Dr. Ashish Mishra MBBS , Pathology

Yes, you can take Metformin + Pioglitazone + Voglibose with gliclazide, no harmful interactions have been reported between them. However, it is not necessary that no interaction can happen between these two. But before taking such kind of combination you must consult your doctor.

Dr. Sameer Awadhiya MBBS , Pediatrics

Yes, you can take Metformin + Pioglitazone + Voglibose with a beta-blocker. People with diabetes tend to develop heart disease or stroke at an earlier age than the general population. One reason for this is that high glucose levels increase your risk of high blood pressure (hypertension). No harmful interactions are seen between them. However, a recent study suggests that beta-blockers can decrease the plasma level of Metformin + Pioglitazone + Voglibose and long-term use can increase lactic acid and uric acid in the blood.

Dr. R.K Singh MBBS , Diabetology

Yes, Metformin + Pioglitazone + Voglibose can be taken with the statin. There is no serious or harmful interaction have been observed between them. Some studies say that it's possible your blood sugar (blood glucose) level may increase when you take a statin, which may lead to developing type 2 diabetes. The risk is small but important enough that the Food and Drug Administration (FDA) has issued a warning on statin labels regarding blood glucose levels and diabetes.

ravi udawat MBBS , General Physician

Metformin + Pioglitazone + Voglibose should be taken with food to reduce stomach and bowel side effects, which may experience the first few weeks of treatment. Also, exercise regularly and test for sugar in your blood or urine as directed.

Dr. Ayush Pandey MBBS, PG Diploma , General Physician

Yes, Metformin + Pioglitazone + Voglibose can cause some sleep problems, especially insomnia. On the other hand, Metformin + Pioglitazone + Voglibose has proven to be useful for preventing sleep apnea. The exact relationship between Metformin + Pioglitazone + Voglibose and sleep problems is still not clear, and further studies are needed for a clearer understanding.