Shirten M 500mg/20mg Tablet
Manufacturer
Shirr Pharmaceuticals Pvt Ltd
Salt Composition
Metformin (500mg) + Teneligliptin (20mg)
Key Information
Short Description
Shirten M 500mg/20mg Tablet is a combination medicine used to control high blood sugar levels in people with type 2 diabetes mellitus.
Dosage Form
Tablet
Introduction
Shirten M 500mg/20mg Tablet is a combination of two medicines that help control high blood sugar levels in individuals with type 2 diabetes mellitus. By managing blood sugar levels, it helps prevent serious complications such as kidney damage, blindness, heart attack, and stroke. It is important to follow the prescribed dosage and take the medicine with food to avoid an upset stomach. Regular monitoring of blood sugar levels is essential while on this medication. Consult your doctor for any concerns, especially if you experience symptoms like deep or rapid breathing, persistent nausea, vomiting, or stomach pain, as these may indicate a rare but serious condition called lactic acidosis.
Directions for Use
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush, or break it. Shirten M 500mg/20mg Tablet is to be taken with food.
How it works
Shirten M 500mg/20mg Tablet is a combination of two antidiabetic medicines that work together to control blood sugar levels.
Quick Tips
You have been prescribed this combination medicine as it can control blood sugar better than metformin alone. Take it in addition to regular exercise and a healthy diet to lower levels of blood sugar. Take it with food to lower your chance of having an upset stomach. Chances of weight gain and low blood sugar are lesser as compared to other diabetes medicines. Monitor your blood sugar level regularly while you are taking this medicine. Inform your doctor about your diabetes treatment if you are due to have surgery under a general anesthetic. Tell your doctor immediately if you experience any deep or rapid breathing, persistent nausea, vomiting, and stomach pain as Shirten M 500mg/20mg Tablet may cause a rare but serious condition called lactic acidosis.
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Frequently asked questions
Is Shirten M 500mg/20mg Tablet safe to use?
Yes, Shirten M 500mg/20mg Tablet is generally safe when taken as prescribed by a doctor. However, it may cause side effects like nausea, diarrhea, vomiting, stomach upset, headache, nasal congestion, sore throat, respiratory tract infection and hypoglycemia (low blood sugar level). Hypoglycemia is more likely to occur if you are taking Shirten M 500mg/20mg Tablet alongside insulin or Sulfonylurea. Consult your doctor if you experience persistent problems while using this medication.
Can the use of Shirten M 500mg/20mg Tablet lead to hypoglycemia?
Shirten M 500mg/20mg Tablet typically doesn't cause hypoglycemia on its own. However, it may be associated with hypoglycemia (low blood sugar level) if you have insufficient calorie intake while taking this medicine. Symptoms of hypoglycemia include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate, and feeling anxious or shaky. These symptoms are more likely to appear if you miss meals, drink alcohol, over-exercise, or take other antidiabetic medications alongside it. Regular blood sugar monitoring is crucial. It's recommended to carry glucose tablets, honey or fruit juice with you.
Can Shirten M 500mg/20mg Tablet cause nausea and vomiting?
Yes, Shirten M 500mg/20mg Tablet can cause nausea and vomiting in some patients. If you experience vomiting, drink plenty of water or other fluids by taking small frequent sips. Consult your doctor if vomiting persists and notice signs of dehydration like dark-colored and strong-smelling urine, and low frequency of urination. Do not take any other medicine without consulting a doctor.
Are there any specific contraindications for using Shirten M 500mg/20mg Tablet?
Do not use Shirten M 500mg/20mg Tablet if you have known allergies to any of its components or excipients. It's also advised against using this medication in individuals with severe kidney impairment, liver impairment, congestive heart failure, lactic acidosis, or diabetic ketoacidosis.
Can the use of Shirten M 500mg/20mg Tablet lead to lactic acidosis?
Yes, Shirten M 500mg/20mg Tablet can cause lactic acidosis, which is also known as MALA (Metformin-associated lactic acidosis). This occurs due to increased levels of lactic acid in the blood. It's a rare side effect associated with metformin use and often occurs in patients with pre-existing kidney disease, elderly patients, or those who consume high quantities of alcohol. Symptoms include muscle pain or weakness, dizziness, tiredness, feeling cold in arms and legs, difficulty breathing, nausea, vomiting, stomach pain, or slow heart rate. If you experience these symptoms, stop taking Shirten M 500mg/20mg Tablet immediately and contact your doctor.
Can the use of Shirten M 500mg/20mg Tablet lead to Vitamin B12 deficiency?
Yes, long-term use of Shirten M 500mg/20mg Tablet may contribute to Vitamin B12 deficiency. It hinders vitamin B12 absorption in the stomach. Vitamin B12 deficiency can cause anemia and nerve problems. Symptoms include tingling sensation and numbness in hands and feet, weakness, urinary problems, changes in mental status, and difficulty maintaining balance (ataxia). Consult your doctor if you experience these symptoms. Your doctor may recommend monitoring B12 levels and prescribe a vitamin B12 supplement as needed.
How should Shirten M 500mg/20mg Tablet be stored?
Store Shirten M 500mg/20mg Tablet in its original container or pack, tightly closed. Store it according to the instructions on the label. Never share this medicine with others, and keep it away from pets, children, and other people.
