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Metheal 500 mg Tablet SR

Haeal Pharma

Composition for Metheal 500 mg Tablet SR

Prescription Required

Primary uses of Metheal 500 mg Tablet SR

Potentiallyunsafewith
Alcohol
MRP
18.5
₹1.85/Tablet SR
10 tablet sr in 1 strip
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Medicine Overview of Metheal Tablet SR

Uses of Metheal Tablet SR

Metheal 500 mg Tablet SR is used in the treatment of type 2 diabetes. It is used in addition to diet and exercise to improve blood sugar control in adults with type 2 diabetes.

Metheal Tablet SR side effects

Common

Side Effects of Metheal are Nausea, Vomiting, Taste change, Diarrhoea, Abdominal pain, Loss of appetite.

How to use Metheal Tablet SR

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. Metheal 500 mg Tablet SR is to be taken with food.

How Metheal Tablet SR works

Metformin is an anti-diabetic medication (biguanide). It works by lowering glucose production in the liver, delaying sugar (glucose) absorption from intestines and increasing the body's sensitivity to insulin.

In Depth Information on Metheal Tablet SR

Expert advice for Metheal Tablet SR

  • Your doctor will monitor your blood sugar levels and kidney functions regularly while taking this medication.
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Metheal Tablet SR related warnings
Special precautions for Metheal Tablet SR
Alcohol
CAUTION
Taking metformin with alcohol can cause lactic acidosis and you may experience malaise, respiratory distress, slow or irregular heartbeat, sleepiness, stomach upset, or other unusual symptoms.
Pregnancy
PROBABLY SAFE
Metheal 500 mg Tablet SR is probably safe to use during pregnancy.
Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. Please consult your doctor.
Lactation
Metheal 500 mg Tablet SR is probably safe to use during lactation. Limited human data suggests that the drug does not represent a significant risk to the baby.
Driving
Your ability to drive may be affected if your blood sugar is low or high. If this happens, do not drive.
Kidney
CAUTION
Metheal 500 mg Tablet SR should be used with caution in patients with kidney disease. Dose adjustment of Metheal 500 mg Tablet SR may be needed. Please consult your doctor.
Use of Metheal 500 mg Tablet SR is, however, not recommended in patients with severe kidney disease. Regular monitoring of kidney function test is advisable while you are taking this medicine.
Liver
CAUTION
Metheal 500 mg Tablet SR should be used with caution in patients with liver disease. Dose adjustment of Metheal 500 mg Tablet SR may be needed. Please consult your doctor.
Metheal 500 mg Tablet SR is generally started with low dose in patients with mild to moderate liver disease and its use is not recommended in patients with severe liver disease.

What if you miss a dose of Metheal Tablet SR?uses

If you miss a dose of Metheal 500 mg Tablet SR, skip it and continue with your normal schedule. Do not double the dose.

Patient Concerns

Frequently asked questions about Metheal Tablet SR

Frequently asked questions about Metformin

Q. Is Metheal helpful in patients with polycystic ovarian syndrome (PCOS)?
Yes. Metheal is helpful in patients with PCOS. It may be used along with other medicines to induce ovulation and regularize menstrual cycles. It also delays the development of type 2 diabetes if you already have prediabetes and aids in weight loss if you follow a diet and exercise program.
Q. How does Metheal help in weight loss?
Metheal helps in weight loss by decreasing hunger (appetite) and hence food intake. It makes the insulin already available in your body to work more effectively. This leads to decrease glucose production, increase glucose use and decreased fat deposits which further helps to lower body weight. However, it is not yet approved for weight loss, this is an off-label use.
Q. Is Metheal useful in the treatment of infertility?
Metheal is commonly used off-label for the treatment of infertility associated with polycystic ovary syndrome (PCOS). It regulates ovulation and androgen levels in the body and improves menstrual regularity and pregnancy rates and outcomes. This beneficial effect is thought to be due to improvement in insulin resistance by Metheal.
Q. Does Metheal cause low blood sugar levels (hypoglycemia)?
Metheal can lower blood sugar level (hypoglycemia). It happens more often if you delay or miss your food, do more than your routine exercise, drink alcohol or take other antidiabetic medicine along with. So, regular monitoring of blood sugar level is important and be cautious of symptoms of hypoglycemia and always keep glucose tablets, honey or fruit juice with you.
Q. Can I take Metheal forever?
Metheal is generally a safe and well-tolerated drug even on long-term use. However, its long-term use can cause vitamin B12 deficiency leading to anemia and peripheral neuropathy (nerve damage). so, it should be taken only at prescribed doses for the duration as advised by the doctor.
Q. Is Metheal a sulfonylurea?
No, Metheal is not a sulfonylurea. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.
Q. Is Metheal a steroid?
No, Metheal is not a steroid. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modifications in diet and exercise.
Q. Does Metheal cause bloating?
Metheal commonly causes stomach upset like bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea. To avoid these side effects, it is advised to be taken after meals, preferably started at a low dose and then increased slowly over weeks, or by using slow-release tablets.
Q. Is Metheal good for fatty liver?
Metheal is seen to be beneficial in the treatment of non-alcoholic fatty liver disease (NAFLD). One of the underlying cause of NAFLD is insulin resistance. Metheal improves insulin resistance and liver enzymes in these patients. It is not seen to benefit patients of alcoholic fatty liver disease and is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis.
Q. What is the benefit of combining Metheal with coenzyme q10?
Coenzyme Q10 is an antioxidant that helps in energy production and is found in heart, liver, kidney, and pancreas (which produces insulin). It can repair the damage caused to these organs by free radicals. Low levels of CoQ10 are seen in patients with diabetes. So, some researchers suggest it be given from outside. It can be taken with Metheal as no drug-drug interactions or harmful effects have been seen between the two.
Q. Does Metheal help in improving your menstrual cycle (periods)?
Yes, Metheal does improve menstrual cycle (periods) regularity in women with polycystic ovarian syndrome (PCOS). It is associated with insulin resistance, decreased ovulation, and high androgen levels which cause menstrual irregularities like delayed periods and scanty bleeding. Metheal helps in regularizing menstrual cycles by improving insulin sensitivity, ovulation rate, and decreasing androgen levels.
Q. Can I take Metheal with atorvastatin?
Yes, Metheal can be taken with atorvastatin. There are no reported harmful effects when they are used together. Rather some studies suggest beneficial effects in diabetics as they may prevent a very high increase in blood glucose after food, decrease some inflammation markers and protect the patients from liver injury.
Q. Can I take Metheal with phentermine?
Metheal can be taken with phentermine. These are sometimes given together in obese patients who are also diabetic and are taking Metheal along with exercise and diet modification. Phentermine decreases food intake by its action in the brain. However, phentermine can decrease the effect of Metheal leading to very high blood glucose levels. So, a dose adjustment of Metheal may be needed.
Q. Can I take Metheal with levothyroxine?
Metheal can be taken with levothyroxine but the dose of Metheal may need to be adjusted. Levothyroxine can decrease the effect of Metheal leading to very high blood glucose levels. These are used together in patients with coexisting thyroid disease and diabetes mellitus or polycystic ovarian syndrome (PCOS).
Q. Can I take Metheal with prednisolone?
Metheal can be taken with prednisolone but the dose of Metheal may need to be adjusted. Prednisolone can decrease the effect of Metheal leading to very high blood glucose levels. Continuous use of steroids like prednisolone can also cause diabetes known as glucocorticoid-induced diabetes and use of Metheal is recommended in these patients.
Q. Can I take Metheal with metoprolol?
Metheal can be taken with metoprolol. There are no reported drug interactions or harmful effects in humans when they are used together. However, some animal studies suggest that metoprolol can decrease the blood levels of Metheal and on long-term use can increase lactic acid and uric acid levels.
Q. Does Metheal clear acne?
Metheal is not indicated for clearing acne due to just any condition. It only helps in clearing acne in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, abdominal obesity, and irregular menstruation.
Q. Does Metheal cause hair loss?
No, hair loss has not been reported with Metheal. It only helps in clearing facial hair (hirsutism) in women with polycystic ovarian syndrome (PCOS) along with other problems like acne, abdominal obesity, and irregular menstruation.
Q. Does Metheal cause weight gain?
No, weight gain has not been reported with Metheal. Rather it helps in decreasing weight especially abdominal fat patients of type 2 diabetes mellitus and in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, acne, and irregular menstruation.
Q. Does Metheal cause constipation?
Metheal is not known to cause constipation. Some common side effects associated with the use of Metheal includes nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.
Q. Is Metheal safe?
Metheal is a safe and well-tolerated drug even on long-term use when taken strictly as advised by the doctor. However, there are some very common side effects like nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite you may experience even at therapeutic doses.
Q. Does Metheal increase blood pressure?
Metheal is not known to increase blood pressure. Some common side effects associated with the use of Metheal includes nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.
Q. Is Metheal an insulin?
No, Metheal is not an insulin. Metheal is an oral drug used in type 2 diabetes mellitus and lowers blood glucose levels by decreasing its production and increasing absorption and making the already available insulin in your body to work better. Insulin is a normally produced hormone in the body, used in the injectable form in the treatment of both type 1 and 2 diabetes mellitus and it works by absorbing and storing glucose from the blood.
Q. Is Metheal a banned drug?
No, Metheal is not a banned drug. It is a prescription medicine and is available when prescribed by registered medical practitioner.
Q. Is Metheal a birth control pill?
No, Metheal is not a birth control pill. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.
Q. Is Metheal a statin?
No, Metheal is not a statin. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.
Q. Can I take Metheal with saxagliptin?
Both Metheal and saxagliptin are anti diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Metheal is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.
Q. Does Metheal cause blurry vision?
Metheal is not known to cause blurred vision. Change in vision in a patient with diabetes could be due to multiple reasons. It could be a temporary problem either due to high blood sugar levels which cause your lens inside your eye to swell and change your vision. If the blurred vision continues for a long time, consult a doctor.
Q. What is lactic acidosis and how is it related to Metheal use?
Lactic acidosis is a rare, but serious complication associated with the use of Metheal. Patient has high blood lactic acid levels and may present with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is especially seen in old age patients, those with kidney, liver or heart disease, or who take large amounts of alcohol. If you have these symptoms, stop taking Metheal and consult your doctor.
Q. Is Metheal use associated with liver pain?
Metheal is not known to cause any liver pain or damage. Rather, it is seen to be useful in patients with non-alcoholic fatty liver disease (NAFLD) and chronic hepatitis C. However, it is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis which is a serious complication associated with the use of Metheal.
Q. Does Metheal make you feel high?
No, Metheal does not elevate the mood or make you feel high. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Rare side effects of Metheal include anxiety and depression.
Q. Can Metheal cause back pain?
Usually, Metheal is not associated with back pain. However, it can be a presentation of stomach upset, a common side effect caused by Metheal which includes bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea, or it could be a symptom of lactic acidosis, a rare and a serious complication of Metheal.
Q. Can long-term use of Metheal cause vitamin b12 deficiency?
Yes, Metheal causes vitamin B12 deficiency on long-term use as it interferes with absorption of vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can have tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in making balance (ataxia). To avoid these problems, some researchers suggest an intake of vitamin B12 from outside at least once every year.
Q. Is Metheal useful in the management of metabolic syndrome?
Yes, Metheal is seen to be useful in the management of metabolic syndrome, a collection of risk factors that include high blood pressure, high blood sugar levels, abnormal blood cholesterol levels and excess fat around the waist. Metheal is an insulin sensitizer and it improves the action of insulin and normalises blood sugar levels and reduces body weight.
Q. How beneficial is it to take Metheal with glimepiride?
Both Metheal and glimepiride are anti diabetic drugs and can be used together. They work by different mechanisms and can control the blood sugar levels in a much better way when used together as compared to either drug taken alone. However, glimepiride can cause very low blood glucose levels, so a regular monitoring of blood glucose is very important.
Q. Is it safe to take Metheal with cetirizine?
Yes, Metheal can be taken with cetirizine. There are no reported drug interactions or harmful effects when they are used together.
Q. Can I take Metheal and ranitidine together?
Metheal can be taken with ranitidine. However, if you are taking them together, you need to monitor blood glucose levels regularly as ranitidine can decrease the removal of Metheal from the body and increase its blood levels. This can cause very low blood sugar levels and other side effects as well and the dose of Metheal may need adjustment.
Q. How beneficial is it to take Metheal with linagliptin?
Both Metheal and linagliptin are anti-diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Metheal is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.
Q. Does Metheal inhibit hepatitis B virus protein?
Yes, some research studies have shown that Metheal can decrease the multiplication and growth of hepatitis B virus when given along with other antiviral drugs. However, this is indication is still under research and not yet approved.
Q. Can I take Metheal before or after a chest x-ray? Does its use lead to chest x-ray abnormality?
Metheal should be temporarily discontinued before chest or any X-ray that requires injection of a contrast medium or dye. These dyes can decrease kidney function and Metheal along with these dyes can cause a serious side effect like lactic acidosis. So you may need to stop taking Metheal. However, do not stop taking any medicine without talking to your doctor.
Q. Does Metheal make you sleepy?
Metheal can cause sleepiness which could be an early symptom of lactic acidosis along with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is a serious condition caused by Metheal seen in old age patients, those with kidney, liver or heart disease, or those who take large amounts of alcohol. If you have these symptoms, stop taking Metheal and consult your doctor.
Q. Does the use of Metheal cause joint pain?
Use of Metheal is not associated with joint pain. However, diabetes itself decreases blood circulation to the joints and even damages them leading to joint pain. Use of anti-diabetic drugs like sitagliptin or saxagliptin is also associated with joint pain. Early symptoms of lactic acidosis like muscle pain and cramps with weakness and tiredness can be mistaken for joint pain.
Q. Can Metheal help in reducing weight gain caused by antipsychotics?
Metheal may be of help in the treatment and prevention of weight gain caused by antipsychotics along with lifestyle modifications like a change in diet and regular exercise. Weight gain is an important reason for discontinuation of these medicines. Metheal improves insulin sensitivity and prevents weight gain, both of these factors are affected by the use of antipsychotics.
Q. Is Metheal useful in the treatment of fragile X syndrome?
Metheal has shown promising results in some animal research studies in the treatment of fragile X syndrome. It may help in improving mental and behavioral disorders (autism) and control obesity and risk of developing diabetes in these patients. But these results are very preliminary and it is still not approved for the treatment of fragile X syndrome.
Q. What is the difference between liraglutide and Metheal?
Metheal and liraglutide are antidiabetic drugs and both control blood sugar levels effectively. Metheal is taken by oral route and it decreases glucose production from liver and glucose absorption from the gut and increases insulin sensitivity. While liraglutide is an injectable and it increases insulin release from the pancreas. Both cause stomach upset, like nausea, vomiting, diarrhea and bloating while liraglutide also increases the risk of pancreatitis.
Q. Does Metheal use make you feel high?
No, Metheal does not elevate the mood or make you feel high. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Rare side effects of Metheal include anxiety and depression.
Q. Does Metheal make you sweat?
Yes, sweating is one of the known side effects of Metheal. The exact cause of this is not known. Some researchers suggest it to be due to low blood sugar levels especially at night which can cause night sweats as well. Monitor your blood sugar levels regularly and talk to your doctor as your dose of Metheal may need to be adjusted.
Q. Can I take Metheal with clomiphene citrate?
Metheal can be taken with clomiphene citrate. They are advised together in patients with infertility along with polycystic ovarian syndrome (PCOS). Clinical studies have shown an improvement in ovulation and pregnancy rates in these patients as compared to use of clomiphene citrate alone or if the patients are resistant to the effects of clomiphene citrate. However, this is still under research.
Q. Is Metheal useful in treating or preventing breast cancer?
Metheal is seen to be useful in the treatment and prevention of cancers especially breast cancer in research studies. As high insulin levels are known to increase the risk of cancer, Metheal decreases cancer cell growth by decreasing insulin and blood glucose levels. However, its use in treating breast cancer is not yet approved.
Q. Does Metheal use increase your chance to get Helicobacter pylori infection?
No, Metheal is not associated with an increased risk of Helicobacter pylori infection. Diabetes itself increases the risk of H.pylori infection which increases the chances of stomach upset like nausea, vomiting, diarrhea, and bloating by Metheal.
Q. Does Metheal use leads to anemia?
Metheal may decrease the levels of vitamin B12 on long term use which may rarely cause a type of anemia in which blood cells are larger than normal (megaloblastic anemia). You may need to take foods rich in vitamin B12 like eggs, dairy products, and meat or a supplement from outside.
Q. Is Metheal useful in the treatment of prediabetes?
Metheal is seen to be useful in the management of prediabetes, a condition with blood glucose levels higher than normal but not high enough to label you as diabetic. Metheal makes the insulin already available in your body to work more effectively, decreases glucose production by liver and increases use of glucose by the muscles and lowers body weight. However, lifestyle modifications like a change in diet and exercise should be tried first as they are seen to be more effective than Metheal.
Q. Can I take Metheal with teneligliptin?
Yes, Metheal can be taken with teneligliptin. It is a good add-on treatment if the blood sugars are very high even after taking Metheal. The risk of low blood sugar levels (hypoglycemia) is also very low with both the medicines. However, consult your doctor before taking them together as a dose adjustment may be needed.

Severely interacts with other drugs like

Taking Metheal with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Metheal with Ketotifen
LIFE-THREATENING
Medicines with composition Ketotifen: Ketorid, Ketasma, Asthafen, Azofen, Ketovent
Metheal with Chlorthalidone
SERIOUS
Medicines with composition Chlorthalidone: Chlornol, Thiovas, Chlorfid, Lupiclor, Klorzid, Clovet, Thaloric, Thiaklor, Zione
Metheal with Citalopram
SERIOUS
Medicines with composition Citalopram: Vocita, Olarc, Citopam, Cetadep, Cita, Topdep, Celica, Citalomine, Citalent, Citola, Cytop, Madam
Metheal with Collagen Peptide
SERIOUS
Medicines with composition Collagen Peptide: Nudiglue-C
Metheal with Octreotide acetate
SERIOUS
Medicines with composition Octreotide acetate: Octotide, Octride, Sandostatin LAR, Octate, Varioct, Actide, Otide, Ferotide, Sandostatin
Metheal with Triamcinolone
SERIOUS
Medicines with composition Triamcinolone: Darcort, Trilone, Mycort, Trilon, Stancort, Oraways, Triroid, Acort, Pericort, Comcort
Metheal with Pindolol
SERIOUS
Medicines with composition Pindolol: Visken
Metheal with Rasagiline
SERIOUS
Medicines with composition Rasagiline: Rasalect, Relgin
Metheal with Paroxetine
SERIOUS
Metheal with Hydrochlorothiazide
SERIOUS
Medicines with composition Hydrochlorothiazide: Hyros, Bpzide, Dizide, Xenia, Aquazide, Hydrazide, Thiazide, Hydride
Metheal with Dapoxetine
SERIOUS
Medicines with composition Dapoxetine: Actinex, DA Sutra, Stay Tal, Dapoxy, Dapnex, Duraject, Appynite, Dejac
Metheal with Beclometasone
SERIOUS
Medicines with composition Beclometasone: Beclate
Metheal with Glucosamine
SERIOUS
Metheal with Famotidine
SERIOUS
SERIOUS
Medicines with composition Loteprednol etabonate: Lotesol, Lotechek, Lotepred, Prednol LS, Lotenase
Metheal with Lafutidine
SERIOUS
Medicines with composition Lafutidine: Lafter, Lafudac, Lafty, Lafukem, Lafaxid, Laciloc, Lafumac, Swiftin
SERIOUS
Medicines with composition Nicotinic acid / Niacin: Nicoglow
Metheal with Clobetasol
SERIOUS
Medicines with composition Clobetasol: Clobex
Metheal with Spironolactone
SERIOUS
Medicines with composition Spironolactone: Aldactone, Spilactone
Metheal with Lactase
SERIOUS
Medicines with composition Lactase: Cry NO
Metheal with Pancreatin
SERIOUS
Medicines with composition Pancreatin: Digeplex T, Enzabil, Enzelo, Aflate N, Panstal N, Panzynorm-HS, Farizyme, Lapin, Enzox, Panzynorm N
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