Cetapin P 30 mg Tablet

Q. Is Pioglitazone a blood thinner?
No. Pioglitazone is an anti-diabetic medication. Blood thinners are the medicine that prevents the formation of a harmful blood clot. These include medicines like Aspirin, Heparin and Warfarin.

Q. Is Pioglitazone a diuretic?
No. Pioglitazone is not a diuretic. It is used in the treatment of Diabetes Mellitus. Diuretics are those medicine which increases urination.

Q. Can Pioglitazone used in Hepatitis B infection?
Some studies have shown that Pioglitazone may be helpful in preventing Hepatitis B Virus-associated Hepatocellular Cancer (Liver Cancer). However, these findings are still very preliminary and clear role has not been established.

Q. Can Pioglitazone used in Hepatitis C infection?
Pioglitazone has been shown to inhibit Liver Cancer (HCC) recurrence in overweight Hepatitis C Virus-infected diabetic patients. It also improved insulin resistance (a state where the body is resistant to the effects and functions of the insulin hormone) in them.

Q. Can Pioglitazone used along with Vitamin D?
Studies indicate that Vitamin-D combined with Pioglitazone may be more effective in improving Bone Mineral Density and Bone Metabolism than Vitamin-D or Pioglitazone alone in the treatment of Diabetes Mellitus patients with kidney dysfunction (Diabetic Nephropathy).

Q. Can Pioglitazone be used along with sitagliptin?
Combination therapy with Sitagliptin and Pioglitazone leads to a substantial and sustained improvement in glycemic (blood sugar) control compared to the treatment with Pioglitazone alone. This is useful for patients who cannot tolerate Metformin or Sulfonylureas.

Q. Is there any role of Pioglitazone in Alzheimer disease?
Recent evidence suggests that Pioglitazone may be beneficial in Alzheimer's disease (AD), decreasing the cognitive decline early in the disease process. However, larger studies are now in progress to establish the same.

Q. Can Pioglitazone and repaglinide combined in diabetes treatment?
For patients who previously failed oral antidiabetic therapy, the combination of Repaglinide and Pioglitazone have acceptable safety, with greater reductions of glycemic parameters (blood sugar levels) than using either agent alone.

Q. Does Pioglitazone cause urinary bladder tumour?
Large population studies indicate that Pioglitazone is associated with an increased risk of bladder cancer. The absence of an association of bladder cancer with the other drug of the same class, Rosiglitazone, suggests that the increased risk is drug specific and not a class effect.

Q. Can Pioglitazone be used along with glimepiride in diabetes?
Pioglitazone when added to Glimepiride in Patients with Diabetes Mellitus, has been found to significantly reduce plasma lipid levels and significant improvement in blood pressure control related to a reduction in the insulin resistance.

Q. Is Pioglitazone a steroid?
No. Pioglitazone is not a steroid. It is an anti-diabetic medication which belongs to the class of thiazolidinediones.

Q. How to use Pioglitazone?
Pioglitazone is an anti-diabetes drug used along with a proper diet and exercise program to control high blood sugar in patients with type 2 diabetes. Pioglitazone acts as an insulin sensitizer and decreases the extent of insulin resistance in the body too.

Q. How safe is Pioglitazone?
Pioglitazone cardiovascular safety profile compares favourably with that of Rosiglitazone. Pioglitazone has been found to be associated with bladder tumours but causality assessment has not been proved yet.

Q. How does Pioglitazone cause oedema?
Pioglitazone increases the permeability of fluid in tiny blood vessels called capillaries. This results in easier movement of fluids across the membrane and their consequent accumulation, resulting in oedema (puffiness). Also, Pioglitazone causes increased sodium and water reabsorption from the kidney that contributes to the oedema.

Q. How does Pioglitazone cause bladder cancer?
The mechanism behind the link between Pioglitazone use and bladder cancer is still unknown. Studies have suggested that use of Pioglitazone for more than one year results in increased risk of development of tumour of the urinary bladder.

Q. How Pioglitazone protects against atherosclerosis?
Studies in animals have concluded that Pioglitazone improves the elasticity of the aortic wall ( the aorta is a large blood vessel that arises from the heart and supplies oxygenated blood to the rest of the body). This may be a mechanism by which it protects against atherosclerosis, but more studies are needed to confirm this.

Q. Can Pioglitazone be used with insulin?
The addition of Pioglitazone reduces daily insulin dosages, but study findings have not been consistent. Improvement of lipid profiles has also been weak with this combination therapy. Long-term studies are needed before any conclusions can be reached. Combination therapy should be primarily used for patients who achieve an insufficient reduction in blood sugar with insulin alone.

Q. Can Pioglitazone used for dementia?
Findings indicate that Pioglitazone treatment is associated with a reduced dementia risk in Diabetes mellitus patients. Prospective studies are needed to evaluate a possible neuroprotective effect in these patients in an ageing population.

Q. Can Pioglitazone used for infertility?
Pioglitazone may be of use in infertile patients with polycystic ovary syndrome (PCOS) who are resistant to conventional ovulation induction such as by drugs like Clomiphene, Dexamethasone, or Metformin.

Q. Can Pioglitazone used for psoriasis?
The use of Pioglitazone for plaque psoriasis treatment is controversial. Some studies revealed no effect of Pioglitazone 30 mg daily neither on the clinical response of moderate-to-severe psoriasis whereas others demonstrate that it could be considered as an efficacious and safe agent for the treatment of plaque psoriasis.

Q. Can Pioglitazone used for autism?
In a research study in a small number of autistic children, daily treatment with 30 or 60 mg Pioglitazone for 3–4 months induced apparent clinical improvement. Pioglitazone should be considered for further testing of therapeutic potential in autistic patients but as of now, autism is not an approved indication for Pioglitazone use.

Q. Can Pioglitazone be used in depression?
Pioglitazone, either alone or as add-on therapy to conventional treatments, could clinically benefit patients of major depression according to a study.

Q. Can Pioglitazone used for weight loss?
A recent study shows that although Pioglitazone causes a significant decrease in blood sugar, HbA1C and lipid levels, it is associated with weight gain, which would limit its utility. It has not been shown to cause weight loss.

Q. Can Pioglitazone be used to treat fatty liver?
Pioglitazone has also been used to treat non-alcoholic steatohepatitis (fatty liver), but this use is presently considered experimental.

Q. Can Pioglitazone be used for secondary stroke prevention?
Pioglitazone reduces recurrent stroke and major vascular events in stroke patients with insulin resistance, prediabetes, and diabetes mellitus. However, its use as a preventive therapy requires more research.

Q. Is Metformin helpful in patients with polycystic ovarian syndrome (PCOS)?
Metformin is safe and helpful for the patients who have PCOS as it can cause ovulation and can regularize the menstrual cycles when combined along with other medications. It also helps in maintaining the diet and prevents the development of diabetes..

Q. How does Metformin help in weight loss?
Though it is not yet recommended for reduction in weight, it can be effectively used since it reduces the hunger thereby decreasing food intake. Metformin present in the body creates insulin thereby reducing the glucose production in conjunction with a decrease in fat deposits that helps to reduce the body weight..

Q. Is Metformin useful in the treatment of infertility?
Metformin can be used for infertility treatment in conjunction with PCOS by regulating the level of ovulation and androgen and by improving the menstrual cycle regularity and rates of pregnancy. This effect is considered due to the insulin resistance of Metformin.

Q. Does Metformin cause low blood sugar levels (hypoglycemia)?
Intake of Metformin can cause hypoglycemia(low blood sugar level).It happens if you take any other antidiabetic medicine along with Metformin, miss your food, drink alcohol or do more exercise.So, be cautious about the symptoms of low blood sugar and always carry glucose, honey, or fruit juice along with you.

Q. Can I take Metformin forever?
Metformin is safe to use if so it is used at prescribed doses for the prescribed duration as per the advice of the doctor since overuse of drug may cause anaemia and nerve damage called peripheral neuropathy..

Q. Is Metformin a sulfonylurea?
Metformin is an anti-diabetic drug which is used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with the modification in diet and exercise.It is not a sulfonylurea

Q. Is Metformin a steroid?
Metformin is an anti-diabetic drug which is used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with the modification in diet and exercise.It is not a steroid

Q. Does Metformin cause bloating?
Metformin normally causes stomach upset like bloating (heavy and uncomfortable feeling within the stomach), nausea, vomiting, and diarrhea.It is advised to be taken after food and start with low dose initialy and increase it slowly..

Q. Is Metformin good for fatty liver?
Metformin can be beneficial in the treatment of non-alcoholic fatty liver disease (NAFLD). Insulin resistance is one of the underlying cause of NAFLD.Metformin improves insulin resistance and liver enzymes in these patients It is not beneficial to patients with alcoholic fatty liver disease and is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis.

Q. What is the benefit of combining Metformin with coenzyme q10?
Coenzyme Q10 is found in heart, liver, kidney, and pancreas (which produces insulin) it is an antioxidant that helps in energy production. It can repair the damage caused to these organs by free radicals.It is seen that the levels of coQ10 is low in diabetics hence it has to be given from outside.Metformin and CoQ10 can be taken together as no drug drug interactions are caused by the two.

Q. Does Metformin help in improving your menstrual cycle (periods)?
In women with the polycystic ovarian syndrome (PCOS) Metformin improves the menstrual cycle (periods) regularity. It is associated with decreased ovulation, high androgen levels, and insulin resistance which cause menstrual irregularities like scanty bleeding and delayed periods .Metformin helps in improving insulin sensitivity, ovulation rate, and decreasing androgen levels hence, regularizing menstrual cycles.

Q. Can I take Metformin with atorvastatin?
Yes, Metformin and atorvastatin can be taken together. There are no reported harmful effects while they are used together. Some research says that it is beneficial in diabetics as they may prevent a very high increase in blood glucose after a meal, decrease some inflammation markers and secure the patients from liver injury.

Q. Can I take Metformin with phentermine?
Metformin and phentermine can be taken together. These are given together in obese patients who are also diabetic and are taking Metformin along with exercise and diet modification. Phentermine decreases food intake by its action in the brain. However, a dose adjustment of Metformin may be needed as phentermine can decrease the effect of Metformin leading to very high blood glucose levels.

Q. Can I take Metformin with levothyroxine?
Metformin and levothyroxine can be taken together but a dose adjustment of Metformin is needed . Levothyroxine can decrease the effect of Metformin leading to very high blood glucose levels. In patients with coexisting thyroid disease and diabetes mellitus or polycystic ovarian syndrome (PCOS) these are used together.

Q. Can I take Metformin with prednisolone?
Metformin and prednisolone can be taken together but a dose adjustment of Metformin is needed. The effect of Metformin can be decreased by Prednisolone leading to very high blood glucose levels. Regular use of steroids like prednisolone can also cause diabetes known as glucocorticoid-induced diabetes and use of Metformin is recommended in these patients..

Q. Can I take Metformin with metoprolol?
Yes, Metformin and metoprolol can be taken together. There are no reported harmful effects while they are used together.However, some animal studies suggest that metoprolol can decrease the blood levels of Metformin and on long-term use can increase lactic acid and uric acid levels.

Q. Does Metformin clear acne?
Metformin only helps in clearing acne in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, abdominal obesity, and irregular menstruation.Metformin is not indicated for clearing acne due to other conditions.

Q. Does Metformin cause hair loss?
No, hair loss has not been reported with Metformin. It only helps in clearing facial hair (hirsutism) in women with polycystic ovarian syndrome (PCOS) along with other problems like acne, abdominal obesity, and irregular menstruation.

Q. Does Metformin cause weight gain?
Metformin helps in decreasing weight especially abdominal fat patients of type 2 diabetes mellitus and in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, acne, and irregular menstruation.Metformin does not cause weight gain.

Q. Does Metformin cause constipation?
use of Metformin may cause nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite. Metformin does not cause constipation..

Q. Is Metformin safe?
Metformin is safe to use if so it is used at prescribed doses for the prescribed duration as per the advice of the doctor. However use of Metformin may cause nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.

Q. Does Metformin increase blood pressure?
useof Metformin may cause nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.Metformin does not increase blood pressure.

Q. Is Metformin an insulin?
Insulin is a normally produced hormone in the body, used in the injectable form in the treatment of both type 1 and 2 diabetes mellitus and it works by absorbing and storing glucose from the blood.Metformin is not an insulin, it is oral drug used in type 2 diabetes mellitus and lowers blood glucose levels by decreasing its production and increasing absorption and making the already available insulin in your body to work better

Q. Is Metformin a banned drug?
Metformin is not a banned drug. It is a prescription medicine available only on prescription.

Q. Is Metformin a birth control pill?
Metformin is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients , along with modification in diet and exercise.It is not a birth control pill.

Q. Is Metformin a statin?
Metformin is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients , along with modification in diet and exercise.It is not a statin.

Q. Can I take Metformin with saxagliptin?
Metformin and saxagliptin belong to the same class of drugs called anti-diabetics but work with different mechanism of action.A fixed dose combination is available in the market and is generally prescribed when Metformin is unable to control blood sugar levels even after giving the maximum tolerated dose.

Q. Does Metformin cause blurry vision?
Change in vision in a patient with diabetes could be due to varous reasons. It could be a temporary problem either due to high blood sugar levels which cause your lens inside your eye to swell and change your vision. If the blurred vision continues for a long time, consult a doctor.As Metformin is not known to cause blurred vision.

Q. What is lactic acidosis and how is it related to Metformin use?
Patient has high blood lactic acid levels and may present with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is especially seen in old age patients, those with kidney, liver or heart disease, or who take large amounts of alcohol. If you have these symptoms, stop taking Metformin and consult your doctor. Lactic acidosis is a rare, but serious complication associated with the use of Metformin.

Q. Is Metformin use associated with liver pain?
Metformin is not known to cause any liver pain or damage. Rather, it is seen to be useful in patients with non-alcoholic fatty liver disease (NAFLD) and chronic hepatitis C. However, it is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis which is a serious complication associated with the use of Metformin.

Q. Does Metformin make you feel high?
Metformin is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Metformin does not make you feel high. Rare side effects of Metformin include anxiety and depression.

Q. Can Metformin cause back pain?
Metformin generally does not cause back pain. Metformin may cause side effects like stomach upset, bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea, or it could be a symptom of lactic acidosis, a rare and a serious complication of Metformin.

Q. Can long-term use of Metformin cause vitamin b12 deficiency?
Yes, long term use of Metformin causes vitamin B12 deficiency as it interferes with absorption of vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can have tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in making balance (ataxia). To avoid these problems, some researchers suggest an intake of vitamin B12 from outside at least once every year.

Q. Is Metformin useful in the management of metabolic syndrome?
Metformin is an insulin sensitizer and it improves the action of insulin and normalises blood sugar levels and reduces body weight. Metformin is beneficial in the management of metabolic syndrome, a collection of risk factors that include high blood pressure, high blood sugar levels, abnormal blood cholesterol levels and excess fat around the waist.

Q. How beneficial is it to take Metformin with glimepiride?
Metformin and glimepiride belong to the same class of drugs called anti-diabetics but work with different mechanism of action and helps in better control of blood glucose levels when taken together.However, glimepiride can cause very low blood glucose levels, so a regular monitoring of blood glucose is very important.

Q. Is it safe to take Metformin with cetirizine?
Yes, Metformin and cetirizine can be taken together. There are no reported drug interactions or serious effects when they are taken together.

Q. Can I take Metformin and ranitidine together?
Metformin and ranitidine can be taken together. However, if you are taking them together, you need to monitor blood glucose levels regularly as ranitidine can decrease the removal of Metformin from the body and increase its blood levels. This can cause very low blood sugar levels and other side effects as well hence, a dose adjustment of Metformin may be needed.

Q. How beneficial is it to take Metformin with linagliptin?
Metformin and linagliptin belong to the same class of drugs called anti-diabetics but work with different mechanism of action.A fixed dose combination is available in the market and is generally prescribed when Metformin is unable to control blood sugar levels even after giving the maximum tolerated dose.

Q. Does Metformin inhibit hepatitis B virus protein?
Studies have shown that Metformin when given with other antiviral drugs can decrease the multiplication and growth of hepatitis B virus .However, this is indication is still under research and not yet approved.

Q. Can I take Metformin before or after a chest x-ray? Does its use lead to chest x-ray abnormality?
Metformin should be temporarily discontinued before chest or any X-ray that requires injection of a contrast medium or dye. These dyes can decrease kidney function and Metformin along with these dyes can cause a serious side effect like lactic acidosis. So you may need to stop taking Metformin. However, do not stop taking any medicine without talking to your doctor.

Q. Does Metformin make you sleepy?
Yes, Metformin causes sleepiness it is an early symptom of lactic acidosis along with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is caused by Metformin and usually seen in old age patients, those with kidney, liver or heart disease, or those who take large amounts of alcohol. If you have these symptoms, stop taking Metformin and consult your doctor.

Q. Does the use of Metformin cause joint pain?
Metformin does not cause joint pain. Use of anti-diabetic drugs like sitagliptin or saxagliptin is associated with joint pain. Early symptoms of lactic acidosis like muscle pain and cramps with weakness and tiredness can be mistaken for joint pain.However, diabetes itself decreases blood circulation to the joints and even damages them leading to joint pain.

Q. Can Metformin help in reducing weight gain caused by antipsychotics?
Metformin improves insulin sensitivity and prevents weight gain, use of antipsychotics affects both these factors. Metformin may be beneficial in the treatment and prevention of weight gain caused by antipsychotics along with lifestyle modifications like a change in diet and regular exercise. Weight gain is an important reason for discontinuation of these medicines.

Q. Is Metformin useful in the treatment of fragile X syndrome?
Metformin is still not approved for the treatment of fragile X syndrome. However, in some animal research studies it has shown promising resultsin the treatment of fragile X syndrome. It may be beneficial in improving mental and behavioral disorders (autism) and control obesity and risk of developing diabetes in these patients.

Q. What is the difference between liraglutide and Metformin?
Metformin and liraglutide belong to the same class of drugs called antidiabetic drugs and both control blood sugar levels effectively. liraglutide is an injectable and it increases insulin release from the pancreas.whereas, Metformin is taken by oral route and it decreases glucose production from liver and glucose absorption from the gut and increases insulin sensitivity. liraglutide increases the risk of pancreatitis. Metformin and liraglutide both cause stomach upset, like nausea, vomiting, diarrhea and bloating.

Q. Does Metformin use make you feel high?
Metformin is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Metformin does not make you feel high. Rare side effects of Metformin include anxiety and depression.

Q. Does Metformin make you sweat?
sweating is one of the side effects of Metformin.However, the exact cause of this is not known. Some researchers suggest it to be due to low blood sugar levels especially at night which can cause night sweats as well. Monitor your blood sugar levels regularly and talk to your physician as a dose adjustment may be needed.

Q. Can I take Metformin with clomiphene citrate?
Metformin and clomiphene citrate can be taken together. In patients with polycystic ovarian syndrome (PCOS) and infertility they are advised together. some studies have shown an improvement in ovulation and pregnancy rates in these patients as compared to use of clomiphene citrate alone or if the patients are resistant to the effects of clomiphene citrate. However, this is still under research.

Q. Is Metformin useful in treating or preventing breast cancer?
As high insulin levels are known to increase the risk of cancer, Metformin decreases cancer cell growth by decreasing insulin and blood glucose levels. Research say Metformin is seen to be beneficial in the treatment and prevention of cancers especially breast cancer. However, its use in treating breast cancer is not yet approved.

Q. Does Metformin use increase your chance to get Helicobacter pylori infection?
Diabetes itself increases the risk of Helicobacter pylori infection which increases the chances of stomach upset like nausea, vomiting, diarrhea, and bloating by Metformin. Metformin is not associated with an increased risk of Helicobacter pylori infection.

Q. Does Metformin use leads to anemia?
Long term use of Metformin decreases levels of vitamin B12 which may cause anemia (megaloblastic anemia) in which blood cells are larger than normal. You need to include foods rich in vitamin B12 in your diet like eggs, dairy products, meat or supplements from outside.

Q. Is Metformin useful in the treatment of prediabetes?
Metformin makes insulin already available in your body to work more effectively, it decreases glucose production by liver and increases use of glucose by the muscles and lowers body weight Metformin is seen to be useful in the management of prediabetes, a condition with blood glucose levels higher than normal but not high enough to label you as diabetic. However, lifestyle modifications like a change in diet and exercise should be tried first as they are seen to be more effective than Metformin.

Q. Can I take Metformin with teneligliptin?
Metformin and teneligliptin can be taken together. Even after taking Metformin if the blood sugars are very high it is a good add-on treatment. The risk of low blood sugar levels (hypoglycemia) is also very low with both the medicines. However, consult your doctor before taking them together as a dose adjustment may be needed.

• Pioglitazone helps to control blood sugar level and avoids long-term complications.You should continue to exercise regularly, eat a healthy diet, and take your other diabetes medicines along with Pioglitazone.Full effect may be visible after several weeks of starting Pioglitazone.Weight gain, headache, and swelling due to fluid build-up may occur.Notify your doctor if you experience shortness of breath, heart problems, or any abnormal swelling.May not be suitable for patients with a history of heart failure or bladder cancer.
• You have been prescribed Metformin to control the blood sugar level and reduce the risk of diabetic complications, such as heart  attacks.You should continue to exercise regularly, eat a healthy diet, and take your other diabetes medicines (if prescribed) along with Metformin.It does not cause weight gain and rarely causes low blood sugar unlike other diabetes medicines.An upset stomach with nausea and diarrhoea may occur in the first two weeks; take it with food to avoid an upset stomach.Hypoglycemia (low blood sugar level) may occur when taken along with other antidiabetic medicines, alcohol or on delaying/skipping a meal. Carry a sugar source with you for immediate relief.Tell your doctor immediately if you experience any deep or rapid breathing, or persistent nausea, vomiting, and stomach pain as Metformin may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood.Vitamin B12 deficiency and symptoms of anemia like fatigue, pale skin, shortness of breath or headache may occur. Notify your doctor if you experience any of these as you may require supplements.Your doctor will monitor your blood sugar levels and kidney functions regularly while taking this medication.