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STERISHEALTHCARE 573431969ec6680ff811d9bc Products https://www.sterisindia.com
{ "products": [ { "_id": "67122e4d3a73cc5cb26a04de", "fptag": "STERISHEALTHCARE", "merchantname": null, "customwidgets": null, "externalsourceid": null, "name": "Sacubitril (12 mg), Valsartan (13 mg)", "description": "SACUSMART 25 is a potent medication used in the treatment of chronic heart failure. It combines two essential active ingredients, Sacubitril (12 mg) and Valsartan (13 mg), working synergistically to improve heart function and reduce the risk of hospitalization due to heart failure. This combination medication belongs to the class of drugs known as ARNI (Angiotensin Receptor-Neprilysin Inhibitors) and is widely prescribed to manage heart failure symptoms, enhance quality of life, and prolong survival in patients with reduced ejection fraction.\n\n \n\nKey Benefits:\n \n\nImproves Heart Function: SACUSMART 25 enhances the ability of the heart to pump blood more efficiently, reducing symptoms of heart failure such as breathlessness and fatigue.\n\nReduces Hospitalization Risk: By improving heart function and preventing fluid buildup, SACUSMART 25 significantly reduces the likelihood of heart failure-related hospitalizations.\n\nLowers Blood Pressure: The combination of Sacubitril and Valsartan effectively lowers blood pressure, which helps reduce the strain on the heart and prevent further complications.\n\nEnhances Quality of Life: By managing the symptoms of heart failure, SACUSMART 25 helps patients lead a more active and comfortable life.\n\nLong-term Survival: Studies show that the combination therapy of Sacubitril and Valsartan can improve survival rates in patients with chronic heart failure compared to traditional therapies.\n\n \n\nHow Does It Work?\n \n\nSACUSMART 25 works by targeting two critical pathways in the regulation of blood pressure and heart function:\n\nSacubitril’s Role: As a neprilysin inhibitor, Sacubitril prevents the breakdown of natriuretic peptides, which are proteins that promote blood vessel dilation, sodium excretion, and reduced blood pressure. This leads to a decreased workload on the heart, allowing it to function more efficiently and with less strain.\n\nValsartan’s Role: Valsartan, as an angiotensin II receptor blocker, inhibits the action of angiotensin II, a hormone responsible for vasoconstriction (narrowing of blood vessels). By blocking this effect, Valsartan helps blood vessels remain relaxed, improving blood flow and reducing blood pressure.\n\nTogether, these mechanisms improve cardiac function, reduce blood pressure, and enhance the overall cardiovascular health of patients with heart failure.\n\n \n\nDirections for Use:\n \nDosage: SACUSMART 25 should be taken exactly as prescribed by a healthcare provider, typically once or twice daily, depending on the severity of the heart condition.\n\nAdministration: The tablet should be swallowed whole with water, with or without food. It's important not to crush or chew the tablet as this could affect the release and absorption of the medication.\n\nMissed Dose: If a dose is missed, take it as soon as possible unless it is almost time for the next scheduled dose. Do not double the dose to make up for a missed one.\n\nRegular Monitoring: Patients should regularly monitor their blood pressure and kidney function, as SACUSMART 25 can lower blood pressure significantly and may affect kidney health.\n\n \n\nSide Effects:\n \n\nWhile SACUSMART 25 is generally well-tolerated, some individuals may experience side effects. It’s important to be aware of these potential reactions and consult a doctor if they occur.\n\nCommon Side Effects:\nLow blood pressure (hypotension)\nDizziness or lightheadedness\nElevated potassium levels (hyperkalemia)\nCough\nFatigue\n", "price": 165.0, "discountamount": 49.5, "currencycode": "INR", "priority": 1000000, "isfreeshipmentavailable": false, "shipmentduration": 7, "_keywords": [ "blood flow", "less strain", "Key Benefits", "Cough Fatigue", "fluid buildup", "blood vessels", "kidney health", "survival rates", "heart function", "kidney function", "heart condition", "comfortable life", "cardiac function", "sodium excretion", "potent medication", "ejection fraction", "Long-term Survival", "Regular Monitoring", "Low blood pressure", "combination therapy", "potential reactions", "healthcare provider", "next scheduled dose", "Common Side Effects", "Hospitalization Risk", "natriuretic peptides", "traditional therapies", "chronic heart failure", "blood vessel dilation", "two critical pathways", "combination medication", "heart failure symptoms", "Elevated potassium levels", "overall cardiovascular health", "angiotensin II receptor blocker", "two essential active ingredients", "heart failure-related hospitalizations", "Angiotensin Receptor-Neprilysin Inhibitors" ], "isarchived": false, "isavailable": true, "applicationid": null, "productindex": 1995, "imageuri": "https://productimages.withfloats.com/actual/67122e531e1ad5a3231ccd27.png", "tileimageuri": "https://productimages.withfloats.com/tile/67122e531e1ad5a3231ccd27.png", "images": null, "totalqueries": 0, "gpid": null, "groupproductid": null, "createdon": "2024-10-18T09:45:49.363Z", "updatedon": "2024-10-18T09:45:49.363Z", "buyonlinelink": null, "producturl": "http://WWW.STERISINDIA.COM/products/sacubitril-12-mg-valsartan-13-mg-/1995", "availableunits": -1.0, "iscodavailable": false, "isprepaidonlineavailable": false, "maxcodorders": 0, "maxprepaidonlineorders": 0, "uniquepaymenturl": null, "brandname": "SACUSMART 25 ", "category": "CARDIOLOGYRANGE", "tags": [ "Sacubitril/valsartan", "sacubitril/valsartan tablets 50 mg uses", "Sacubitril Valsartan brands in India" ], "variants": false, "keyspecification": null, "otherspecifications": null, "pickupaddressreferenceid": "", "paymenttype": "UniquePaymentUrl", "producttype": "products", "hsncode": null, "gstslab": 0.0, "isnotforsale": false }, { "_id": "6825c6cc966e2a18bb4b35a6", "fptag": "STERISHEALTHCARE", "merchantname": null, "customwidgets": null, "externalsourceid": null, "name": "GLIDAPA PIO", "description": "GLIDAPA PIO is a combination oral medication specially formulated to help manage type 2 diabetes mellitus. It combines two powerful antidiabetic agents, dapagliflozin and pioglitazone, to effectively control blood sugar levels. This medication is prescribed to patients when diet and exercise alone do not provide adequate glycemic control. By addressing blood glucose regulation through different mechanisms, GLIDAPA PIO helps reduce the risk of diabetes-related complications and supports overall metabolic health.\n\nKey Ingredients\nDapagliflozin (10mg): A sodium-glucose co-transporter 2 (SGLT2) inhibitor that helps lower blood sugar by increasing the excretion of glucose through urine.\n\nPioglitazone (15mg): A thiazolidinedione that improves insulin sensitivity by acting on fat, muscle, and liver cells, facilitating better glucose uptake and utilization.\n\nKey Benefits\nHelps maintain stable blood glucose levels in adults with type 2 diabetes.\n\nCombines two complementary mechanisms to enhance blood sugar control.\n\nSupports weight management due to dapagliflozin’s glucose excretion effect.\n\nMay improve insulin sensitivity and reduce insulin resistance.\n\nReduces the risk of diabetes-related complications such as cardiovascular problems when combined with lifestyle changes.\n\nConvenient once-daily tablet formulation.\n\nHow Does It Work?\nDapagliflozin blocks SGLT2 proteins in the kidneys, preventing glucose reabsorption and promoting its elimination through urine, which lowers blood glucose. Pioglitazone acts on insulin-responsive tissues, enhancing the body’s sensitivity to insulin. This dual action helps reduce both insulin resistance and excess blood glucose, providing better overall glycemic control. By targeting different pathways, GLIDAPA PIO offers a synergistic effect to manage type 2 diabetes more effectively.\n\nDirections for Use\nTake GLIDAPA PIO exactly as prescribed by your healthcare provider.\n\nUsually taken once daily, with or without food, at the same time each day.\n\nDo not skip doses or stop the medication without consulting your doctor.\n\nMaintain a balanced diet and regular exercise as advised alongside the medication.\n\nInform your doctor about any other medications you are taking to avoid potential interactions.\n\nSide Effects\nSome patients may experience side effects while taking GLIDAPA PIO, including:\n\nUrinary tract infections or increased urination due to dapagliflozin.\n\nWeight gain or swelling caused by pioglitazone.\n\nRisk of low blood sugar (hypoglycemia) when combined with other antidiabetic drugs.\n\nPossible dizziness or fatigue.\n\nRarely, heart failure or bladder cancer risk (associated with pioglitazone).\n\nIf you notice symptoms like excessive thirst, sudden weight gain, swelling, shortness of breath, or any allergic reactions, seek medical advice immediately.", "price": 255.0, "discountamount": 77.0, "currencycode": "INR", "priority": 1000000, "isfreeshipmentavailable": false, "shipmentduration": 1, "_keywords": [ "medication inform", "pioglitazone risk", "regular exercise", "balanced diet", "doctor maintain", "glucose uptake", "notice symptoms", "antidiabetic drugs", "swelling caused", "advised alongside", "skip doses", "healthcare provider", "effectively directions", "synergistic effect", "glycemic control", "cardiovascular problems", "complementary mechanisms", "fat muscle", "diabetesrelated complications", "insulin resistance", "bodys sensitivity", "glidapa pio", "urine pioglitazone 15mg", "taking glidapa pio", "bladder cancer risk", "improve insulin sensitivity", "improves insulin sensitivity", "glidapa pioglidapa pio", "dapagliflozin weight gain", "increased urination due", "urinary tract infections", "experience side effects", "insulinresponsive tissues enhancing", "liver cells facilitating" ], "isarchived": false, "isavailable": true, "applicationid": null, "productindex": 2114, "imageuri": "https://productimages.withfloats.com/actual/6825c6ce65488af627fb2e46.png", "tileimageuri": "https://productimages.withfloats.com/tile/6825c6ce65488af627fb2e46.png", "images": null, "totalqueries": 0, "gpid": null, "groupproductid": null, "createdon": "2025-05-15T10:49:48.361Z", "updatedon": "2025-05-15T10:50:30.602Z", "buyonlinelink": null, "producturl": "http://WWW.STERISINDIA.COM/products/glidapa-pio/2114", "availableunits": -1.0, "iscodavailable": false, "isprepaidonlineavailable": false, "maxcodorders": 0, "maxprepaidonlineorders": 0, "uniquepaymenturl": null, "brandname": "Dapagliflozin 10mg and pioglitazone 15mg tablets", "category": "DIABETIC RANGE", "tags": [ "Dapagliflozin, pioglitazone combination", "Dapagliflozin, pioglitazone combination", "Dapagliflozin Pioglitazone CDSCO" ], "variants": false, "keyspecification": null, "otherspecifications": null, "pickupaddressreferenceid": null, "paymenttype": "UniquePaymentUrl", "producttype": "products", "hsncode": null, "gstslab": 0.0, "isnotforsale": false }, { "_id": "681b27d88c5c5327480972c8", "fptag": "STERISHEALTHCARE", "merchantname": null, "customwidgets": null, "externalsourceid": null, "name": "CARDULES ISMN 20", "description": "CARDULES ISMN 20 is a trusted cardiovascular medication formulated with Isosorbide Mononitrate 20 mg, primarily used to prevent and manage angina pectoris (chest pain) due to coronary artery disease. This medicine belongs to the class of drugs known as nitrates, which work by relaxing and widening the blood vessels, improving blood flow to the heart, and reducing its workload. CARDULES ISMN 20 plays a critical role in preventing episodes of angina, enhancing patient quality of life, and lowering the risk of heart-related complications when taken as prescribed.\n\nKey Ingredient\nIsosorbide Mononitrate (20 mg): A long-acting nitrate compound that acts as a vasodilator to reduce myocardial oxygen demand and improve oxygen supply to the heart.\n\nKey Benefits\nPrevents Angina Attacks: Helps in reducing the frequency and severity of chest pain episodes.\n\nImproves Heart Efficiency: Enhances blood flow and reduces the workload on the heart, making it easier for the heart to pump effectively.\n\nReduces Risk of Hospitalization: Long-term use helps reduce emergency visits and admissions due to angina.\n\nPromotes Better Exercise Tolerance: Allows patients with stable angina to engage in physical activity with reduced risk of chest pain.\n\nLong-Acting Relief: Designed for prolonged action, providing extended protection throughout the day when taken regularly.\n\nHow Does It Work?\nIsosorbide Mononitrate, the active ingredient in CARDULES ISMN 20, is a vasodilator that works by releasing nitric oxide, a natural compound in the body that relaxes smooth muscles of the blood vessels. This relaxation causes the veins and arteries to widen, which reduces the pressure on the heart and lowers oxygen demand. It also improves blood flow to the heart muscle, thereby preventing angina attacks. Unlike short-acting nitrates, Isosorbide Mononitrate has a prolonged action, making it suitable for maintenance therapy in chronic angina.\n\nDirections for Use\nTake CARDULES ISMN 20 exactly as prescribed by your physician.\n\nUsually taken once or twice daily, preferably in the morning and afternoon.\n\nSwallow the tablet whole with water; do not crush or chew.\n\nTake the medication on an empty stomach or after a light meal.\n\nMaintain consistent timing every day to achieve the best therapeutic effect.\n\nDo not stop suddenly without consulting your healthcare provider, as it may lead to worsening angina.\n\nImportant: Follow the nitrate-free interval as directed by your doctor to avoid nitrate tolerance (reduced effectiveness over time).\n\nSide Effects\nLike all medications, CARDULES ISMN 20 may cause side effects in some individuals. These are usually mild and temporary but should be monitored.\n\nCommon Side Effects:\n\nHeadache\n\nDizziness or lightheadedness (especially when standing up)\n\nFlushing or warmth in the face\n\nLow blood pressure\n\nNausea\n\nRare but Serious Side Effects:\n\nFainting\n\nIrregular heartbeat\n\nSevere hypotension\n\nAllergic reactions (rash, itching, swelling, especially of the face/tongue/throat)\n\nNote: If you experience severe or persistent side effects, seek medical attention promptly.\n\nPrecautions:\n\nDo not use CARDULES ISMN 20 with phosphodiesterase inhibitors (e.g., sildenafil) as it may cause dangerously low blood pressure.\n\nInform your doctor if you have a history of heart failure, hypotension, anemia, or liver disease.\n\nAvoid alcohol while taking this medicine as it may enhance the blood pressure-lowering effects.\n\nNot recommended for children or pregnant women unless advised by a healthcare professional.\n\nCARDULES ISMN 20 is a clinically proven and effective option for the long-term management of angina pectoris. Regular and proper use can significantly reduce chest pain episodes and improve your heart health and quality of life.", "price": 26.0, "discountamount": 8.0, "currencycode": "INR", "priority": 1000000, "isfreeshipmentavailable": false, "shipmentduration": 1, "_keywords": [ "heart health", "heart muscle", "reduced risk", "medicine belongs", "longterm management", "effective option", "clinically proven", "pregnant women", "phosphodiesterase inhibitors", "experience severe", "facetonguethroat note", "nitratefree interval", "healthcare provider", "stop suddenly", "therapeutic effect", "empty stomach", "afternoon swallow", "daily preferably", "maintenance therapy", "cardules ismn 20", "active ingredient", "physical activity", "exercise tolerance", "admissions due", "hospitalization longterm", "heart making", "heartrelated complications", "preventing episodes", "critical role", "natural compound", "stable angina", "angina promotes", "blood vessels", "side effects", "work isosorbide mononitrate", "improve oxygen supply", "time side effects", "blood pressurelowering effects", "angina pectoris regular", "chronic angina directions", "prolonged action making", "longacting nitrate compound", "improves blood flow", "lowers oxygen demand", "relaxes smooth muscles", "releasing nitric oxide", "coronary artery disease" ], "isarchived": false, "isavailable": true, "applicationid": null, "productindex": 2103, "imageuri": "https://productimages.withfloats.com/actual/681b27dac729bd6f360384db.png", "tileimageuri": "https://productimages.withfloats.com/tile/681b27dac729bd6f360384db.png", "images": null, "totalqueries": 0, "gpid": null, "groupproductid": null, "createdon": "2025-05-07T09:28:56.401Z", "updatedon": "2025-05-07T09:28:56.401Z", "buyonlinelink": null, "producturl": "http://WWW.STERISINDIA.COM/products/cardules-ismn-20/2103", "availableunits": -1.0, "iscodavailable": false, "isprepaidonlineavailable": false, "maxcodorders": 0, "maxprepaidonlineorders": 0, "uniquepaymenturl": null, "brandname": "Isosorbide Mononitrate 20 mg", "category": "CARDIOLOGYRANGE", "tags": [ "Isosorbide Mononitrate 20 mg Uses in Hindi", "Isosorbide mononitrate 20 mg dose", "Isosorbide mononitrate 10mg" ], "variants": false, "keyspecification": null, "otherspecifications": null, "pickupaddressreferenceid": null, "paymenttype": "UniquePaymentUrl", "producttype": "products", "hsncode": null, "gstslab": 0.0, "isnotforsale": false }, { "_id": "681346ac101369a3bb19987c", "fptag": "STERISHEALTHCARE", "merchantname": null, "customwidgets": null, "externalsourceid": null, "name": "BISOPROLIN 2.5", "description": "BISOPROLIN 2.5 contains Bisoprolol Fumarate (2.5 mg), a beta-blocker used primarily for the management of high blood pressure (hypertension) and heart-related conditions such as angina pectoris and chronic heart failure. By reducing the workload on the heart and lowering blood pressure, this medication helps in preventing strokes, heart attacks, and kidney problems. BISOPROLIN 2.5 offers precise control in a low-dose form, ideal for initiating therapy or maintaining gentle cardiovascular regulation.\n\nKey Ingredient\nBisoprolol Fumarate (2.5 mg):\nA selective beta-1 adrenergic receptor blocker that primarily affects the heart, reducing heart rate and cardiac output, which results in lower blood pressure and decreased demand on the heart muscle.\n\nKey Benefits\nEffectively lowers high blood pressure, reducing cardiovascular risk\n\nHelps prevent chronic angina attacks by improving oxygen supply to the heart\n\nSupports treatment of chronic heart failure by easing heart function\n\nReduces the risk of heart attacks and strokes\n\nHelps maintain stable heart rhythm\n\nOnce-daily dose promotes patient compliance\n\nHow Does It Work?\nBisoprolol works by selectively blocking beta-1 adrenergic receptors in the heart. These receptors are responsible for the effects of adrenaline, such as increased heart rate and force of contraction. By blocking these effects, Bisoprolol slows the heart rate and reduces the force of each heartbeat, thereby lowering blood pressure, decreasing myocardial oxygen demand, and improving the heart's efficiency in patients with heart failure. Its selectivity for the heart helps reduce side effects typically associated with non-selective beta-blockers.\n\nDirections for Use\nTake BISOPROLIN 2.5 exactly as prescribed by your doctor.\n\nUsually taken once daily, preferably at the same time each day.\n\nCan be taken with or without food.\n\nSwallow the tablet whole with a glass of water; do not chew or crush.\n\nDo not stop taking the medication suddenly without consulting your healthcare provider.\n\nRegular blood pressure and heart rate monitoring is advised during treatment.\n\nSide Effects\nCommon Side Effects:\n\nTiredness or fatigue\n\nSlow heart rate (bradycardia)\n\nDizziness or light-headedness\n\nCold hands and feet\n\nNausea or mild gastrointestinal discomfort\n\nSerious Side Effects (Seek medical help):\n\nShortness of breath or wheezing\n\nSudden weight gain or swelling (may indicate heart failure worsening)\n\nIrregular heartbeat\n\nDepression or mood changes", "price": 49.0, "discountamount": 15.0, "currencycode": "INR", "priority": 1000000, "isfreeshipmentavailable": false, "shipmentduration": 1, "_keywords": [ "bisoprolin 25", "primarily affects", "bisoprolin 25bisoprolin 25", "feet nausea", "medication suddenly", "stop taking", "food swallow", "daily preferably", "hearts efficiency", "decreased demand", "cardiac output", "initiating therapy", "medication helps", "angina pectoris", "heartrelated conditions", "heart attacks", "heart failure", "heart rate", "heart rate monitoring", "increased heart rate", "chronic heart failure", "effects bisoprolol slows", "improving oxygen supply", "heart supports treatment", "mild gastrointestinal discomfort", "lightheadedness cold hands", "nonselective betablockers directions", "work bisoprolol works", "lower blood pressure", "lowdose form ideal", "lowering blood pressure" ], "isarchived": false, "isavailable": true, "applicationid": null, "productindex": 2098, "imageuri": "https://productimages.withfloats.com/actual/681346aebc611ce74852d76d.png", "tileimageuri": "https://productimages.withfloats.com/tile/681346aebc611ce74852d76d.png", "images": null, "totalqueries": 0, "gpid": null, "groupproductid": null, "createdon": "2025-05-01T10:02:20.428Z", "updatedon": "2025-05-01T10:02:20.428Z", "buyonlinelink": null, "producturl": "http://WWW.STERISINDIA.COM/products/bisoprolin-2-5/2098", "availableunits": -1.0, "iscodavailable": false, "isprepaidonlineavailable": false, "maxcodorders": 0, "maxprepaidonlineorders": 0, "uniquepaymenturl": null, "brandname": "Bisoprolol Fumarate 2.5mg", "category": "CARDIOLOGYRANGE", "tags": [ "Bisoprolol 2.5 mg uses", "Bisoprolol 2.5 mg side effects", "Bisoprolol 2.5 mg brand name", "Bisoprolol 2.5mg price" ], "variants": false, "keyspecification": null, "otherspecifications": null, "pickupaddressreferenceid": null, "paymenttype": "UniquePaymentUrl", "producttype": "products", "hsncode": null, "gstslab": 0.0, "isnotforsale": false }, { "_id": "67c5a0714c6d0a83a4839782", "fptag": "STERISHEALTHCARE", "merchantname": null, "customwidgets": null, "externalsourceid": null, "name": "Calcium Polystyrene Sulphonate Powder", "description": "POLYSTERN SACHET contains Calcium Polystyrene Sulphonate Powder, a highly effective ion-exchange resin used in the management of hyperkalemia (high potassium levels in the blood). It works by removing excess potassium from the body, preventing complications associated with kidney disease, heart conditions, and electrolyte imbalances. This formulation is widely prescribed for patients with chronic kidney disease (CKD), renal failure, and other conditions leading to elevated potassium levels.\n\n \nKey Benefits:\n \n\n✔ Reduces High Potassium Levels (Hyperkalemia) – Effectively binds excess potassium in the gut and eliminates it from the body.\n✔ Supports Kidney Function – Helps patients with chronic kidney disease (CKD) maintain balanced electrolytes.\n✔ Prevents Cardiac Complications – Reduces the risk of arrhythmias and heart-related issues caused by high potassium.\n✔ Restores Electrolyte Balance – Maintains safe potassium levels without affecting sodium balance.\n✔ Calcium-Based Formula – Unlike sodium-based resins, it avoids sodium overload, making it safer for hypertensive and kidney patients.\n✔ Fast-Acting and Effective – Works efficiently within a few hours of administration.\n\n \nHow Does It Work?\n \n\nCalcium Polystyrene Sulphonate Powder functions as an ion-exchange resin, meaning it binds to potassium in the intestines and exchanges it with calcium ions. This process prevents potassium from being absorbed into the bloodstream and facilitates its excretion through the digestive system. By lowering potassium levels, this medication helps protect the heart, muscles, and kidneys from damage caused by hyperkalemia.\n\n \nDirections for Use:\n \n\nDosage should be taken as prescribed by a healthcare professional.\nGenerally, the recommended dose is 15g of powder (one sachet) taken 1-4 times daily based on potassium levels.\nMix the powder in water or a non-carbonated liquid before consumption.\nTake it at least 3 hours apart from other medications to prevent absorption interference.\nDo not take it with fruit juices (especially high-potassium juices like orange juice).\n \nSide Effects:\n \n\nWhile POLYSTERN SACHET is generally safe when used under medical supervision, some potential side effects may include:\n\nMild gastrointestinal discomfort (nausea, bloating, or stomach cramps)\nConstipation or diarrhea\nLoss of appetite\nLow potassium levels (hypokalemia), which may cause muscle weakness or irregular heartbeat\nRare allergic reactions such as rash, swelling, or breathing difficulties\nIf severe symptoms like extreme muscle weakness, confusion, or irregular heartbeats occur, seek immediate medical attention.", "price": 159.0, "discountamount": 48.0, "currencycode": "INR", "priority": 1000000, "isfreeshipmentavailable": false, "shipmentduration": 1, "_keywords": [ "3 hours", "polystern sachet", "widely prescribed", "medical attention", "severe symptoms", "breathing difficulties", "rash swelling", "muscle weakness", "diarrhea loss", "medical supervision", "highpotassium juices", "fruit juices", "noncarbonated liquid", "recommended dose", "hyperkalemia directions", "heart muscles", "digestive system", "calcium ions", "conditions leading", "electrolyte imbalances", "generally safe", "damage caused", "effective works efficiently", "kidney patients fastacting", "healthcare professional generally", "heartrelated issues caused", "potassium levels mix", "lowering potassium levels", "process prevents potassium", "removing excess potassium", "stomach cramps constipation", "potential side effects", "prevent absorption interference", "medication helps protect", "ionexchange resin meaning", "body preventing complications" ], "isarchived": false, "isavailable": true, "applicationid": null, "productindex": 2064, "imageuri": "https://productimages.withfloats.com/actual/67c5a085c611305d0e6079a4.png", "tileimageuri": "https://productimages.withfloats.com/tile/67c5a085c611305d0e6079a4.png", "images": null, "totalqueries": 0, "gpid": null, "groupproductid": null, "createdon": "2025-03-03T12:28:33.179Z", "updatedon": "2025-03-03T12:28:53.062Z", "buyonlinelink": null, "producturl": "http://WWW.STERISINDIA.COM/products/calcium-polystyrene-sulphonate-powder/2064", "availableunits": -1.0, "iscodavailable": false, "isprepaidonlineavailable": false, "maxcodorders": 0, "maxprepaidonlineorders": 0, "uniquepaymenturl": null, "brandname": "POLYSTERN SACHET", "category": "NEPHROLOGYRANGE", "tags": [ "Calcium Polystyrene Sulphonate powder uses", "Calcium Polystyrene Sulphonate powder side effects", "Calcium Polystyrene Sulphonate Powder Uses in Hindi", "Calcium Polystyrene Sulphonate Powder in Hindi", "Calcium Polystyrene sulfonate Powder Sachet dose" ], "variants": false, "keyspecification": null, "otherspecifications": null, "pickupaddressreferenceid": null, "paymenttype": "UniquePaymentUrl", "producttype": "products", "hsncode": null, "gstslab": 0.0, "isnotforsale": false }, { "_id": "6797579a56219bc105ead8ff", "fptag": "STERISHEALTHCARE", "merchantname": null, "customwidgets": null, "externalsourceid": null, "name": "Bisoprolol (5mg)", "description": "Bisoprolol 5mg\nBISOPROLIN 5 is a highly effective medication containing Bisoprolol 5mg, a beta-blocker that is widely used to manage various cardiovascular conditions. Bisoprolol is a selective beta-1 adrenergic receptor blocker, which helps in reducing heart rate, blood pressure, and the overall workload on the heart. It is commonly prescribed to treat conditions like hypertension (high blood pressure), chronic heart failure, and angina (chest pain). BISOPROLIN 5 is an essential component of heart disease management, designed to improve heart function, reduce symptoms, and prevent further complications.\n\nKey Uses of BISOPROLIN 5\n1. Management of Hypertension (High Blood Pressure)\nBISOPROLIN 5 is frequently prescribed for hypertension, as it effectively lowers high blood pressure, helping to reduce the risk of life-threatening complications such as heart attacks, strokes, and kidney damage. By blocking beta-1 receptors in the heart, it helps in lowering heart rate and blood pressure.\n\n2. Treatment of Chronic Heart Failure (CHF)\nChronic heart failure is a condition where the heart's ability to pump blood is impaired. BISOPROLIN 5 is commonly used to improve heart function and reduce symptoms of heart failure such as shortness of breath, swelling in the legs, and fatigue. By lowering the workload on the heart, it helps manage heart failure symptoms and prevent hospitalizations.\n\n3. Prevention of Angina (Chest Pain)\nBISOPROLIN 5 helps in managing angina by reducing the heart's oxygen demand, thus preventing episodes of chest pain caused by insufficient blood flow to the heart. It is especially beneficial in patients with stable angina or other ischemic heart conditions.\n\n4. Management of Cardiac Arrhythmias\nBISOPROLIN 5 is effective in managing cardiac arrhythmias (irregular heartbeats), particularly atrial fibrillation. It works by stabilizing the electrical activity in the heart and preventing abnormal rhythms, ensuring proper heart function.\n\nBenefits of BISOPROLIN 5\n1. Effective Blood Pressure Control\nBISOPROLIN 5 significantly helps in maintaining normal blood pressure levels. By reducing blood pressure, it helps prevent the complications associated with hypertension, such as heart attack, stroke, and kidney disease.\n\n2. Improvement in Heart Function\nFor patients suffering from heart failure, BISOPROLIN 5 helps to improve heart function by reducing the heart’s workload and optimizing its ability to pump blood. This results in a reduction of heart failure symptoms such as fatigue and fluid retention.\n\n3. Prevention of Angina Attacks\nFor those with angina, BISOPROLIN 5 helps prevent chest pain episodes and improves exercise tolerance by reducing the heart's oxygen demand.\n\n4. Reduced Risk of Cardiovascular Events\nBy lowering both blood pressure and heart rate, BISOPROLIN 5 helps reduce the risk of severe cardiovascular events like heart attacks and strokes.\n\nHow BISOPROLIN 5 Works\nBISOPROLIN 5 contains Bisoprolol, a beta-blocker that primarily affects the heart's beta-1 receptors. By binding to these receptors, Bisoprolol reduces the heart rate and the force of heart contractions. This helps the heart beat more efficiently and requires less oxygen, especially during periods of stress or activity. Additionally, Bisoprolol dilates blood vessels, leading to lower blood pressure.\n\nBy reducing the heart's workload, BISOPROLIN 5 not only manages hypertension and heart failure symptoms but also decreases the risk of arrhythmias and angina.\n\nDosage and Administration\nRecommended Dosage\nThe usual dose of BISOPROLIN 5 is 5mg once daily. The dose may vary depending on the condition being treated, the severity of the condition, and individual patient response. The medication is typically taken once a day, and it is important to follow the doctor's instructions for optimal results.\n\nHow to Take BISOPROLIN 5\nTake the tablet at the same time every day to ensure consistency.\nSwallow the tablet whole with water.\nBISOPROLIN 5 can be taken with or without food.\nDo not crush or chew the tablet.\nDo not stop taking the medication abruptly without consulting your healthcare provider, as this can worsen the condition.\nPossible Side Effects\nLike any medication, BISOPROLIN 5 may cause side effects. However, not everyone will experience them. Common side effects include:\n\nCommon Side Effects\nFatigue or Tiredness: Feeling excessively tired is a common side effect, especially in the initial stages of treatment.\nDizziness or Lightheadedness: This can occur, particularly when standing up quickly.\nSlow Heart Rate (Bradycardia): A reduced heart rate is a common effect of Bisoprolol.\nCold Extremities: Hands and feet may feel cold due to reduced blood flow.\nNausea or Upset Stomach: Mild stomach discomfort may be experienced.\nRare but Serious Side Effects\nSevere Bradycardia (Extremely Slow Heart Rate): If the heart rate drops too much, it may lead to fainting or severe dizziness.\nBreathing Problems: Difficulty breathing or wheezing, especially in individuals with asthma.\nSevere Allergic Reactions: Such as swelling of the face, lips, or throat.\nLiver Dysfunction: Signs of liver problems include jaundice, dark urine, or persistent nausea.\nIf any severe or persistent side effects occur, contact your healthcare provider immediately.\n\nDrug Interactions\nBISOPROLIN 5 may interact with certain medications, affecting its effectiveness or increasing the risk of side effects. Some common drug interactions include:\n\nOther Blood Pressure-Lowering Drugs: Combining BISOPROLIN 5 with other antihypertensive medications (e.g., calcium channel blockers or ACE inhibitors) may lead to excessively low blood pressure.\nAnti-arrhythmic Drugs: Medications for heart rhythm disorders, such as amiodarone or sotalol, may interact with Bisoprolol.\nInsulin or Oral Diabetes Medications: Bisoprolol can mask the symptoms of low blood sugar (hypoglycemia), so extra monitoring is needed in diabetic patients.\nNSAIDs (Non-Steroidal Anti-Inflammatory Drugs): These may reduce the blood pressure-lowering effect of BISOPROLIN 5.\nAntidepressants or Antipsychotics: Certain psychiatric medications may enhance Bisoprolol’s side effects, such as dizziness and fatigue.\nAlways inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are currently taking.\n\nPrecautions and Warnings\n1. Who Should Avoid BISOPROLIN 5?\nPeople with severe asthma, COPD (Chronic Obstructive Pulmonary Disease), or other respiratory disorders.\nIndividuals with a history of heart block or very low heart rate (bradycardia).\nThose with uncontrolled heart failure or shock.\n2. Pregnancy and Breastfeeding\nBISOPROLIN 5 should only be used during pregnancy if absolutely necessary. It is not recommended for breastfeeding mothers, as it may pass into breast milk.\n\n3. Regular Monitoring\nIt is important to regularly monitor blood pressure and heart rate while taking BISOPROLIN 5. Liver and kidney function may also need to be checked periodically.\n\nLifestyle and Dietary Tips\nFollow a healthy, balanced diet with limited salt intake to support heart health.\nExercise regularly as recommended by your doctor, but avoid strenuous activity without proper consultation.\nLimit alcohol consumption to reduce potential interactions and side effects.\nQuit smoking to improve heart function and overall cardiovascular health.\nStorage Instructions\nStore BISOPROLIN 5 in a cool, dry place away from direct sunlight.\nKeep it out of reach of children to avoid accidental ingestion.\nDo not use the medication after the expiration date printed on the package.\nConclusion\nBISOPROLIN 5 is an effective treatment option for managing hypertension, chronic heart failure, angina, and arrhythmias. By improving heart function, lowering blood pressure, and reducing symptoms, it helps enhance the quality of life for patients with cardiovascular conditions. Always follow your doctor’s instructions regarding dosage, administration, and monitoring for the best outcomes.\n\n\n\n\n\n\n\n\n", "price": 65.0, "discountamount": 20.0, "currencycode": "INR", "priority": 1000000, "isfreeshipmentavailable": false, "shipmentduration": 1, "_keywords": [ "warnings 1", "bisoprolin 5", "helps prevent", "manages hypertension", "patients suffering", "helps enhance", "shock 2 pregnancy", "extra monitoring", "optimal results", "usual dose", "breath swelling", "commonly prescribed", "medication bisoprolin 5", "lifethreatening complications", "complications key", "reducing symptoms", "bisoprolol 5mg", "breastfeeding bisoprolin 5", "bisoprolin 5 antidepressants", "water bisoprolin 5", "impaired bisoprolin 5", "medication abruptly", "hearts workload", "reduce symptoms", "direct sunlight", "breastfeeding mothers", "taking precautions", "overthecounter drugs", "medications supplements", "psychiatric medications", "ace inhibitors", "antihypertensive medications", "medications affecting", "persistent nausea", "liver problems", "face lips", "experienced rare", "treatment dizziness", "initial stages", "healthcare provider", "stop taking", "doctors instructions", "vary depending", "primarily affects", "atrial fibrillation", "stable angina", "preventing episodes", "managing angina", "hearts ability", "kidney damage", "frequently prescribed", "essential component", "bisoprolol insulin", "heart block", "heart beat", "heart contractions", "angina dosage", "angina attacks", "treat conditions", "electrical activity", "pump blood", "kidney function", "heart attacks", "side effects", "dosage administration", "cardiovascular conditions", "heart rate", "heart function", "cardiovascular events", "heart failure", "blood pressure", "common effect", "administration recommended dosage", "lowering heart rate", "heart attacks strokes", "reducing blood pressure", "severe cardiovascular events", "cardiovascular conditions bisoprolol", "highly effective medication", "heart failure symptoms", "common side effects", "hearts oxygen demand", "dietary tips follow", "reduce potential interactions", "common side effect", "effective treatment option", "reduced heart rate", "improve heart function", "heart rate drops", "respiratory disorders individuals", "uncontrolled heart failure", "receptors bisoprolol reduces", "blood pressurelowering effect", "lower blood pressure", "heart rhythm disorders", "heart attack stroke", "avoid strenuous activity", "hearts beta1 receptors", "insufficient blood flow", "common drug interactions", "expiration date printed", "avoid accidental ingestion", "cool dry place", "limited salt intake", "healthy balanced diet", "checked periodically lifestyle", "calcium channel blockers", "jaundice dark urine", "feel cold due", "ensure consistency swallow", "individual patient response", "improves exercise tolerance", "chest pain caused", "blocking beta1 receptors" ], "isarchived": false, "isavailable": true, "applicationid": null, "productindex": 2039, "imageuri": "https://productimages.withfloats.com/actual/679757d6b85fd002599105ef.png", "tileimageuri": "https://productimages.withfloats.com/tile/679757d6b85fd002599105ef.png", "images": null, "totalqueries": 0, "gpid": null, "groupproductid": null, "createdon": "2025-01-27T09:53:30.652Z", "updatedon": "2025-01-29T12:01:30.749Z", "buyonlinelink": null, "producturl": "http://WWW.STERISINDIA.COM/products/bisoprolol-5mg-/2039", "availableunits": -1.0, "iscodavailable": false, "isprepaidonlineavailable": false, "maxcodorders": 0, "maxprepaidonlineorders": 0, "uniquepaymenturl": null, "brandname": "BISOPROLIN 5 ", "category": "cardiology ", "tags": [ "Bisoprolol 5 mg uses", "Bisoprolol 5 mg price in India", "Is 5 mg of bisoprolol a low dose", "Bisoprolol fumarate 5 mg" ], "variants": false, "keyspecification": null, "otherspecifications": null, "pickupaddressreferenceid": null, "paymenttype": "UniquePaymentUrl", "producttype": "products", "hsncode": null, "gstslab": 0.0, "isnotforsale": false }, { "_id": "679210353a716d60002bbd5a", "fptag": "STERISHEALTHCARE", "merchantname": null, "customwidgets": null, "externalsourceid": null, "name": "Ramipril (2.5mg), Hydrochlorothiazide (12.5mg)", "description": "REMINIL H 2.5 / 12.5 is a combination medication formulated to manage high blood pressure effectively. It combines the benefits of Ramipril (2.5mg), an angiotensin-converting enzyme (ACE) inhibitor, and Hydrochlorothiazide (12.5mg), a thiazide diuretic. This dual-action formula works synergistically to lower blood pressure, reduce the risk of heart-related complications, and support overall cardiovascular health.\n\nThis medication is ideal for individuals needing a comprehensive approach to hypertension management. Regular use of REMINIL H 2.5 / 12.5 can help prevent strokes, heart attacks, and kidney problems associated with uncontrolled blood pressure.\n\n \n\nKey Benefits\n \n\nEfficient Blood Pressure Control: The combination of Ramipril and Hydrochlorothiazide effectively lowers high blood pressure, reducing the risk of severe complications like strokes and heart attacks.\nDual-Action Formula: Works by relaxing blood vessels and reducing excess fluid, ensuring comprehensive hypertension management.\nHeart Protection: Helps protect the heart by reducing the workload, improving blood flow, and minimizing the risk of heart failure.\nKidney Support: Particularly beneficial for people with diabetes or early-stage kidney issues, as it helps to protect kidney function.\nEdema Reduction: Reduces fluid retention and swelling in the body, ensuring better overall health.\n \nHow Does It Work?\n \n\nREMINIL H 2.5 / 12.5 combines two powerful mechanisms:\n\nRamipril inhibits the enzyme responsible for narrowing blood vessels, leading to their relaxation and improved blood flow. This reduces the pressure in the arteries and makes it easier for the heart to pump blood.\nHydrochlorothiazide increases urine output by removing excess salt and water from the body. This action reduces the volume of fluid in blood vessels, contributing to lower blood pressure.\nTogether, these ingredients work synergistically to ensure effective blood pressure control and cardiovascular protection.\n\n \nDirections for Use\n \n\nDosage: Take REMINIL H 2.5 / 12.5 as prescribed by your healthcare provider, usually once daily.\nTiming: Take the tablet at the same time every day, preferably in the morning to avoid frequent nighttime urination.\nWith or Without Food: This medication can be taken with or without food, as per your convenience.\nConsistency: Follow your doctor’s instructions for optimal results. Do not skip doses or stop taking the medication without consulting your doctor.\n \nSide Effects\n \n\nWhile REMINIL H 2.5 / 12.5 is generally well-tolerated, some individuals may experience mild side effects, including:\n\nDizziness or lightheadedness, especially when standing up quickly.\nIncreased frequency of urination (due to the diuretic effect).\nFatigue or weakness.\nDry cough (a common side effect of Ramipril).\nNausea or upset stomach.\nElectrolyte imbalances (low potassium or sodium levels).\nIf you experience severe side effects such as persistent coughing, swelling, difficulty breathing, or allergic reactions, seek immediate medical attention.", "price": 134.0, "discountamount": 41.0, "currencycode": "INR", "priority": 1000000, "isfreeshipmentavailable": false, "shipmentduration": 1, "_keywords": [ "25 125", "25 125 combines", "action reduces", "body ensuring", "individuals needing", "ramipril nausea", "ramipril 25mg", "work reminil", "medical attention", "sodium levels", "urination due", "generally welltolerated", "stop taking", "skip doses", "optimal results", "doctors instructions", "day preferably", "daily timing", "healthcare provider", "enzyme responsible", "severe complications", "comprehensive approach", "cardiovascular health", "heartrelated complications", "hydrochlorothiazide 125mg", "kidney problems", "thiazide diuretic", "combination medication formulated", "lower blood pressure", "diuretic effect fatigue", "cardiovascular protection directions", "ingredients work synergistically", "earlystage kidney issues", "allergic reactions seek", "common side effect", "weakness dry cough", "quickly increased frequency", "doctor side effects", "convenience consistency follow", "blood vessels contributing", "removing excess salt", "improved blood flow", "relaxing blood vessels", "hypertension management regular" ], "isarchived": false, "isavailable": true, "applicationid": null, "productindex": 2036, "imageuri": "https://productimages.withfloats.com/actual/67921070802f20e1132aafe3.png", "tileimageuri": "https://productimages.withfloats.com/tile/67921070802f20e1132aafe3.png", "images": null, "totalqueries": 0, "gpid": null, "groupproductid": null, "createdon": "2025-01-23T09:47:33.342Z", "updatedon": "2025-01-23T09:48:30.992Z", "buyonlinelink": null, "producturl": "http://WWW.STERISINDIA.COM/products/ramipril-2-5mg-hydrochlorothiazide-12-5mg-/2036", "availableunits": -1.0, "iscodavailable": false, "isprepaidonlineavailable": false, "maxcodorders": 0, "maxprepaidonlineorders": 0, "uniquepaymenturl": null, "brandname": "REMINIL H 2.5 / 12.5 ", "category": "NEUROLOGY", "tags": [ "Ramipril 2.5 Hydrochlorothiazide 12.5 mg", "ramipril hydrochlorothiazide 5/25", "Ramipril and Hydrochlorothiazide tablets Uses in Hindi", "Ramipril H 5 mg" ], "variants": false, "keyspecification": null, "otherspecifications": null, "pickupaddressreferenceid": null, "paymenttype": "UniquePaymentUrl", "producttype": "products", "hsncode": null, "gstslab": 0.0, "isnotforsale": false }, { "_id": "677505b18b58ab8899b3ccb5", "fptag": "STERISHEALTHCARE", "merchantname": null, "customwidgets": null, "externalsourceid": null, "name": "Amlodipine & Atenolol Tablets IP", "description": "Amdules AT is a combination medication that combines Amlodipine, a calcium channel blocker, and Atenolol, a beta-blocker, to effectively manage high blood pressure (hypertension) and angina (chest pain). This synergistic formula helps control your blood pressure, improve heart function, and reduce the risk of complications related to cardiovascular health. Whether you're managing long-term hypertension or recovering from heart conditions, Amdules AT offers an effective and convenient treatment option to help you maintain a healthy heart and circulatory system.\n\nKey Ingredients\nAmlodipine (5 mg / 10 mg)\n\nAmlodipine is a calcium channel blocker that works by relaxing and widening the blood vessels, which helps to lower blood pressure and reduce the workload on the heart. It also helps in preventing angina by improving blood flow to the heart muscles.\nAtenolol (25 mg / 50 mg)\n\nAtenolol is a beta-blocker that works by blocking the effects of adrenaline on the heart. This reduces the heart rate and blood pressure, decreasing the heart's demand for oxygen, and making it easier for the heart to pump blood. Atenolol is particularly effective in treating high blood pressure and preventing heart attacks.\nKey Benefits\nReduces High Blood Pressure: The combination of Amlodipine and Atenolol helps to lower high blood pressure, reducing the risk of heart disease, stroke, and kidney problems.\nPrevents Angina: This medication helps alleviate chest pain caused by reduced blood flow to the heart, improving overall heart function and reducing the frequency of angina episodes.\nImproves Heart Function: By controlling both blood pressure and heart rate, Amdules AT helps your heart work more efficiently, especially in conditions like hypertension and coronary artery disease.\nReduces the Risk of Heart Attack: The medication helps reduce the risk of heart attack by controlling high blood pressure and reducing the strain on the heart.\nConvenient Dual Therapy: With both Amlodipine and Atenolol in one tablet, this product simplifies treatment, eliminating the need to take two separate medications.\nHow Does It Work?\nAmlodipine works by blocking the entry of calcium into heart and blood vessel cells, which prevents the contraction of blood vessels and allows them to dilate. This leads to a decrease in blood pressure and a reduction in the heart's workload. Amlodipine also helps improve blood flow to the heart, alleviating symptoms of angina.\n\nAtenolol, on the other hand, works by blocking the beta-receptors in the heart, which decreases the heart rate and the force of the heart’s contractions. This leads to lower blood pressure and reduced oxygen demand for the heart, helping to prevent complications related to hypertension and heart disease.\n\nTogether, these two ingredients work synergistically to reduce blood pressure, prevent chest pain, and improve overall heart health.\n\nDirections for Use\nDosage: The dosage of Amdules AT will be determined by your healthcare provider based on your individual needs and condition.\nAdministration: Take the tablet as prescribed, usually once a day, with or without food. Swallow the tablet whole with a glass of water. Do not chew or crush the tablet.\nConsistency: It is important to take the medication regularly at the same time each day to maintain its effectiveness.\nMissed Dose: If you miss a dose, take it as soon as you remember. If it is nearly time for your next dose, skip the missed dose—do not take two doses at once to make up for the missed dose.\nSide Effects\nWhile Amdules AT is generally well-tolerated, some people may experience side effects. 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This combination of three potent drugs—Gliclazide, Pioglitazone, and Metformin—works synergistically to control high blood sugar levels, improve insulin sensitivity, and help patients achieve better glycemic control. TRI-GLICLAGLAZE 40 is designed for patients who struggle to manage blood glucose levels with single medications or lifestyle changes alone. It is a comprehensive solution for long-term diabetes management and reducing the risk of complications related to uncontrolled blood sugar.\n\n \n\nKey Benefits:\n \n\nEffective Blood Sugar Control: TRI-GLICLAGLAZE 40 helps maintain optimal blood glucose levels by targeting different aspects of diabetes management, such as stimulating insulin release, improving insulin sensitivity, and reducing glucose production.\nReduces Insulin Resistance: Pioglitazone and Metformin work together to lower insulin resistance, making it easier for the body to use insulin effectively.\nImproves Long-Term Glycemic Control: By combining three active ingredients, this medication is particularly beneficial for those struggling with glycemic control through diet or monotherapy alone.\nReduces Risk of Diabetes Complications: Controlling blood sugar levels helps prevent diabetes-related complications such as nerve damage, kidney disease, and cardiovascular problems.\nSupports Weight Management: Metformin, in particular, has been known to assist with weight management, which is important for patients with Type 2 Diabetes.\n \n\nHow Does It Work?\n \nTRI-GLICLAGLAZE 40 works through a multi-faceted mechanism to lower blood glucose levels:\n\nGliclazide stimulates the beta cells in the pancreas to release more insulin, which lowers blood sugar levels post-meal.\n\nPioglitazone enhances the body's sensitivity to insulin by promoting glucose uptake in the muscle and fat cells while also decreasing glucose production in the liver.\n\nMetformin reduces the production of glucose in the liver and improves insulin sensitivity. It also decreases the absorption of sugar from the intestines, ensuring better blood sugar control throughout the day.\n\nThis combination of ingredients targets multiple pathways involved in glucose regulation, making it an effective option for individuals with Type 2 Diabetes who require more comprehensive blood sugar control.\n\n \n\nDirections for Use:\n \nTake TRI-GLICLAGLAZE 40 exactly as prescribed by your doctor.\nUsually, it is taken once or twice daily with meals to minimize gastrointestinal discomfort.\nSwallow the tablet whole with water—do not crush or chew the tablet.\nContinue following your diet and exercise plan alongside the medication to achieve optimal blood sugar control.\nDo not skip doses, and consult your healthcare provider if you miss a dose.\n \n\nSide Effects:\n \nLike any medication, TRI-GLICLAGLAZE 40 may cause side effects, although not everyone experiences them. 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