swallow the tablet whole with a full glass of water.
  • Do not crush, chew, break, or dissolve the tablet, as this can alter how the medicine is absorbed into your body.
  • Take this medicine with or immediately after a meal to reduce the risk of stomach upset and to help prevent your blood sugar from dropping too low.
  • Try to take your medicine at the same time each day to build a habit and keep a steady level of the drug in your body.
  • Always follow your doctor’s exact instructions regarding the timing and daily schedule of your medication.

How Dianorm Total-30 Tablet Works

Dianorm Total-30 Tablet contains Gliclazide, metformin and pioglitazone. • Gliclazide: It stimulates the beta cells in your pancreas to produce and release more insulin. Insulin is the hormone responsible for moving sugar out of your bloodstream and into your cells, where it can be used for energy. • Metformin: It works primarily in two ways: it reduces the amount of excess sugar your liver produces and releases into your blood, and it slows down the absorption of sugar from the food you eat through your intestines. It also helps your body use its existing insulin more efficiently. • Pioglitazone: It targets insulin resistance directly. It makes your muscle, fat, and liver cells more sensitive to insulin, allowing them to absorb and clear sugar from the blood more effectively.
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Alcohol

Caution

Alcohol may increase the risk of side effects and worsen the condition.

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Pregnancy

Caution

If you are pregnant, consult your doctor before taking Dianorm Total-30 Tablet . Your doctor may prescribe this medicine if the benefits outweigh the risks.

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Breast Feeding

Caution

If you are breastfeeding, consult your doctor before taking Dianorm Total-30 Tablet . Your doctor may prescribe this medicine if the benefits outweigh the risks.

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Driving

Caution

Dianorm Total-30 Tablet may cause vision problems. So, do not drive or operate heavy machinery if you have any problems with your vision while using Dianorm Total-30 Tablet .

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Liver

Caution

Dianorm Total-30 Tablet should be taken with caution, especially if you have a history of liver diseases/conditions. Your doctor may adjust the dose if required based on your condition.

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Kidney

Caution

Dianorm Total-30 Tablet should be taken with caution in patients with kidney diseases. Your doctor may adjust the dose if required based on your condition.

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Children

Unsafe

Dianorm Total-30 Tablet is not recommended for use in children below 18 years.

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Heart

Consult your doctor

Please inform your doctor if you have any pre-existing heart problems before taking Dianorm Total-30 Tablet .

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Geriatrics

Consult your doctor

This medicine is not safe for use in elderly patients due to its serious side effects.

What if I have taken an overdose of Dianorm Total-30 Tablet

If you take more than your prescribed dose of Dianorm Total-30 Tablet , seek immediate medical attention or call an emergency poison control centre. An overdose can cause severe low blood sugar (hypoglycemia) or lactic acidosis (a serious and potentially life-threatening buildup of lactic acid in the blood associated with metformin). Symptoms may include extreme confusion, rapid heartbeat, heavy sweating, shaking, severe weakness, difficulty breathing, seizures, or loss of consciousness.

Diet & Lifestyle Advise

  • Monitor your carbohydrate intake: Focus on complex carbohydrates like whole grains, vegetables, and legumes, while avoiding refined sugars and sugary drinks that cause sharp blood sugar spikes.
  • Stay active regularly: Engage in moderate exercise, such as brisk walking, swimming, or cycling, for at least 30 minutes most days of the week, as this naturally improves your insulin sensitivity.
  • Keep a reliable food and sugar log: Tracking your daily meals alongside your blood sugar readings can help you and your healthcare provider understand how your body responds to different foods and activities.
  • Practice proper foot care: Check your feet daily for any cuts, sores, blisters, or redness, as high blood sugar can reduce blood flow and sensation in your feet, making it harder for wounds to heal.
  • Stay well-hydrated: Drink plenty of water throughout the day to help your kidneys filter out excess sugar and maintain healthy bodily functions.

Have a query?

How Soon It Starts Working

  • The time required for Dianorm Total-30 Tablet to start to work: Dianorm Total-30 Tablet ideally shows its action within 1 to 3 hours after administration.
  • The time for which the effects of Dianorm Total-30 Tablet last: The effect of Dianorm Total-30 Tablet lasts for 24 hours.

What if you forget to take Dianorm Total-30 Tablet

If you miss a dose, take it with your next meal as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular schedule. Do not take two doses at the same time to make up for a missed one, as this can cause your blood sugar to drop to a dangerously low level.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Carry a fast-acting sugar source: Always keep glucose tablets, fruit juice, or hard candies with you to quickly treat sudden symptoms of low blood sugar.
  • Schedule regular lab tests: Your doctor will need to perform routine blood tests to check your kidney function, liver health, and long-term blood sugar levels (HbA1c) while you are taking Dianorm Total-30 Tablet .
  • Limit or avoid alcohol: Drinking alcohol while taking this medicine can increase the risk of severe low blood sugar and lactic acidosis, a rare but potentially life-threatening buildup of lactic acid in the blood associated with metformin.
  • Watch for sudden swelling: Monitor your body for any rapid weight gain or swelling in your lower limbs, and report these changes to your doctor immediately.
  • Notify your doctor: Always inform any doctor, dentist, or surgeon that you are taking Dianorm Total-30 Tablet , especially if you are scheduled for a medical procedure or imaging test that uses contrast dye.

Drug-Drug Interactions

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Drug-Drug Interactions:

  • Other Blood Sugar-Lowering Medicines (e.g., insulin, glimepiride, sitagliptin): Combining Dianorm Total-30 Tablet with other blood sugar-lowering drugs can greatly increase the risk of low blood sugar.
  • Certain medicines used to treat high blood pressure (e.g., metoprolol, propranolol): These medicines may mask warning signs of low blood sugar, such as a fast heartbeat, when taken with Dianorm Total-30 Tablet .
  • Steroids (e.g., prednisolone, dexamethasone): Taking these medicines alongside Dianorm Total-30 Tablet may increase blood sugar levels and may reduce the effectiveness of the medicine.
  • Diuretics/Water pills (e.g., hydrochlorothiazide, furosemide): Combining Dianorm Total-30 Tablet with other pills may increase blood sugar levels and may reduce the effectiveness of the medicine.

Drug-Food Interactions:

  • Alcohol: Drinking alcohol can severely increase the risk of low blood sugar and lead to serious metabolic complications.

Drug-Disease Interactions:

  • Kidney or Liver Disease: Having severe kidney or liver impairment can cause this medicine to build up in your body, increasing the risk of serious side effects.
  • Heart Failure: Dianorm Total-30 Tablet should not be used if you have active or severe heart failure, as it can cause fluid retention that may worsen your condition.
  • Severe Infections or Dehydration: Conditions that cause severe dehydration, high fever, shock, or serious infection can increase the risk of lactic acidosis, a rare but potentially life-threatening buildup of lactic acid in the blood. Medical supervision may be required during such illnesses.
Pioglitazone + Metformin + GliclazideAcetazolamide
Severe
Pioglitazone + Metformin + GliclazideLomitapide
Severe

Drug-Drug Interactions

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Pioglitazone + Metformin + GliclazideAcetazolamide
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Co-administration of Pioglitazone, Metformin and Gliclazide with Acetazolamide may increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between Pioglitazone, Metformin and Gliclazide with Acetazolamide, you can take these medicines together if prescribed by a doctor. However, if you have symptoms such as tiredness, weakness, muscle pain, difficulty in breathing, dizziness, or chest pain, contact a doctor. Do not discontinue any medications without consulting a doctor.
Pioglitazone + Metformin + GliclazideLomitapide
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Taking Lomitapide with of of Pioglitazone, Metformin and Gliclazide can increase the risk of liver problems.

How to manage the interaction:
Co-administration of Pioglitazone, Metformin and Gliclazide with Lomitapide can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms such as fever, chills, joint pain or swelling, unusual bleeding or bruising, a skin rash or itching, loss of hunger, nausea, vomiting, or yellowing of the skin or the whites of your eyes, consult a doctor. Do not stop using any medications without talking to a doctor.
Pioglitazone + Metformin + GliclazideTeriflunomide
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Taking Teriflunomide with of of Pioglitazone, Metformin and Gliclazide can increase the risk of liver problems.

How to manage the interaction:
Co-administration of Pioglitazone, Metformin and Gliclazide with Teriflunomide can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms such as fever, chills, joint pain or swelling, unusual bleeding or bruising, a skin rash or itching, loss of hunger, nausea, vomiting, or yellowing of the skin or the whites of your eyes, consult a doctor. Do not stop using any medications without talking to a doctor.
Pioglitazone + Metformin + GliclazideEthanol
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Co-administration of Pioglitazone, Metformin and Gliclazide with Ethanol may increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between Pioglitazone, Metformin and Gliclazide with Ethanol, you can take these medicines together if prescribed by a doctor. However, if you have symptoms such as tiredness, weakness, muscle pain, difficulty in breathing, dizziness, or chest pain, contact a doctor. Do not discontinue any medications without consulting a doctor.
Pioglitazone + Metformin + GliclazideLeflunomide
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Taking Leflunomide with of of Pioglitazone, Metformin and Gliclazide can increase the risk of liver problems.

How to manage the interaction:
Co-administration of Pioglitazone, Metformin and Gliclazide with Leflunomide can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms such as fever, chills, joint pain or swelling, unusual bleeding or bruising, a skin rash or itching, loss of hunger, nausea, vomiting, or yellowing of the skin or the whites of your eyes, consult a doctor. Do not stop using any medications without talking to a doctor.
Pioglitazone + Metformin + GliclazideMethazolamide
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Co-administration of Pioglitazone, Metformin and Gliclazide with Methazolamide may increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between Pioglitazone, Metformin and Gliclazide with Methazolamide, you can take these medicines together if prescribed by a doctor. However, if you have symptoms such as tiredness, weakness, muscle pain, difficulty in breathing, dizziness, or chest pain, contact a doctor. Do not discontinue any medications without consulting a doctor.
Pioglitazone + Metformin + GliclazideMipomersen
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Taking Mipomersen with of of Pioglitazone, Metformin and Gliclazide can increase the risk of liver problems.

How to manage the interaction:
Co-administration of Pioglitazone, Metformin and Gliclazide with Mipomersen can possibly result in an interaction, but it can be taken if a doctor has advised it. However, if you experience symptoms such as fever, chills, joint pain or swelling, unusual bleeding or bruising, a skin rash or itching, loss of hunger, nausea, vomiting, or yellowing of the skin or the whites of your eyes, consult a doctor. Do not stop using any medications without talking to a doctor.
Pioglitazone + Metformin + GliclazideClopidogrel
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Co-administration of Pioglitazone, Metformin and Gliclazide with Clopidogrel may increase the blood levels of Pioglitazone, Metformin and Gliclazide.

How to manage the interaction:
Although there is an interaction between Pioglitazone, Metformin and Gliclazide with Clopidogrel, you can take these medicines together if prescribed by a doctor. However, if you have symptoms such as headache, dizziness, drowsiness, nervousness, weakness, shaking of hands or legs, sweating, like nausea, vomiting, confusion, tingling sensation in hands or feet, heaviness in legs, slow or rapid heartrate, fever, chills, joint pain or swelling, unusual bleeding or bruising, a skin rash or itching, loss of hunger, or yellowing of the skin or the whites of your eyes, contact a doctor. Do not discontinue any medications without consulting a doctor.
Pioglitazone + Metformin + GliclazideZonisamide
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Co-administration of Pioglitazone, Metformin and Gliclazide with Zonisamide may increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between Pioglitazone, Metformin and Gliclazide with Zonisamide, you can take these medicines together if prescribed by a doctor. However, if you have symptoms such as tiredness, weakness, muscle pain, difficulty in breathing, dizziness, or chest pain, contact a doctor. Do not discontinue any medications without consulting a doctor.
Pioglitazone + Metformin + GliclazideTopiramate
Severe
How does the drug interact with Dianorm Total-30 Tablet:
Co-administration of Pioglitazone, Metformin and Gliclazide with Topiramate may increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between Pioglitazone, Metformin and Gliclazide with Topiramate, you can take these medicines together if prescribed by a doctor. However, if you have symptoms such as tiredness, weakness, muscle pain, difficulty in breathing, dizziness, or chest pain, contact a doctor. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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FAQs

Dianorm Total-30 Tablet is used to treat type II diabetes, a chronic or lifelong condition affecting how your body processes glucose.
Dianorm Total-30 Tablet works by increasing the production of insulin by acting on the pancreas, decreasing liver glucose production and intestinal glucose uptake. It also decreases the amount of glucose released by the liver.
Some patients may experience a decline in blood sugar levels lower than normal (hypoglycemia), resulting in sweating, dizziness, headache, confusion, feeling hungry, temporary changes in vision, uneasiness, irritability, and weakness. In such cases, seek medical attention immediately.
Dianorm Total-30 Tablet may cause side effects such as nausea, taste change, weight gain, vomiting, diarrhoea, stomach ache, and a respiratory infection. Most of these side effects may not require medical attention and resolve over time gradually. However, talk to the doctor if the side effects persist or worsen.
Symptoms of hypoglycaemia (low blood sugar) are feeling hungry, dizziness, irritability, sweating, tiredness, and palpitations. If you experience these symptoms consume glucose biscuits, sugar candy or fruit juice.
Include healthy food in your diet, exercise regularly, manage stress with relaxation techniques, and avoid smoking & alcohol consumption.
It is highly recommended to avoid or strictly limit alcohol while taking Dianorm Total-30 Tablet . Alcohol can cause your blood sugar to drop dangerously low and can increase the risk of a rare but serious acid buildup in your blood. Talk to your doctor about safe habits.
Yes, some people may experience mild weight gain while taking Dianorm Total-30 Tablet . This is often due to improved blood sugar control and fluid retention. If you notice a sudden, rapid increase in weight or swelling in your feet, talk to your doctor right away.
If you experience symptoms of low blood sugar (shakiness, sweating, dizziness), immediately consume 15 grams of fast-acting sugar, such as half a cup of fruit juice, three glucose tablets, or a few hard candies. Check your sugar level again after 15 minutes. Talk to your doctor if this happens frequently.
No, Dianorm Total-30 Tablet is generally not recommended during pregnancy or while breastfeeding, as it may affect the baby's blood sugar levels and development. If you are planning a pregnancy or become pregnant, talk to your doctor immediately to discuss safer alternative treatments.
Yes, Dianorm Total-30 Tablet is designed to work alongside a healthy diet and regular exercise, not replace them. Maintaining a structured, low-sugar diet is essential to help the medication work effectively and prevent complications. Talk to your doctor or a dietitian for personalised dietary advice.
Dianorm Total-30 Tablet does not directly cause kidney damage, but it is cleared from your body through your kidneys. If your kidney function is already significantly reduced, this medicine can build up and cause side effects. Your doctor will perform regular blood tests to monitor your kidney health. Talk to your doctor if you have any concerns.
The best time to take Dianorm Total-30 Tablet is usually with your first main meal of the day, such as breakfast. Taking it with food helps reduce the risk of stomach upset and prevents your blood sugar from dropping too low. Talk to your doctor to determine the best schedule for your specific needs.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

No. 28 Sundar Industrial Estate,N.T.Y Layout Mysore Road , Bangalore - 560026, India
Other Info - DIA0353

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