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Tenali M 1000mg/20mg Tablet ER

Prescription Required
Storage
Store at room temperature (10-30°C)

Introduction

Tenali M 1000mg/20mg 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 reduce your chance of having a heart attack or stroke.

Tenali M 1000mg/20mg Tablet ER can be prescribed alone or together with other diabetes medications. All diabetes medicines work best when used along with a healthy diet and regular exercise. The dose you are given will depend on your condition, blood sugar levels, and what other medicines you are taking. Taking it with meals helps to reduce the chances of developing an upset stomach.

You should take it regularly, at the same time each day, to get the most benefit and you should not stop unless your doctor recommends it. It is controlling your blood sugar levels and helping to prevent serious complications in the future. It is important to stay on the diet and exercise program recommended by your doctor while taking this medicine. Your lifestyle plays a big part in controlling diabetes.

The most common side effects of taking this medicine include diarrhea, nausea, vomiting, upset stomach, headache, and sore throat. Low blood sugar level (hypoglycemia) is a possible side effect if you are also taking other diabetes medicines like insulin or sulfonylurea, so you need to know how to recognize and deal with it.

This medicine is not suitable for everyone. Before taking it, you should let your doctor know if you have ever had kidney, liver or heart disease, problems with your pancreas, or if you drink a lot of alcohol. Pregnant or breastfeeding women should also consult their doctor before taking this medicine. Some other medicines can affect this one so tell your doctor about all the medicines you are taking to make sure you are safe. You should try to avoid drinking alcohol as it lowers blood glucose. Your doctor will check your kidney function and blood sugar levels before and during treatment.

Uses of Tenali M Tablet ER

Benefits of Tenali M Tablet ER

In Type 2 diabetes mellitus

Tenali M 1000mg/20mg Tablet ER is a combination of two medicines that work together in different ways to lower your blood glucose levels. Lowering blood glucose levels is an essential part of managing diabetes. If you can control your blood glucose level, your risk of getting any of the serious complications of diabetes such as kidney damage, eye damage, nerve problems, and loss of limbs is also lowered. Additionally, proper control of diabetes can also reduce the risk of heart disease and stroke. Taking this medicine regularly along with proper diet and exercise will help you live a normal, healthy life. You should keep using this medicine for as long as it is prescribed because it is protecting your future health.

Side effects of Tenali M Tablet ER

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Tenali M

  • Diarrhea
  • Nausea
  • Vomiting
  • Upset stomach
  • Headache
  • Nasal congestion (stuffy nose)
  • Sore throat
  • Respiratory tract infection
  • Hypoglycaemia (low blood sugar level) in combination with insulin or sulphonylurea

How to use Tenali M Tablet ER

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 1000mg/20mg Tablet ER is to be taken with food.

How Tenali M Tablet ER works

Tenali M 1000mg/20mg Tablet ER is a combination of two antidiabetic medicines: Metformin and Teneligliptin. Metformin is an antidiabetic medication (biguanide). It works by lowering glucose production in the liver, delaying glucose absorption from intestines and increasing the body's sensitivity to insulin. Teneligliptin is a dipeptidyl peptidase-4 inhibitor which works by increasing the release of insulin from pancreas and decreasing the hormones that raise blood sugar levels. This reduces both fasting and postmeal sugar levels. Together, they provide better control of blood sugar.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Tenali M 1000mg/20mg Tablet ER.
Pregnancy
CONSULT YOUR DOCTOR
Information regarding the use of Tenali M 1000mg/20mg Tablet ER during pregnancy is not available. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Tenali M 1000mg/20mg Tablet ER during breastfeeding is not available. Please consult your doctor.
Driving
CAUTION
Your ability to drive may be affected if your blood sugar is too low or too high. Do not drive if these symptoms occur.
Kidney
CAUTION
Tenali M 1000mg/20mg Tablet ER should be used with caution in patients with kidney disease. Dose adjustment of Tenali M 1000mg/20mg Tablet ER may be needed. Please consult your doctor.
Use of Tenali M 1000mg/20mg Tablet ER 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
Tenali M 1000mg/20mg Tablet ER should be used with caution in patients with liver disease. Dose adjustment of Tenali M 1000mg/20mg Tablet ER may be needed. Please consult your doctor.
Tenali M 1000mg/20mg Tablet ER 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.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Tenali M 1000mg/20mg Tablet ER
₹13.2/Tablet ER
Afoglip M 1000 Tablet ER
Torrent Pharmaceuticals Ltd
₹14.76/Tablet ER
12% costlier
Tenepure-M 1000 Tablet ER
Torrent Pharmaceuticals Ltd
₹14.77/Tablet ER
12% costlier
₹15.45/Tablet ER
17% costlier
Zita-Met Plus 1000mg/20mg Tablet ER
Glenmark Pharmaceuticals Ltd
₹16.03/Tablet ER
21% costlier
Teneza-M 1000 Tablet ER
Torrent Pharmaceuticals Ltd
₹16.22/Tablet ER
23% costlier

Quick Tips

  • 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. 
  • Inform your doctor about your diabetes treatment if you are due to have surgery under a general anaesthetic.
  • Tell your doctor immediately if you experience any deep or rapid breathing, persistent nausea, vomiting, and stomach pain as Tenali M 1000mg/20mg Tablet ER may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood.

Fact Box

Habit Forming
No
Therapeutic Class
ANTI DIABETIC

Patient Concerns

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Can i use tenali 20mg instead od januvia 100mg
Dr. Sanjay Bhatt
Physician
Before decide to change the medicine it is very important to know about your sugar level variations.So discuss with your doctor as he knows your all medical history
Not control diabetes from last 4 months pp2bs more than 350 Medicines taken Glykind M 1 1 1 Renault 20mg 1 Not Renault 20mg by mistake Tenali 20 mg 1 0 0
Dr. Sanjay Bhatt
Physician
Confirm about your diet failure. Needs to make some changes in the medicine you are taking , if you are not having any diet failure. So discuss with your doctor.
arrow
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FAQs

Q. Is it safe to use Tenali M 1000mg/20mg Tablet ER?

Yes, it is safe to use Tenali M 1000mg/20mg Tablet ER if you take it for the prescribed duration and according to the dosage advised by the doctor. However, despite taking the prescribed dosage you might 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 is relatively common in patients who are taking Tenali M 1000mg/20mg Tablet ER in combination with insulin or Sulfonylurea. Inform your doctor if you experience any persistent problem while taking this medicine.

Q. Can the use of Tenali M 1000mg/20mg Tablet ER lead to hypoglycemia?

The use of Tenali M 1000mg/20mg Tablet ER does not usually cause hypoglycemia (low blood sugar level) on its own. But, it could occur if there is insufficient supplementation of calories while taking this medicine. Symptoms of hypoglycemia include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate, and feeling anxious or shaky. The symptoms are more likely to be noticed if you miss or delay your food, drink alcohol, over-exercise or take any other antidiabetic medicine along with it. Hence, regular monitoring of blood sugar level is important. It is recommended to always carry glucose tablets, honey or fruit juice with you.

Q. Can the use of Tenali M 1000mg/20mg Tablet ER cause nausea and vomiting?

Yes, the use of Tenali M 1000mg/20mg Tablet ER can cause nausea and vomiting. In case of vomiting, drink plenty of water or other fluids by taking small frequent sips. Talk to your doctor if vomiting persists and you notice signs of dehydration, like dark colored and strong-smelling urine and a low frequency of urination. Do not take any other medicine without consulting a doctor.

Q. Are there any specific contraindications associated with the use of Tenali M 1000mg/20mg Tablet ER?

The use of Tenali M 1000mg/20mg Tablet ER should be avoided in patients with known allergy to any of the components or excipients of this medicine. The use of this medicine is also considered to be harmful for patients with severe kidney impairment, liver impairment, congestive heart failure, lactic acidosis or diabetic ketoacidosis.

Q. Can the use of Tenali M 1000mg/20mg Tablet ER cause lactic acidosis?

Yes, the use of Tenali M 1000mg/20mg Tablet ER can lead to lactic acidosis which is also known as MALA (Metformin-associated lactic acidosis). It is caused by increased levels of lactic acid in the blood. It is a very 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 Tenali M 1000mg/20mg Tablet ER and immediately consult your doctor.

Q. Can the use of Tenali M 1000mg/20mg Tablet ER lead to Vitamin B12 deficiency?

Yes, the use of Tenali M 1000mg/20mg Tablet ER can cause Vitamin B12 deficiency on long-term use. It interferes with the absorption of Vitamin B12 in the stomach. Deficiency of B12 may cause anemia and nerve problems. These may further cause a tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in maintaining balance (ataxia). Consult your doctor if you experience these symptoms. Your doctor may advise monitoring of B12 levels and prescribe a vitamin B12 supplement if required.

Q. What is the storage condition for the Tenali M 1000mg/20mg Tablet ER?

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.

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1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Metformin hydrochloride. Princeton, New Jersey: Bristol-Myers Squibb Company. [Accessed 08 Apr. 2019] (online) Available from:External Link
  2. Kishimoto M. Teneligliptin: A DPP-4 inhibitor for the treatment of type 2 diabetes. Diabetes Metab Syndr Obes. 2013;6:187-95. [Accessed 08 Apr. 2019] (online) Available from:External Link
  3. Metformin hydrochloride oral solution. Gloversville, New York: Ranbaxy Pharmaceuticals Inc.; 2003. [Accessed 08 Apr. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

Sarkhej-Dholka Road, Bhat, Ahmedabad-382 210, INDIA.
Country of Origin: India

Expires on or after: July, 2021

A licensed vendor partner from your nearest location will deliver Tenali M 1000mg/20mg Tablet ER. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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