Tergra M Forte (50mg+1000mg) Tablet
Manufacturer
Biocon
Salt Composition
Sitagliptin (50mg) + Metformin (1000mg)
Key Information
Short Description
Tergra M Forte (50mg+1000mg) Tablet is a combination of two medicines that control high blood sugar levels in people with type 2 diabetes mellitus.
Dosage Form
Tablet
Introduction
Tergra M Forte (50mg+1000mg) Tablet 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 reduce your chances of having a heart attack or stroke.
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. Tergra M Forte (50mg+1000mg) Tablet is to be taken with food.
Safety Information
Side Effects
No common side effects listed.
Alcohol Warning
It is unsafe to consume alcohol with Tergra M Forte (50mg+1000mg) Tablet.
Breastfeeding Warning
Tergra M Forte (50mg+1000mg) Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Pregnancy Warning
Tergra M Forte (50mg+1000mg) Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
How it works
Tergra M Forte (50mg+1000mg) Tablet is a combination of two medicines: sitagliptin and metformin. Sitagliptin helps your pancreas produce more insulin, facilitates effective use of insulin by the body, and reduces excess sugar that your liver makes. Metformin is a biguanide which lowers glucose production in the liver, delays glucose absorption from intestines and increases the body's sensitivity to insulin. Together, they provide better control of blood sugar.
Quick Tips
You have been prescribed this combination medicine as it can control blood sugar better than metformin alone. Take it with food to lower your chance of having an upset stomach. Take it in addition to regular exercise and healthy diet to lower levels of blood sugar. 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.
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Frequently asked questions
What is Tergra M Forte (50mg+1000mg) Tablet?
Tergra M Forte (50mg+1000mg) Tablet is a combination of two medicines: Sitagliptin and Metformin. This medicine is used in the treatment of type 2 diabetes mellitus. It improves blood glucose levels in adults when taken along with proper diet and regular exercise. Metformin works by lowering the glucose production in the liver and improving insulin sensitivity. Sitagliptin inhibits the enzyme DPP4 and increases the release of insulin from the pancreas. This combination is not indicated for patients below 18 years of age.
Can the use of Tergra M Forte (50mg+1000mg) Tablet lead to Vitamin B12 deficiency?
Yes, the use of Tergra M Forte (50mg+1000mg) Tablet can cause Vitamin B12 deficiency on long-term use. It interferes with the absorption of Vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems as a result of which the patient can feel tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in maintaining balance (ataxia). To avoid such problems, some researchers suggest an intake of vitamin B12 from outside sources at least once every year.
What are the possible side effects of Tergra M Forte (50mg+1000mg) Tablet?
The use of Tergra M Forte (50mg+1000mg) Tablet is associated with common side effects like hypoglycemia (low blood sugar level), altered taste, nausea, stomach pain, diarrhea, headache and upper respiratory tract infection. Its use can also lead to serious but rare side effect like lactic acidosis. On long-term use it can also lead to Vitamin B12 deficiency.
Are there any specific conditions in which Tergra M Forte (50mg+1000mg) Tablet should not be taken?
The use of Tergra M Forte (50mg+1000mg) Tablet should be avoided in patients with known allergy to any of the components or excipients of this medicine. The use of this medicine should be avoided in patients with severe kidney impairment, liver impairment, congestive heart failure, lactic acidosis or diabetic ketoacidosis.
Is it safe to take alcohol while I am taking Tergra M Forte (50mg+1000mg) Tablet?
No, it is not safe to take alcohol along with Tergra M Forte (50mg+1000mg) Tablet, as it can increase the chances of lactic acidosis.
What are the instructions for storage and disposal of Tergra M Forte (50mg+1000mg) Tablet?
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
Can the use of Tergra M Forte (50mg+1000mg) Tablet lead to lactic acidosis?
Yes, the use of Tergra M Forte (50mg+1000mg) Tablet can lead to lactic acidosis. It is a medical emergency which is caused by the increased levels of lactic acid in the blood. It is also known as MALA (Metformin associated lactic acidosis). It is a rare side effect associated with the use of metformin and therefore, it is avoided in patients with underlying kidney disease, old age patients or who take large amounts of alcohol. Symptoms of lactic acidosis may include muscle pain or weakness, dizziness, tiredness, feeling of cold in arms and legs, difficulty in breathing, nausea, vomiting, stomach pain or slow heart rate. If you have these symptoms, stop taking Sitagliptin + Metformin and immediately consult your doctor.
