Talk to your doctor before taking VOLGA TRIO 2/0.2MG, if you:

• are allergic to VOLGA TRIO 2/0.2MG or to any of its ingredients
• have kidney problems
• have heart failure that is treated with medicines
• have a condition called metabolic acidosis, including diabetic ketoacidosis
• drink a lot of alcohol
• have Inflammatory bowel disease, colonic ulcerations or partial intestinal obstructions and patients being predisposed to intestinal obstruction
• have chronic disorders associated with marked disorders of digestion or absorption, with conditions that may deteriorate because of increased gas formation in the intestine
• have renal function impairment
• have gastro-intestinal disorders
• have insulin dependent diabetes
• are in a diabetic coma

• Ask your doctor for advice before taking this medicine if you are pregnant, or breast feeding or planning to become pregnant
• VOLGA TRIO 2/0.2MG may pass into breast milk

• VOLGA TRIO 2/0.2MG is not recommended for use in children under 18 years of age

• Your ability to concentrate or react may be reduced if your blood sugar is lowered (hypoglycaemia) or raised (hyperglycaemia) or if you develop visual problems because of such conditions
• Please ask your doctor whether you can drive a car and use machines

NA

Metformin

• diarrhoea
• nausea
• upset stomach

Voglibose

• gastro intestinal tract such as soft stools or diarrhoea, flatulence, bloating, abdominal pain or discomfort, abdominal fullness and nausea
• liver problem
• central nervous system such as nausea, vomiting, dizziness has been reported
• endocrine and/or metabolic disorders

NA

Metformin

• lactic acidosis (a buildup of an acid in the blood) that can cause death
• hypoglycemia (low blood sugar)

Glimepiride

• Lower blood sugar than normal (hypoglycaemia)
• Decrease in the number of blood cells such as, Blood platelets (which increases risk of bleeding or bruising)
• White blood cells (which makes infections more likely)
• Red blood cells (which can make the skin pale and cause weakness or breathlessness)

Voglibose

• Voglibose, along with other alpha-glucosidase inhibitors agents, have shown to induce pneumatosis intestinalis in a few cases 

Glimepiride

• allergic reactions
• abnormal liver function including yellowing of the skin and eyes (jaundice), impairment of the bile flow (cholestasis), inflammation of the liver (hepatitis) or liver failure
• feeling or being sick, diarrhoea, feeling full or bloated, and abdominal pain
• decrease in the amount of sodium level in your blood (shown by blood tests)

NA

• Keep this medicine out of reach of children
• Do not use this medicine after the expiry date
• Store at room temperature (15-25C)