Tenepla M 1000/20mg Tablet 10'S

Introduction About TENEPLA M 1000/20MG TABLET

TENEPLA M 1000/20MG TABLET is used to manage high blood sugar levels in people
with type 2 diabetes mellitus. It is a combination of Metformin and
Teneligli
agents.

Before taking TENEPLA M 1000/20MG TABLET inform your doctor if you have any
liver, kidney or heart problems. You must also inform your doctor if you have
low potassium levels in blood or are severely dehydrated due to excessive
vomiting or diarrhea recently. During therapy with TENEPLA M 1000/20MG TABLET,
your doctor might regularly monitor blood sugar levels and kidney functions to
avoid the risk of unwanted side effects.

TENEPLA M 1000/20MG TABLET is not recommended for use in patients with severe
uncontrollable diabetes. It is also not suitable for use in patients with
alcoholism and in patients with severe systemic infections. The most common side
effects of taking TENEPLA M 1000/20MG TABLET are low blood sugar levels, stomach
upset, constipation, flatulence and altered taste sensations. Consult your
doctor if any of the above side effects bother you.

Uses Of TENEPLA M 1000/20MG TABLET

• Used to manage type II diabetes mellitus

How TENEPLA M 1000/20MG TABLET Works

TENEPLA M 1000/20MG TABLET contains Metformin and Teneligli
by lowering glucose production in the liver, delaying glucose absor
intestines and increasing the body’s sensitivity to insulin. Teneligli
dipe
insulin from pancreas and decreasing the hormones that raise blood sugar levels.
This reduces both fasting and post-meal sugar levels. Together, they provide
better control of blood sugar.

How to use TENEPLA M 1000/20MG TABLET

• Take TENEPLA M 1000/20MG TABLET preferably after meals or as advised by your physician
• Swallow the medicine with a glass of water. Do not crush or chew the medicine
• Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and disease condition
• Do not stop taking TENEPLA M 1000/20MG TABLET unless your doctor advice you to stop

Side Effects Of TENEPLA M 1000/20MG TABLET

Common side effects of TENEPLA M 1000/20MG TABLET:

• hypoglycemia
• flatulence, diarrhea, constipation, stomach pain, loss of appetite
• changes in taste

Stop taking TENEPLA M 1000/20MG TABLET and consult your doctor immediately if
you experience any of the following side effects:

• serious allergic reaction (hives, swelling of the face, lips, tongue or throat causing difficulty in breathing or swallowing)
• severe skin rashes with redness and blistering of the skin
• signs of lactic acidosis (cold hands or feet, dizziness or light-headedness, slow or irregular heartbeat, weakness or tiredness, unusual muscle pain, trouble breathing, sleepiness or drowsiness, stomach pains, nausea or vomiting)
• signs of liver damage (tiredness, loss of appetite, weight loss, with or without yellowing of the skin or whites of the eyes)

Warning & Precautions

!### Pregnancy

Monitoring requiredTENEPLA M 1000/20MG TABLET should be used during pregnancy only if the potential
benefit justifies the potential risk to the fetus. Safe use of the medicine
during pregnancy has not been established.

!### Breastfeeding

ContraindicatedTENEPLA M 1000/20MG TABLET is not recommended for use in breastfeeding mother.

!### Driving and Using Machines

Use with CautionDo not drive or operate any machines if you feel dizzy after taking TENEPLA M
1000/20MG TABLET.

!### Alcohol

Consult your doctorAvoid consum
increase the risk of unwanted side effects.

!### Kidney

ContraindicatedTENEPLA M 1000/20MG TABLET is not recommended for use in patients with severely
reduced kidney functions.

!### Liver

Consult your doctorTENEPLA M 1000/20MG TABLET is not recommended for use in patients with severe
liver problems. It should be used with caution in patients with gall stones.

!### Allergy

ContraindicatedDo not take TENEPLA M 1000/20MG TABLET if you are allergic to Metformin or
Teneligli

!### Lungs

ContraindicatedTENEPLA M 1000/20MG TABLET is not recommended for use in patients with severe
infections of the lungs or respiratory tract.

!### Heart Disease

ContraindicatedTENEPLA M 1000/20MG TABLET is not recommended for use in patients with severe
heart problems (such as acute heart failure, recent heart attack, arrythmia,
prolonged QT interval).

!### Use In Pediatrics

Consult your doctorThe safety and effectiveness of TENEPLA M 1000/20MG TABLET have not been
established in infants, children and adolescents (aged below 18 years).

!### Use In Geriatrics

Consult your doctorThe safety and effectiveness of TENEPLA M 1000/20MG TABLET have not been
established in elderly patients (aged 65 years or above).

Others

TENEPLA M 1000/20MG TABLET is not recommended for use if you:

• have severe, uncontrollable diabetes
• have lactic acidosis or ketoacidosis
• are dehydrated (due to drinking less fluid or had severe vomiting or diarrhea during the recent days)
• have any severe systemic infection
• have shock or problems in blood circulation

Before taking TENEPLA M 1000/20MG TABLET, inform your doctor if you:

• have pituitary insufficiency or adrenal insufficiency
• are malnourished, starved, on an irregular diet, or feeling weak
• perform extreme muscle exercises
• have a history of abdominal operation or intestinal obstruction
• have hypokalaemia
• have type I diabetes mellitus
• have severe traumatic conditions

Interactions

A. Drug-Drug interactions:

Before taking TENEPLA M 1000/20MG TABLET, inform your doctor if you are taking
any of the following medicines such as:

• Anti-diabetics (Ex. glimepiride, glyburide, gliclazide, rosiglitazone, pioglitazone)
• iodine contrast medium (used during X-rays)
• Bronchodilators (Ex. salbutamol or terbutaline)
• Corticosteroids (Ex. hydrocortisone, prednisolone)
• diuretics (Ex. furosemide, hydrochlorothiazide)
• Non-steroidal anti-inflammatory agents (Ex. ibuprofen and celecoxib)
• Antihypertensives (such as atenolol, propranolol, captopril, enalapril, ramipril, lisinopril, losartan, valsartan, olmesartan, telmisartan)
• H2 blockers (Ex. cimetidine)
• Anti-viral agents (Ex. dolutegravir)
• Calcium-channel blockers (Ex. verapamil)
• Antimicrobial (Ex. rifampicin)
• Anti-anginals (Ex. ranolazine)
• Antibiotics (Ex. trimethoprim)
• Anti-cancer agents (Ex. vandet
• Anti-fungal (Ex. isavuconazole)
• Keratolytic agents (Ex. salicylic acid)
• Antidepressants (Ex. phenelzine, selegiline)
• Sympathomimetic agents (Ex. adrenaline)
• Thyroid hormones (Ex. levothyroxine, liothyronine)
• Cardiac glycosides (Ex. quinidine, procainamide, amiodarone, sotalol)

Overdosage:

If you or anyone else accidentally took more of  TENEPLA M 1000/20MG TABLET,
consult your doctor immediately or visit the nearby hospital. Symptoms of
overdose are feeling cold, severe nausea or vomiting, stomach pain, unexplained
weight loss, muscular cramps and fast breathing.

Synopsis

Drug	:	Metformin, Teneligli
Pharmacological Category	:	Bigu
Therapeutic Indication	:	Type II Diabetes mellitus
Dosage Forms	:	Tablet

More Information

FAQs About TENEPLA M 1000/20MG TABLET

Q: What is TENEPLA M 1000/20MG TABLET used for?

A: TENEPLA M 1000/20MG TABLET is used as an adjunct to diet and exercise to
control blood sugar levels in patients with type II diabetes mellitus.

Q: How and when to take TENEPLA M 1000/20MG TABLET?

A: Take TENEPLA M 1000/20MG TABLET preferably after meals or as advised by your
physician. Swallow the medicine with a glass of water. Do not crush or chew the
medicine.

Q: How long should I take TENEPLA M 1000/20MG TABLET?

A: You need to take TENEPLA M 1000/20MG TABLET as long as your doctor prescribes
you the medicine. Your doctor will decide the correct dose and duration of
therapy for you depending upon your age, body weight and disease condition.

Q: What is the best time to take TENEPLA M 1000/20MG TABLET?

A: TENEPLA M 1000/20MG TABLET must be taken with meals to avoid gastrointestinal
side effects.

Q: What to do if I forgot to take a dose of TENEPLA M 1000/20MG TABLET?

A: If you forgot to take a dose of TENEPLA M 1000/20MG TABLET, take it as soon
as you remember. However, if it is time for the next dose of TENEPLA M 1000/20MG
TABLET, skip the missed dose and take the next one regularly. Do not take a
double dose of TENEPLA M 1000/20MG TABLET to compensate the missed ones.

Q: What are the most common side effects of taking TENEPLA M 1000/20MG TABLET?

A: The most common side effects of taking TENEPLA M 1000/20MG TABLET are low
blood sugar levels, stomach upset, constipation, flatulence, metallic taste in
mouth, sore throat, stuffy nose and joint pain. Consult your doctor if they
bother you.

Q: Can I stop taking TENEPLA M 1000/20MG TABLET without consulting your doctor?

A: No. You should not stop taking TENEPLA M 1000/20MG TABLET without consulting
your doctor because it may lead to reversal of symptoms.

Q: Will taking a higher dose of TENEPLA M 1000/20MG TABLET be more effective?

A: No, taking a higher dose of TENEPLA M 1000/20MG TABLET will not be effective
it can lead to toxicity. Always take the dose prescribed by your doctor.

Q: What precautions do I need to follow while taking TENEPLA M 1000/20MG TABLET?

A: Before taking TENEPLA M 1000/20MG TABLET inform your doctor if you have any
liver, kidney or heart problems. You must also inform your doctor if you have
severe systemic infections or are severely dehydrated due to excessive vomiting
or diarrhea recently.

Q: Can I take medication for high blood pressure along with TENEPLA M 1000/20MG TABLET?

A: Consult your doctor before taking any antihypertensive such as beta blockers
(Ex. atenolol, propranolol) along with TENEPLA M 1000/20MG TABLET as they have
known interactions with this medicine.

Q: What should I do if I experience low blood sugar after taking TENEPLA M 1000/20MG TABLET?

A: Low blood sugar is a common side effect of taking TENEPLA M 1000/20MG TABLET.
If you experience any signs of low blood sugar levels (such as increased hunger,
sweating, shakiness, weakness or an irregular heartbeat), consume a sugary snack
or sugar drink immediately. Consult your doctor if the symptom did not improve.

Q: Can TENEPLA M 1000/20MG TABLET be taken with insulin?

A: Co-administration of TENEPLA M 1000/20MG TABLET with insulin is considered
risky as they are increased chances of hypoglycemia (decreased blood sugar
levels).

Q: Can TENEPLA M 1000/20MG TABLET be used in pregnant women?

A: TENEPLA M 1000/20MG TABLET should be used during pregnancy only if the
potential benefit justifies the potential risk to the fetus. Safe use of the
medicine during pregnancy has not been established.

Q: Can TENEPLA M 1000/20MG TABLET cause constipation?

A: Yes. Constipation is a common side effect of using TENEPLA M 1000/20MG
TABLET. Eat plenty of fiber rich foods such as fresh fruits, vegetables, cereals
as well as drink plenty of water and exercise more regularly while taking this
medicine.

Useful Diagnostic Tests

• Random Blood Sugar (RBS)
• Fasting Blood Sugar (FBS)
• Post Prandial Blood Sugar (PPBS)
• Sugar Risk Package
• HbA1C, Also known as Glycated Hemoglobin, Glycosylated Hemoglobin