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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Telma H For BP Be Used With Trivoliv 2?

I am 59 yrs.old having blood sugar...it increase to 170-188after lunch...my doctor incresed the dose from trivolib 1 to trivoliv 2 in noon and trivolib 1 in morning &at dinner. Should I contiue telma h 40 for BP....or it has some reaction with this medicine....
Wed, 10 Sep 2014
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General & Family Physician,  's  Response
Hello
Now you are taking trivolive 2 in the noon i.e. glemipiride + voglibose + metformin.
While trivoliv1 ( glemipiride+ voglobose ) in the morning and evening.
You are also taking telmisartan+ hydrochorthiazide for high blood pressure .
If hydrochlorthiazide used concomitantly with oral hyoglycemic agent it interfere in the action of anti diabetic drugs.
Impaired control of diabetes by oral hyoglycemic agents , so be careful.
Hydrocholothiazide also increase the cumulative effect of metformin .
In my opinion as these both type drugs necessary for you so take tablets at least 2-3 hours gap .
Consult your treating physician and discuss all these things.
Hope this will help you.
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Can Telma H For BP Be Used With Trivoliv 2?

Hello Now you are taking trivolive 2 in the noon i.e. glemipiride + voglibose + metformin. While trivoliv1 ( glemipiride+ voglobose ) in the morning and evening. You are also taking telmisartan+ hydrochorthiazide for high blood pressure . If hydrochlorthiazide used concomitantly with oral hyoglycemic agent it interfere in the action of anti diabetic drugs. Impaired control of diabetes by oral hyoglycemic agents , so be careful. Hydrocholothiazide also increase the cumulative effect of metformin . In my opinion as these both type drugs necessary for you so take tablets at least 2-3 hours gap . Consult your treating physician and discuss all these things. Hope this will help you.