L-Carnitine L-Tartrate, Coenzyme Q10, Zinc, Piperine Tablets

Therapeutic Indication

Management of chronic fatigue and muscle weakness

Support in cardiovascular health and energy metabolism

Adjunct in male infertility and sperm motility improvement

Antioxidant support in oxidative stress-related conditions

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L-Carnitine L-Tartrate, Coenzyme Q10, Zinc, Piperine

Tablet

This fixed-dose combination provides dual benefits in type 2 diabetes management. Gliclazide, a sulfonylurea, stimulates insulin secretion from pancreatic beta cells, while Metformin, a biguanide, reduces hepatic glucose production and improves insulin sensitivity.

Speciality	Endocrinology \| Diabetology \| General Medicine
Tags	Sulfonylurea \| Biguanide \| Type 2 Diabetes \| Blood Sugar Control
Strength	L-Carnitine L-Tartrate 500 mg Coenzyme Q10 100 mg Zinc 25 mg Piperine 5 mg
Packing Size	10 Tablets

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Mechanism

L-Carnitine L-Tartrate enhances mitochondrial fatty acid transport, boosting energy production. Coenzyme Q10 supports electron transport in oxidative phosphorylation, improving cardiac function. Zinc aids enzymatic activity, immune function, and reproductive health. Piperine increases bioavailability of nutrients by inhibiting drug-metabolizing enzymes.

Pharmacokinetics

Absorption: L-Carnitine absorbed in small intestine; CoQ10 absorption enhanced by Piperine.
Distribution: Carnitine distributed to muscle tissue; CoQ10 concentrated in heart and liver.
Metabolism: CoQ10 metabolized in liver; Piperine modulates CYP enzymes.
Elimination: Carnitine excreted via urine; Zinc via feces and urine.
Half-life: CoQ10 ~33 hrs; Carnitine ~17 hrs.

Side Effects

Mild gastrointestinal upset
Headache
Nausea
Metallic taste

Contraindication

Hypersensitivity to any ingredient
Severe renal impairment
Caution in pregnancy and lactation

Interaction

May interact with anticoagulants (warfarin)
Possible interaction with antihypertensives and statins
Piperine can alter metabolism of drugs via CYP3A4 inhibition

Warning and Precautions

Use under medical supervision, especially in patients with cardiovascular disease.
Monitor liver function when using Coenzyme Q10 in long-term therapy.
Patients with renal impairment should use L-Carnitine cautiously.
Excessive zinc intake may cause copper deficiency; avoid prolonged high-dose use.
Piperine may alter drug metabolism; caution with concurrent medications.
Store in a cool, dry place, away from direct sunlight.
Keep out of reach of children.

Dosage

As directed by the Dietician.