Medicine Overview of Tenepan-M Tablet ER
Side Effects of Tenepan-M are Diarrhoea, Nausea, Vomiting, Stomach upset, Headache, Nasal congestion, Sore throat, Respiratory tract infection, Hypoglycaemia (low blood sugar level) in combination with insulin or sulphonylurea.
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. Tenepan-M 500 Tablet is to be taken with food.
Tenepan-M 500 Tablet may cause stomach upset if taken on empty stomach.
Tenepan-M 500 Tablet is a combination of two antidiabetic medicines: Metformin and Teneligliptin. Metformin is an anti-diabetic 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.
In Depth Information on Tenepan-M Tablet ER
- You have been prescribed this combination medicine as it can control blood sugar better than metformin alone.
- 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.
- Take it with food to lower your chance of having an upset stomach.
- Monitor your blood sugar level regularly while you are taking this medicine.
- 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, or persistent nausea, vomiting, and stomach pain as Tenepan-M 500 Tablet may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood.
Tenepan-M Tablet ER related warnings
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.
Unknown. Human and animal studies are not available. Please consult your doctor.
No information is available on the use of Tenepan-M 500 Tablet during lactation. Please consult your doctor.
Your ability to drive may be affected if your blood sugar is low or high. If this happens, do not drive.
Tenepan-M 500 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Tenepan-M 500 Tablet may be needed. Please consult your doctor.
Use of Tenepan-M 500 Tablet is, however, not recommended in patients with severe kidney disease. Regular monitoring of kidney function test is advisable while you are taking this medicine.
Tenepan-M 500 Tablet should be used with caution in patients with liver disease. Dose adjustment of Tenepan-M 500 Tablet may be needed. Please consult your doctor.
Tenepan-M 500 Tablet 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.
Questions Related to Tenepan-M
High cholesterol and lipid. Also type 2 diabetes under control. Vegetarian. Pls advise on dite
Dr. Waseem Mirza
Per day calorie intake should be between 1,500-1,800 calories with a proportion of 60:20:20 between carbohydrates, fats and proteins, respectively, take Healthy fats from raw nuts, olive oil, fish oils, flax seeds etc, fresh Fruits and vegetables,whole grains, legumes and other high-fibre diet, avoid refined carbohydrate diet,if u eat non veg u can take fish, poultry egg white, pulses whereas avoid red meat, avoid saturated fats like ghee, butter, avoid sweet foods, take small but frequent meals, supplements containing omega 3 fatty acids like Multivite fm omega capsule Quit smoking, avoid too much alcohol intake, find ways to reduce stress like meditation, yoga, etc. Moderate exercise daily like a brisk walk for 1 km. hope it helps
I was diagnosed with type 2 diabetes in January and I m taking medicine. Now it's under control. Can you suggest me a meal plan that I can go for to control my weight and diabetes. Thank you
Dr. Shikha Mishra
eat 6-7 meals per day, which consist fruits, nuts, buttermilk,egg, homecooked food. Drink 3-4 litters of water.Be active whole day for personalized diet chart write to me on firstname.lastname@example.org do minimum 45 min exercise everyday like yoga, cardio or weights
I have type 2 diabetes since 2 years. Since 6 months, my sugar level remains between 130-150. I take doctor prescribed Gluconorm tablet twice a day. Is it enough?
Dr. Sanjay Bhatt
I think you should follow diabatic diet chart which will help you to your sugar level in normal limit with tab. gluconorm
Two months back detected type 2 diabetes undergoing treatment of istamet 50/ 500 twice a day before detecting i was fit and fine but now when undergoing treatment i feel drowsy no freshness feel more week why so
Dr. Sanjay Bhatt
It may be psychological effect of diabetes you have. You no need to worry about.Take medicine regularly and try to keep sugar level in normal limits. Do exercise regularly.
I am surfing from type 2 diabetes age 39 taking glychek m 1/2 tab after meals now I am also suffering from loud sound gas problem what I do get rid of this
Dr. Sunil Sekhri
Avoid Gas forming foods e.g. beans, cabbage, onions, broccoli, sprouts, cauliflower, cucumbers, apples, raisins, bananas. Avoid Carbonated drinks, Cheese. Packed foods e.g. salad dressings, cereals , breads Use Spices e.g Cumins, Ajwain, Hing, Turmeric.
I have type 2 diabetes. Pls suggest any medicine. Is diabetic curable/ controlable with homeopathy. my blood sugar is 121(fast) and 220(pp).
Dr. Saurav Arora
Dear Sir along with you regular medicines for diabetes you may take SYZ 1x tab (WSI), one tab twice daily for a month.
Is BGR34 is effective in type 2 diabetes? Kindly advice the quantity and time to use it.
Dr. Aanchal Maheshwari
yes , it is effective. Dose depend upon value of sugar. should be taken before meal
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Frequently asked questions about Tenepan-M Tablet ER
Q. What are the instructions for the storage and disposal of Tenepan-M?
Keep this medicine in the packet or container it came in, tightly closed. Store it as mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children, and other people.
Tenepan-M is a combination of two medicines: Metformin+Teneligliptin. This medicine is used in the treatment of type 2 diabetes mellitus (DM) along with diet and exercise to improve blood glucose levels in adults. Metformin works by lowering the glucose production in the liver and improving insulin sensitivity. Teneligliptin inhibits the enzyme DP4 inhibitor and increases the release of insulin from the pancreas. This combination is not indicated for the patients below 18 years of age.
Q. What are the possible side effects of Tenepan-M?
The use of Tenepan-M 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 lactic acidosis. On long-term use it can also lead to Vitamin B12 deficiency.
Q. Are there any specific conditions in which Tenepan-M should not be taken?
The use of Tenepan-M should be avoided in patients with known allergy to any of the component or excipients of this medicine. The use of this medicine is also contraindicated in patients with severe kidney impairment, liver impairment, congestive heart failure, lactic acidosis or diabetic ketoacidosis, with or without coma.
Q. Is it safe to take alcohol while I am also taking Tenepan-M?
No, it is not safe to take Tenepan-M along with alcohol, as it can increase the chances of lactic acidosis, particularly in cases of fasting, malnutrition or hepatic impairment.
Q. Can the use of Tenepan-M cause hypoglycemia?
The use of Tenepan-M does not usually cause hypoglycemia (low blood sugar level) alone, but could occur when supplementation of calories are insufficient. Symptoms of hypoglycemia include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate, and feeling anxious or shaky. It happens more often if you miss or delay your food, drink alcohol, do more than routine exercise or take other antidiabetic medicine along with it. So, regular monitoring of blood sugar level is important and always keep glucose tablets, honey or fruit juice with you.
Q. Can the use of Tenepan-M cause lactic acidosis?
Yes, the use of Tenepan-M can lead to lactic acidosis. It is a medical emergency which is caused by 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 contraindicated 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 Tenepan-M and immediately consult your doctor.
Q. Can the use of Tenepan-M lead to Vitamin B12 deficiency?
Yes, the use of Tenepan-M can cause 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 such problems, some researchers suggest an intake of vitamin B12 from outside at least once every year.
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