Product Information:
ZOLIGET 30mg/2mg Tablets is a fixed-dose combination of two oral antidiabetic agents:
- Pioglitazone Hydrochloride 30mg – a thiazolidinedione (TZD) that enhances insulin sensitivity in muscle, fat, and liver by activating PPAR-γ receptors
- Glimepiride 2mg – a second-generation sulfonylurea that stimulates insulin secretion from pancreatic beta cells
This dual-mechanism therapy addresses both insulin resistance and impaired insulin secretion, offering improved glycemic control in adults with type 2 diabetes mellitus who are not adequately managed on monotherapy.
Uses of (ZOLIGET 30MG/2MG TABLETS):
- Management of type 2 diabetes mellitus in adults
- Patients inadequately controlled on pioglitazone 15mg or glimepiride 2mg alone
- Those requiring intensified dual therapy with once-daily convenience
Key Benefits of (ZOLIGET 30MG/2MG TABLETS):
- Dual action targets both fasting and postprandial hyperglycemia
- Pioglitazone 30mg provides stronger insulin sensitization than 15mg
- Glimepiride 2mg offers consistent insulin release with low hypoglycemia risk at this dose
- Once-daily dosing improves adherence and reduces pill burden
How To Use (ZOLIGET 30MG/2MG TABLETS):
- Take once daily with breakfast or the first main meal to minimize hypoglycemia risk.
- Swallow whole with water—do not crush or chew.
- Maintain regular meal times and avoid skipping meals.
- Continue diet, exercise, and regular blood glucose monitoring.
When Not to Use (ZOLIGET 30MG/2MG TABLETS):
Do not use if you have:
- Type 1 diabetes or diabetic ketoacidosis
- Severe hepatic or renal impairment
- History of bladder cancer (pioglitazone increases risk)
- Heart failure (NYHA Class III or IV)
- Hypersensitivity to pioglitazone, glimepiride, or other sulfonylureas
⚠️ Important: Glimepiride can cause hypoglycemia—avoid alcohol and ensure consistent carbohydrate intake.
Side Effects of (ZOLIGET 30MG/2MG TABLETS):
Common:
- Hypoglycemia (sweating, dizziness, tremor, confusion)—especially if meals are delayed or skipped
- Weight gain (dose-dependent from pioglitazone)
- Mild peripheral edema (ankle/leg swelling)
- Headache, nausea
Less common:
- Bone fractures (pioglitazone—particularly in postmenopausal women)
- Photosensitivity (glimepiride)
- Mild anemia or elevated liver enzymes
Serious (rare but require immediate attention):
- Severe hypoglycemia (loss of consciousness, seizures)—requires emergency glucose administration
- Worsening heart failure (shortness of breath, rapid weight gain, fatigue)
- Bladder cancer (hematuria, urinary urgency, pelvic pain)—risk increases with pioglitazone duration >1 year
- Hepatotoxicity (jaundice, dark urine, abdominal pain)
- Seek emergency care if severe hypoglycemia, heart failure symptoms, or blood in urine occur.
Dosage: (ZOLIGET 30MG/2MG TABLETS):
- Adults: 1 tablet once daily with breakfast
- Maximum daily dose: Pioglitazone 45mg + Glimepiride 8mg
- Elderly or hepatic/renal impairment: Use with caution; may require dose reduction
Who It’s For (ZOLIGET 30MG/2MG TABLETS):
Adults with type 2 diabetes who need stronger insulin-sensitizing effects than 15mg pioglitazone provides, combined with reliable insulin stimulation, and who can maintain regular meal schedules to mitigate hypoglycemia risk.
Warnings & Precautions:
- Monitor blood glucose regularly, especially during initiation or dose changes
- Avoid alcohol—increases risk and masks hypoglycemia symptoms
- Assess for signs of heart failure and bladder cancer periodically
- Use extra caution in elderly patients (higher hypoglycemia and fall risk)
- Educate patients on hypoglycemia recognition and management
Drug Interactions:
- Beta-blockers: May mask tachycardia during hypoglycemia
- NSAIDs, salicylates, sulfonamides: ↑ Risk of hypoglycemia
- Rifampin: ↓ Glimepiride efficacy—monitor glucose
- Gemfibrozil: ↑ Pioglitazone levels—avoid combination
- Always inform your doctor about all medications and supplements.
Additional Information:
Store below 30°C in a dry place, protected from light and moisture. Keep out of reach of children. Do not use after the expiration date. Available by prescription in Pakistan.