prizide mp 60mg/15mg/500mg tablet - Gliclazide (60mg) + Pioglitazone (15mg) medicine

Dayclazide Total 60mg/15mg/500mg Tablet SR: Comprehensive Medicine Guide

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🏭 Primus Remedies Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for type 2 diabetes management.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe hypoglycemia (confusion, seizures, loss of consciousness)
  • Symptoms of lactic acidosis (muscle pain, difficulty breathing, extreme fatigue)
  • Signs of heart failure (rapid weight gain, swelling in legs, shortness of breath)
  • Yellowing of skin or eyes (jaundice)
  • Blood in urine or painful urination
  • Severe abdominal pain with nausea and vomiting

If experiencing severe symptoms, call emergency services immediately.

What is prizide mp 60mg/15mg/500mg tablet used for?

This medicine is a combination of gliclazide, pioglitazone, and metformin used to treat type 2 diabetes. It lowers blood sugar by increasing insulin release, improving insulin sensitivity, and reducing liver glucose production. It is taken orally once daily with a meal.

  • Generic Name: Gliclazide (60mg) + Pioglitazone (15mg)
  • Manufacturer: Primus Remedies Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 prizide mp 60mg/15mg/500mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा टाइप 2 डायबिटीज (मधुमेह) के इलाज के लिए इस्तेमाल की जाती है। इसमें ग्लिक्लाजाइड, पियोग्लिटाजोन और मेटफॉर्मिन तीनों मिलाकर ब्लड शुगर को कंट्रोल करते हैं। यह दवा शरीर में इंसुलिन का स्तर बढ़ाती है, इंसुलिन के प्रति संवेदनशीलता सुधारती है और लिवर में ग्लूकोज बनना कम करती है। इसे डॉक्टर की सलाह पर ही लेना चाहिए और खाने के साथ लेना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कम ब्लड शुगर (हाइपोग्लाइसीमिया), जी मिचलाना, दस्त, पेट दर्द, वजन बढ़ना और सिरदर्द शामिल हैं। गंभीर दुष्प्रभावों में लैक्टिक एसिडोसिस, दिल की विफलता, लिवर की समस्या और ब्लैडर कैंसर का खतरा शामिल है। अगर आपको मांसपेशियों में दर्द, सांस लेने में तकलीफ, पैरों में सूजन या पेशाब में खून जैसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। खुराक बदलने या बंद करने से पहले डॉक्टर से सलाह लें। इसे खाने के साथ लें ताकि पेट की परेशानी और लो शुगर का खतरा कम हो। अपने ब्लड शुगर की नियमित जांच करें। शराब का सेवन न करें क्योंकि इससे लैक्टिक एसिडोसिस और हाइपोग्लाइसीमिया का खतरा बढ़ सकता है। अगर आप गर्भवती हैं, स्तनपान करा रही हैं या कोई अन्य दवा ले रही हैं तो डॉक्टर को बताएं।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 prizide mp 60mg/15mg/500mg tablet Uses & Benefits

[{"condition":"Type 2 diabetes mellitus","description":"Used as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes who are not adequately controlled on monotherapy or other combinations.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Polycystic ovary syndrome (PCOS)","description":"Pioglitazone component may be used off-label to improve insulin sensitivity in women with PCOS, but this combination is not standard and requires specialist supervision.","evidence":"Limited"}]

Primary treatment for: Type 2 diabetes mellitus

Also treats: Insulin resistance, Metabolic syndrome

📋 Drug Information

Generic Name(s)Gliclazide (60mg) + Pioglitazone (15mg)
Brand Nameprizide mp 60mg/15mg/500mg tablet
ManufacturerPrimus Remedies Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI DIABETIC
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with the evening meal to reduce stomach upset and risk of low blood sugar.
2
Monitor your blood sugar regularly and keep a log to share with your doctor.
3
Carry a fast-acting sugar source like glucose tablets to treat hypoglycemia.
4
Avoid alcohol completely while on this medicine to prevent lactic acidosis.
5
Report any rapid weight gain, swelling, or shortness of breath immediately.
6
Get regular kidney and liver function tests as advised.
7
Do not stop or change the dose without consulting your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

High blood sugar
This medicine is prescribed to lower blood sugar in type 2 diabetes.
Likely Use
Frequent urination
May be a symptom of high blood sugar; this medicine helps control it.
Likely Use
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionGliclazide is absorbed from the gastrointestinal tract; pioglitazone is rapidly absorbed; metformin is slowly and incompletely absorbed from the small intestine. Food may affect the rate but not the extent of absorption of metformin. The sustained-release formulation of metformin slows its release.
DistributionGliclazide is distributed throughout the body with a volume of distribution of about 30 L. Pioglitazone is highly bound to plasma proteins and has a volume of distribution of about 0.25 L/kg. Metformin is distributed into various tissues and has a volume of distribution of about 654 L.
Protein BindingGliclazide is approximately 94-97% bound to plasma proteins. Pioglitazone is >99% bound to serum albumin. Metformin is negligibly bound to plasma proteins.
MetabolismGliclazide is extensively metabolized in the liver, primarily by CYP2C9, to inactive metabolites. Pioglitazone is metabolized in the liver by CYP2C8 and CYP3A4 to active and inactive metabolites. Metformin is not metabolized.
Half-LifeGliclazide: approximately 10-12 hours; Pioglitazone: 3-7 hours (active metabolites up to 24 hours); Metformin: approximately 6.5 hours.
ExcretionGliclazide metabolites are excreted mainly in urine (60-70%) and feces (10-20%). Pioglitazone metabolites are excreted in urine (15-30%) and feces (55-70%). Metformin is excreted unchanged in urine (approximately 90%).
BioavailabilityGliclazide: approximately 97%; Pioglitazone: approximately 83%; Metformin: 50-60%.
Onset of ActionGliclazide: within 30-60 minutes; Pioglitazone: gradual over weeks; Metformin: within days to weeks for full effect.
Peak Plasma TimeGliclazide: 4-6 hours; Pioglitazone: 2 hours; Metformin (sustained-release): 7 hours.
Duration of ActionGliclazide: up to 24 hours; Pioglitazone: 24 hours; Metformin: 24 hours with sustained-release formulation.

How It Works

This medicine combines three active ingredients with complementary mechanisms. Gliclazide, a sulfonylurea, binds to ATP-sensitive potassium channels on pancreatic beta cells, causing depolarization and increased insulin secretion. Pioglitazone, a thiazolidinedione, activates peroxisome proliferator-activated receptor gamma (PPAR-γ), leading to increased insulin sensitivity in adipose tissue, skeletal muscle, and liver. Metformin, a biguanide, reduces hepatic glucose production, decreases intestinal glucose absorption, and improves peripheral insulin sensitivity. The combined effect lowers fasting and postprandial blood glucose levels.

Mechanism Steps

1
Gliclazide stimulates insulin release: Gliclazide binds to sulfonylurea receptors on pancreatic beta cells, closing ATP-sensitive potassium channels, which leads to membrane depolarization and calcium influx, triggering insulin secretion.
2
Pioglitazone enhances insulin sensitivity: Pioglitazone activates PPAR-γ in adipose tissue, muscle, and liver, increasing the expression of insulin-responsive genes that promote glucose uptake and storage.
3
Metformin reduces glucose production: Metformin inhibits hepatic gluconeogenesis and glycogenolysis, decreases intestinal glucose absorption, and improves peripheral insulin sensitivity via AMPK activation.
4
Combined glucose lowering: The three mechanisms work together to reduce fasting and postprandial blood glucose levels, improving overall glycemic control.

💡 How to Take prizide mp 60mg/15mg/500mg tablet

Strength: Sustained-release tablet containing gliclazide 60 mg, pioglitazone 15 mg, and metformin hydrochloride 500 mg.

1Take the tablet whole with a glass of water.
2Do not crush, chew, or break the tablet.
3Take it with a meal to reduce stomach upset and risk of hypoglycemia.
4Follow a consistent schedule as advised by your doctor.
5Do not change the dose without consulting your doctor.

Dosage Information

Adult DosageThe usual starting dose is one tablet once daily with the evening meal. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and glycemic control. The maximum daily dose is one tablet of this strength. Do not exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose should be individualized by a clinician, with careful monitoring of renal function and blood glucose.
Renal ImpairmentContraindicated in severe renal impairment (eGFR <30 mL/min/1.73 m²). In mild to moderate renal impairment, dose adjustment or alternative therapy may be required. Consult a clinician.
Hepatic ImpairmentContraindicated in severe hepatic impairment. In mild to moderate hepatic impairment, use with caution and monitor liver function. Dose adjustment may be needed.
Maximum Daily DoseOne tablet of this strength per day, unless otherwise prescribed by a clinician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and risk of hypoglycemia.
Grapefruit
Avoid
May increase pioglitazone levels.
High-fiber foods
Consume consistently
May affect metformin absorption; consistency helps.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of prizide mp 60mg/15mg/500mg tablet

✅ Common Side Effects

Hypoglycemia (Common (5-10%))
Recognize symptoms like shakiness, sweating, and confusion. Take fast-acting sugar immediately. Adjust dose if recurrent.
Nausea (Common (5-10%))
Take with food. Usually resolves with continued use. Consult doctor if persistent.
Diarrhea (Common (5-10%))
Stay hydrated. Take with meals. If severe or persistent, contact doctor.
Weight gain (Common (5-10%))
Monitor weight. Follow diet and exercise plan. Discuss with doctor if concerned.
Headache (Common (5-10%))
Usually resolves. Rest and hydrate. Consult if severe.

🚨 Serious Side Effects

Lactic acidosis (Rare (<0.1%))
Seek immediate medical attention if you experience muscle pain, difficulty breathing, stomach discomfort, or extreme fatigue.
Heart failure (Uncommon (0.1-1%))
Report rapid weight gain, swelling in legs, or shortness of breath immediately.
Liver injury (Rare (<0.1%))
Seek medical help if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Bladder cancer (Rare (<0.1%))
Report blood in urine or painful urination to your doctor promptly.

⚠️ Rare Side Effects

Severe hypoglycemia
Seek emergency medical help if you experience loss of consciousness or seizures.
Macular edema
Report blurred vision or vision changes to your doctor.
Anemia
Regular blood tests can detect this. Consult doctor if you feel unusually tired.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Alcohol Major
Contrast media Major
Diuretics Major
Beta-blockers Moderate
Corticosteroids Moderate
Rifampicin Moderate
Gemfibrozil Moderate
ACE inhibitors Minor
MAO inhibitors Minor
Cationic drugs Moderate

🚨 Major Interactions

  • Alcohol
  • Contrast media (iodinated)
  • Diuretics
  • Cationic drugs (e.g., amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, vancomycin)

⚡ Moderate Interactions

  • Beta-blockers
  • Corticosteroids
  • Rifampicin
  • Gemfibrozil

🍷 Alcohol Interaction

Alcohol increases the risk of lactic acidosis and hypoglycemia. Avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Type 1 diabetes mellitus","Diabetic ketoacidosis","Severe renal impairment (eGFR

⚠️ Warnings & Precautions

["Lactic acidosis: rare but serious; discontinue if suspected.","Heart failure: pioglitazone may cause fluid retention; monitor for signs.","Hypoglycemia: risk increased with sulfonylurea; educate patient.","Renal impairment: metformin dose adjustment required.","Liver disease: monitor liver enzymes; discontinue if injury suspected.","Bladder cancer: long-term pioglitazone use may increase risk.","Bone fractures: pioglitazone may increase risk, especially in women.","Macular edema: report vision changes.","Alcohol: avoid due to increased risk of lactic acidosis."]

🤱 Lactation Safety

Not established from the available information. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause severe hypoglycemia and lactic acidosis. Seek immediate medical attention. Treatment includes supportive care, glucose administration for hypoglycemia, and hemodialysis for metformin overdose if indicated.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Always take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without medical advice. Take the tablet with a meal to reduce stomach upset and lower the risk of hypoglycemia. Monitor your blood sugar levels regularly as advised. Carry a fast-acting source of sugar, such as glucose tablets or candy, to treat low blood sugar episodes. Inform your doctor if you have kidney, liver, or heart problems, or if you are pregnant, planning pregnancy, or breastfeeding. Avoid excessive alcohol consumption as it can increase the risk of lactic acidosis and hypoglycemia. Tell your healthcare provider about all other medicines, supplements, or herbal products you are taking. Attend regular check-ups for kidney function, liver enzymes, and blood counts. Report any unusual symptoms such as persistent nausea, muscle pain, difficulty breathing, or swelling promptly.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of hypoglycemia and renal impairment. Dose should be individualized and renal function monitored regularly.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy. If you are planning pregnancy, consult your doctor to switch to a safer alternative and optimize blood sugar control before conception.

🏥 Post-Surgery Considerations

Metformin should be temporarily discontinued before surgery and restarted after 48 hours once renal function is normal. Consult your surgeon and physician.

🦷 Dental Procedures

Inform your dentist about this medicine. Hypoglycemia risk may require adjusting meal timing around dental procedures. Maintain good oral hygiene.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight through diet and exercise.
🥗
Engage in regular physical activity like walking or swimming.
😴
Monitor your blood sugar levels as advised.
💧
Follow a balanced diet rich in fiber and low in refined sugars.
🧘
Get adequate sleep and manage stress.
🌞
Avoid smoking and limit alcohol.

🏋️ Exercise Considerations

Exercise can lower blood sugar; monitor levels before and after exercise. Adjust carbohydrate intake and medication as advised by your doctor.

🥗 Diet Recommendations

Include whole grains, fruits, and vegetables.
Limit sugary drinks and processed foods.
Choose lean proteins and healthy fats.
Eat at regular intervals to avoid hypoglycemia.

💼 Impact on Daily Work & Life

This medicine may cause hypoglycemia, which can affect driving or operating machinery. Be cautious until you know how it affects you. Carry a sugar source at all times.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects like lactic acidosis or heart failure symptoms, seek immediate medical advice; your doctor may discontinue it.

📅 Long-Term Use Effects

Long-term use may increase the risk of bladder cancer, bone fractures, and heart failure due to pioglitazone. Metformin can cause vitamin B12 deficiency. Regular monitoring of kidney function, liver enzymes, and blood counts is essential. Periodic review of the risk-benefit ratio is advised.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet and exercise are foundational for managing type 2 diabetes.

Evidence: Well-established
Other oral antidiabetics

DPP-4 inhibitors, SGLT2 inhibitors, or GLP-1 receptor agonists may be alternatives.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. Maintain routine vaccinations as advised for diabetes patients.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, consult your doctor about adjusting the timing. Keep enough supply for the entire trip and carry it in your hand luggage. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old man with type 2 diabetes inadequately controlled on metformin alone.
He was prescribed this medicine and advised to take it with dinner. After 3 months, his HbA1c dropped from 8.5% to 7.2%. He experienced mild nausea initially, which resolved after a few weeks. He also lost 2 kg by following a diet plan.
💡 Lesson: Combination therapy can significantly improve glycemic control when taken consistently with lifestyle changes.
👤 A 60-year-old woman with a history of heart disease.
She started this medicine but developed swelling in her legs and shortness of breath after 2 weeks. Her doctor discontinued pioglitazone and switched her to a different regimen. She recovered fully.
💡 Lesson: Patients with heart disease should be monitored closely for fluid retention and heart failure symptoms.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts lowering blood sugar within days, but full effects on HbA1c may take 2-3 months.

Q: Can I take this medicine if I have kidney disease?

A: It is contraindicated in severe kidney disease. Your doctor will adjust the dose or choose an alternative based on your kidney function.

Q: What should I do if I experience low blood sugar?

A: Take fast-acting sugar like glucose tablets or candy immediately. If symptoms persist, seek medical help.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for prizide mp 60mg/15mg/500mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure diabetes.
    Fact: This medicine helps manage blood sugar but does not cure diabetes. Lifestyle changes and ongoing medical care are essential.
  • Myth: I can stop taking this medicine once my sugar is normal.
    Fact: Stopping without medical advice can cause blood sugar to rise again. Always consult your doctor before stopping.
  • Myth: This medicine can be taken without food.
    Fact: It should be taken with a meal to reduce stomach upset and risk of low blood sugar.

🔄 Alternative Options

Generic Alternatives

  • Gliclazide + Pioglitazone + Metformin sustained-release tablets (various manufacturers)

📊 Comparison with Similar Medicines

[{"medicine":"Gliclazide + Metformin","difference":"Lacks pioglitazone; may be less effective for insulin resistance."},{"medicine":"Pioglitazone + Metformin","difference":"Lacks gliclazide; may not stimulate insulin secretion as much."},{"medicine":"Glimepiride + Pioglitazone + Metformin","difference":"Contains glimepiride instead of gliclazide; similar mechanism but different sulfonylurea."}]

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