ravi udawat MBBS , General Physician

Vogeab M 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. Manoj Meena MBBS , General Physician

Lactic acidosis associated with Vogeab M treatment is a rare but fatal adverse effect. Lactic acidosis appears to result from biguanide interference causing an increase in production and decrease in clearance of lactate leading to higher cellular lactate levels. A decrease in pyruvate carboxylase activity, the rate-limiting enzyme in the formation of glucose from lactate, can also decrease hepatic metabolism of lactate. leading to increasing lactic acidosis. Signs and symptoms of Vogeab M induced lactic acidosis are nonspecific and include anorexia, nausea, vomiting, altered level of consciousness, hyperpnoea, abdominal pain, and thirst. 

Dr. Vedprakash Verma MBBS, MD , Cardiology

Yes, Vogeab M is safe to use, many people have side effects at first, they usually diminish and then go away completely in a few weeks. A few people find they cannot tolerate metformin, there are other drugs but metformin is usually the first choice. It is very safe

Dr. Ashish Mishra MBBS , Pathology

Yes, you can take Vogeab M 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. Vipin Khadse MBBS , General Physician

Vogeab M is not a known cause of alopecia (hair loss). However, the conditions treated by Vogeab M type 2 diabetes and PCOS, often list hair loss as a possible symptom.