Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Glunorm Tablet is to be taken with food. Glunorm Tablet may cause stomach upset if taken on empty stomach.
Glunorm Tablet is a combination of three medicines: metformin, pioglitazone and picolinic acid. Metformin is an anti-diabetic medication (biguanide). It works by lowering glucose production in the liver, delaying glucose absorption from intestines and increasing the body's sensitivity to insulin. Pioglitazone is a thiazolidinedione which further increases body's sensitivity to insulin. Picolinic acid is a nutritional supplement that improves insulin function. Together, they provide better control of blood sugar.
Taking pioglitazone with alcohol may affect blood glucose levels in patients with diabetes.
WEIGH RISKS VS BENEFITS
Glunorm Tablet may be unsafe to use during pregnancy. Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
No information is available on the use of Glunorm Tablet during lactation. Please consult your doctor.
Your ability to drive may be affected if your blood sugar is low or high. If this happens, do not drive.
Glunorm Tablet should be used with caution in patients with kidney disease. Dose adjustment of Glunorm Tablet may be needed. Please consult your doctor. Use of Glunorm Tablet is, however, not recommended in patients with severe kidney disease. Regular monitoring of kidney function test is advisable while you are taking this medicine.
Glunorm Tablet should be used with caution in patients with liver disease. Dose adjustment of Glunorm Tablet may be needed. Please consult your doctor. Use of Glunorm Tablet is not recommended in patients with severe liver disease.