GLIPESTA M 20 mg/500 mg 10 Tablet

Prescription status:

Prescription Required

Manufacturer Name:

Indiabulls Pharmaceuticals Ltd

Drug classification:

Anti-Diabetic Agents

What is this used for:

• Type 2 Diabetes mellitus

When to not take this medicine:

• Hypersensitivity
• Liver disease
• Kidney Disease
• Metabolic Acidosis

How should i take the medicine:

Take this medicine with an adequate amount of water as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

This medicine combination works by two different mechanisms of action.

Metformin reduces the intestinal absorption of glucose and improves the sensitivity of insulin in the body. Teneligliptin increases the synthesis of insulin from pancreatic beta- cells and reduces the production of glucagon

Side effects

• Anxiety (Unknown)
• Hypoglycemia (Rare)
• Chills (Less common)
• Blurred vision (Less common)
• Confusion (Rare)
• Cough (Less common)
• Fever (Less common)
• Nausea (Less common)
• Diarrhea (Less common)
• Abdominal pain (Less common)
• Lactic Acidosis (Rare)
• Weakness (Less common)
• Chest discomfort (Unknown)
• Headache (Unknown)
• Running nose (Unknown)
• Swollen joints (Rare)

Pregnancy warning:

Unknown - Use of this medicine is not recommended if you are pregnant or planning to become pregnant unless necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Lactation warning:

Use of this medicine is not recommended for lactating and breastfeeding mothers unless necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative based on creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative.

Drug interactions:

• Clozapine- Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together, it can cause alteration in the absorption and effectiveness of this medicine. Appropriate dose adjustments or suitable alternate medicine may be considered based on the condition.

• Gatifloxacin - Severe

Inform your doctor about the use of either medicines. When these medicines are taken or used together, it can alter the blood glucose levels. If you experience any signs and symptoms like nausea, vomiting, stomach pain, drowsiness, or dizziness inform to the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Acetozolamide - Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together, it may increase the occurrence of lactic acidosis. If you experience any signs and symptoms like fruity-smelling breath (ketoacidosis), confusion, jaundice, trouble breathing then inform to the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Trimethoprim - Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together, it may increase the side effects of trimethoprim. If you experience any signs and symptoms like nausea, vomiting, diarrhea, loss of appetite, visual disturbances, then inform to the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Cimetidine - Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together, it may increase the side effects of cimetidine. If you experience any signs and symptoms like nausea, vomiting, diarrhea, loss of appetite, visual disturbances, then inform to the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

Alcohol interactions:

Consumption of alcohol is not recommended while receiving/taking this medicine as it may cause interactions and lead to serious adverse effects and may worsen the health condition.

Food interactions:

N/A.

Expert Advice:

• This medicine is to be taken with food.
• Care must be taken for the use of this medicine in individuals like Vitamin B12 deficiency, Stressful conditions like fever, surgery or accidents, etc.
• Seek emergency medical help if you experience any of the side effects like blistering or peeling of the skin, itching, swelling of the eyes, face, lip, mouth, difficulty in swallowing, hoarseness, rash on cheeks or arms, etc.
• Use of this medication does not cause sedation. If you experience any dizziness or drowsiness it is recommended to report to your doctor immediately

Missed dose instructions:

Take this medicine as soon as you remember. However, if it is almost time for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Overdose Instructions:

Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

1. Store the medicine in a cool and dry place away from sunlight
2. Keep away from the reach of children
3. Discard the unused medicine safely after use

References:

1. [Internet]. Accessdata.fda.gov. 2020 [cited 14 September 2020]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/020357s037s039,021202s021s023lbl.pdf

2. [Internet]. Centaurpharma.com. 2020 [cited 14 September 2020]. Available from: https://www.centaurpharma.com/downloads/TEN20M.pdf

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Keep away from direct sunlight

Store in a dry place