Cadila Pharmaceuticals Ltd
Metformin (500mg) + Teneligliptin (20mg)
Tenali M 500 Tablet ER is a combination of two medicines that control high blood sugar levels in people with type 2 diabetes mellitus.
Tablet ER
Tenali M 500 Tablet ER is a combination of two medicines that control high blood sugar levels in people with type 2 diabetes mellitus. This helps prevent serious complications of diabetes such as kidney damage and blindness and may also reduce your chances of having a heart attack or stroke.
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. Tenali M 500 Tablet ER is to be taken with food.
Tenali M 500 Tablet ER is a combination of two antidiabetic medicines:
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 Tenali M 500 Tablet ER may cause a rare but serious condition called lactic acidosis which is an excess of lactic acid in the blood.
Yes, Tenali M 500 Tablet ER is generally safe for use if taken as prescribed by the doctor. However, you may experience common side effects like nausea, diarrhea, vomiting, stomach upset, headache, nasal congestion, sore throat, respiratory tract infection and hypoglycemia (low blood sugar level). Hypoglycemia may occur more often in patients taking this medicine with insulin or Sulfonylurea. Inform your doctor if you experience any persistent problems while taking this medication.
Tenali M 500 Tablet ER does not usually cause hypoglycemia (low blood sugar level) on its own. However, it can occur if you are not consuming enough calories while taking the medicine. Hypoglycemia symptoms include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate and feeling anxious or shaky. Symptoms are more likely to be noticed when missing meals, drinking alcohol, over-exerting yourself, or taking other antidiabetic medications along with this one. Regular monitoring of blood sugar level is important. It is advisable to carry glucose tablets, honey, or fruit juice with you at all times.
Yes, the use of Tenali M 500 Tablet ER can lead to nausea and vomiting. In case of vomiting, drink plenty of water or other fluids by taking small frequent sips. If vomiting persists, talk to your doctor. If you experience signs of dehydration (dark-colored urine and low urination frequency), do not take any other medicine without consulting your doctor.
Avoid using Tenali M 500 Tablet ER if you are allergic to any component or excipients in this medicine. This medicine should also be avoided for patients with severe kidney impairment, liver impairment, congestive heart failure, lactic acidosis or diabetic ketoacidosis.
Yes, the use of Tenali M 500 Tablet ER can lead to lactic acidosis. This is also known as MALA (Metformin-associated lactic acidosis) and it results from high levels of lactic acid in the blood. It is a rare side effect associated with metformin use, particularly in patients with pre-existing kidney disease or other elderly patients. If you experience symptoms like muscle pain, dizziness, tiredness, feeling cold in your limbs, difficulty breathing, nausea, vomiting, stomach pain, or slow heart rate, immediately stop taking Tenali M 500 Tablet ER and contact your doctor.
Yes, long-term use of Tenali M 500 Tablet ER can cause vitamin B12 deficiency. This is because it interferes with the absorption of vitamin B12 in the stomach. Vitamin B12 deficiency may lead to anemia and nerve problems. Symptoms may include tingling and numbness in hands and feet, weakness, urinary problems, changes in mental status, and difficulty maintaining balance (ataxia). If you experience these symptoms, contact your doctor for advice. Your doctor may recommend monitoring of vitamin B12 levels or prescribe a vitamin B12 supplement if required.
Store this medicine in the container it came in, tightly closed. Follow the instructions on the label. Dispose of unused medication. Make sure it isn't consumed by pets, children, or other people.