Hi,

Tribet is three in one drug. There are three active oral hypoglycemic drugs - glimepride, metformin and pioglitazone.

Recently there have been some recent negative reports about pioglitazone. Hence many countries including India have banned this drug. Perhaps this may be the reason why you are unable to obtain Tribet 1mg.

Since your sugars are well controlled, perhaps you may try drugs containing only glimepride and metformin. Amaryl M, Gluconorm, Glyciphage, Gemer and Glycomet are few well known brands containing those 2 drugs. The dose of the new drug can be altered as per your subsequent sugar levels. Discuss with your doctor to redirect your treatment.

Hope this helps. Let me know if you need clarifications.

Regards

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Dear XXXXX,

The danger behind oral hypoglycemic drugs is the chances of hypoglycemia. As a physician we are more worried about patients developing low sugar than uncontrolled sugars. If you have no means to contact your treating doctor (even by a phone call) and have no access to healthcare at your current location, the best suggestion would be to take your previous medication - Glycomet.

Watch out for dizziness, sweating, blurring of vision and feeling of impending doom. Keep a XXXXXXX of sugar/chocolate with you always.

You can XXXXXXX your treating doctor with blood sugar levels and continue the rest of medications.

Hope this information helps you in this desperate time. Let me know if you need clarifications.

Best Regards

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