10 LI M 500 SR Tablet 10's

INTRODUCTION

10 LI M 500 TABLET is a combination of Metformin and Teneligliptin which belongs to the group of medicines called Antidiabetic agents. It is used to manage type II diabetes mellitus among patients when diet, exercise and management with other conventional medicines does not result in adequate control on blood glucose levels.

Type II diabetes mellitus is a chronic disease characterized by abnormally high levels of glucose in the blood. It is caused due to inadequate production of a hormone called insulin (produced by pancreas to metabolize glucose) in the body or due to inadequate sensitivity of body cells to the actions of insulin.

Before taking 10 LI M 500 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 10 LI M 500 TABLET, your doctor might regularly monitor your blood sugar levels and kidney functions to avoid the risk of unwanted side effects. He/she might also ask you to make certain lifestyle changes such as following a healthy diet, regular physical exercise and quitting alcohol consumption to achieve better results.

10 LI M 500 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.

Consult your doctor before taking 10 LI M 500 TABLET if you are pregnant or breastfeeding. The most common side effects of taking 10 LI M 500 TABLET are low blood sugar levels, stomach upset, constipation, flatulence and altered taste sensations. Consult your doctor if they bother you.

USES OF 10 LI M 500 TABLET

• Manage type II diabetes mellitus

HOW 10 LI M 500 TABLET WORKS

10 LI M 500 TABLET is an antidiabetic medicine. It contains two medicines namely metformin and teneligliptin. Metformin makes the body more sensitive to insulin (a hormone involved in glucose metabolism). This helps our body cells to utilize more amount of the circulating blood glucose. Additionally, it can stop glucose production by the liver and reduces its absoprtion in the body.

Teneligliptin controls blood sugar levels by blocking the actions of an enzyme called dipeptidyl peptidase (DPP)-4 that reduces insulin secretion in the body. Collectively, 10 LI M 500 TABLET controls blood sugar levels and improve glycemic control in patients with type II diabetes.

DIRECTIONS FOR USE

Take 10 LI M 500 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 10 LI M 500 TABLET unless your doctor advice you to stop.

SIDE EFFECTS OF 10 LI M 500 TABLET

HOW TO MANAGE SIDE EFFECTS

Constipation

Taking 10 LI M 500 TABLET with meals may reduce the chances of constipation. However, if you experience constipation, eat plenty of fiber rich foods such as fresh fruits, vegetables and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.

Dizziness Or Drowsiness

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.

Headache

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.

Hypoglycemia

Have foods rich in sugars such as fruit juices, glucose drinks, candies, honey or biscuits. Check your blood sugar after 10 minutes. If not gained optimum level, take another sugary snack or a drink and check your blood sugar levels once again. Contact your doctor if there is no improvement in your condition.

WARNING & PRECAUTIONS

PREGNANCY

Monitoring required

10 LI M 500 TABLET should be used in pregnant women only if considered necessary by the physician. Your doctor will prescribe 10 LI M 500 TABLET only if the therapeutic benefits overweigh the risk to the fetus. Therefore, inform your doctor before taking it.

BREASTFEEDING

Contraindicated

10 LI M 500 TABLET is not recommended for use in breastfeeding women. However, consult your doctor before taking it.

DRIVING AND USING MACHINES

Use with Caution

Do not drive or operate any machines if you feel dizzy after taking 10 LI M 500 TABLET.

ALCOHOL

Consult your doctor

Avoid consumption of alcohol while taking 10 LI M 500 TABLET as it may increase the risk of unwanted side effects.

KIDNEY

Contraindicated

10 LI M 500 TABLET is not recommended for use in patients with severely reduced kidney functions. Therefore, consult your doctor before taking it.

LIVER

Consult your doctor

10 LI M 500 TABLET is not recommended for use in patients with severe liver problems. It should be used with caution in patients with gall stones. Therefore, consult your doctor before taking it.

ALLERGY

Contraindicated

Do not take 10 LI M 500 TABLET if you are allergic to Metformin or Teneligliptin.

LUNGS

Contraindicated

10 LI M 500 TABLET is not recommended for use in patients with severe infections of the lungs or respiratory tract. Therefore, consult your doctor before taking it.

HEART DISEASE

Contraindicated

10 LI M 500 TABLET is not recommended for use in patients with severe heart problems (such as acute heart failure, recent heart attack, arrythmia, prolonged QT interval). Therefore, consult your doctor before taking it.

USE IN PEDIATRICS

Consult your doctor

The safety and effectiveness of 10 LI M 500 TABLET have not been established in infants, children and adolescents (aged below 18 years). Therefore, consult your doctor before taking it.

USE IN GERIATRICS

Consult your doctor

The safety and effectiveness of 10 LI M 500 TABLET have not been established in elderly patients (aged 65 years or above). Therefore, consult your doctor before taking it.

INTERACTIONS

A. Drug-Drug interactions:

Before taking 10 LI M 500 TABLET, inform your doctor if you are taking any of the following medicines such as:

• other medicines used to treat diabetes (Ex. glimepiride, glyburide, gliclazide, rosiglitazone, pioglitazone)
• iodine contrast medium (used during X-rays)
• medicines used to treat asthma (Ex. salbutamol or terbutaline)
• corticosteroids (used to treat pain and inflammation) Ex. hydrocortisone, prednisolone
• diuretics (used to reduce edema and to treat hypertension) Ex. furosemide, hydrochlorothiazide
• medicines used to treat pain and inflammation (such as ibuprofen and celecoxib)
• medicines used to treat high blood pressure (such as atenolol, propranolol, captopril, enalapril, ramipril, lisinopril, losartan, valsartan, olmesartan, telmisartan)
• cimetidine (a medicine used to treat stomach ulcer)
• dolutegravir (a medicine used to treat HIV infection)
• verapamil (a medicine used to treat heart problems)
• rifampicin (a medicine used to treat tuberculosis)
• ranolazine (a medicine used to treat chest pain)
• trimethoprim (a medicine used to treat bacterial infection)
• medicines used to treat cancer (Ex. vandetanib, crizotinib and Olaparib)
• isavuconazole (a medicine used to treat fungal infections)
• salicylic acid (a medicine used to treat skin problems like acne)
• medicines used to treat depression (Ex. phenelzine, selegiline)
• adrenaline (a medicine used to treat shock caused by allergic reactions or collapse)
• thyroid hormones (used to treat thyroid deficiency) Ex. levothyroxine, liothyronine
• medicines used to treat irregular heartbeats (Ex. quinidine, procainamide, amiodarone, sotalol, etc.)

Overdosage:

If you or anyone else accidentally took more 10 LI M 500 TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are feeling cold or uncomfortable, severe nausea or vomiting, stomach pain, unexplained weight loss, muscular cramps and fast breathing.

SYNOPSIS

MORE INFORMATION

• Keep 10 LI M 500 TABLET out of the sight and reach of children
• Store 10 LI M 500 TABLET below 30°C

FAQs ABOUT 10 LI M 500 TABLET

Q: What is 10 LI M 500 TABLET used for?

A: 10 LI M 500 TABLET is an antidiabetic medicine 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 10 LI M 500 TABLET?

A: Take 10 LI M 500 TABLET preferably after meals or as advised by your physician. Swallow the medicine with a glass of water. Do not cursh 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.

Q: How long should I take 10 LI M 500 TABLET?

A: You need to take 10 LI M 500 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 10 LI M 500 TABLET?

A: 10 LI M 500 TABLET must be taken with meals to avoid gastrointestinal side effects.

Q: What to do if I forgot to take a dose of 10 LI M 500 TABLET?

A: If you forgot to take a dose of 10 LI M 500 TABLET, take it as soon as you remember. However, if it is time for the next dose of 10 LI M 500 TABLET, skip the missed dose and take the next one regularly. Do not take a double dose of 10 LI M 500 TABLET to compensate the missed ones.

Q: What are the most common side effects of taking 10 LI M 500 TABLET?

A: The most common side effects of taking 10 LI M 500 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 10 LI M 500 TABLET without consulting your doctor?

A: No. You should not stop taking 10 LI M 500 TABLET without consulting your doctor because it may lead to reversal of symptoms. If you feel better after using 10 LI M 500 TABLET, consult your doctor for advice.

Q: Will taking a higher dose of 10 LI M 500 TABLET be more effective?

A: No, taking a higher dose of 10 LI M 500 TABLET will not be effective rather it can lead to toxicity. Always take the dose prescribed by your doctor. If the prescribed dose is not effective for you, consult your doctor for advice. Your doctor might increase the dose or suggest an alternative therapy.

Q: What precautions do I need to follow while taking 10 LI M 500 TABLET?

A: Before taking 10 LI M 500 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. Along with the therapy, follow the diet and lifestyle changes advised by your doctor to achieve better results. Consult your doctor before taking 10 LI M 500 TABLET if you are pregnant or breastfeeding.

Q: Can I take medication for high blood pressure along with 10 LI M 500 TABLET?

A: It is not advisable to take medicines to control blood pressure while taking 10 LI M 500 TABLET without consulting your doctor. Therefore, consult your doctor before taking any antihypertensive such as beta blockers (Ex. atenolol, propranolol) along with 10 LI M 500 TABLET as they have known interactions with 10 LI M 500 TABLET.

Q: What should I do if I experience low blood sugar after taking 10 LI M 500 TABLET?

A: Low blood sugar is a common side effect of taking 10 LI M 500 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 10 LI M 500 TABLET be taken with insulin?

A: Co-administration of 10 LI M 500 TABLET with insulin is considered risky as they are increased chances of hypoglycemia (decreased blood sugar levels). Therefore, consult your doctor before taking it.

Q: Can 10 LI M 500 TABLET be used in pregnant women?

A: 10 LI M 500 TABLET should be used in pregnant women only if considered necessary by the physician. Your doctor will prescribe 10 LI M 500 TABLET only if the therapeutic benefits overweigh the risk to the fetus. Therefore, inform your doctor before taking it.

Q: How to take 10 LI M 500 TABLET?

A: You must take 10 LI M 500 TABLET as advised by your physician. Try to take this medicine preferably after meals and swallow it with a glass of water. Do not crush or chew the medicine.

Q: How much 10 LI M 500 TABLET should I take?

A: 10 LI M 500 TABLET should be used only under medical supervision. Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body condition and severity of the disease condition.

Q: Can 10 LI M 500 TABLET cause constipation?

A: Yes. Constipation is a common side effect of using 10 LI M 500 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. Contact your doctor if this side effect bothers you.

REFERENCES

1. KD. Tripathi. Insulin, Oral Hypoglycaemic Drugs and Glucagon. Essentials of medical pharmacology. Seventh edition. 2013. Page – 274 & 275.

2. Linong Ji, Ling Li,  Jianhua Ma, Xuefeng Li, Dongmei Li,  Bangzhu Meng, Weiping Lu, Jiao Sun, Yanmei Liu,  Gen Takayanagi and Yi Wang. Efficacy and safety of teneligliptin added to metformin in Chinese patients with type 2 diabetes mellitus inadequately controlled with metformin: A phase 3, randomized, double-blind, placebo-controlled study. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. January 2021. [Accessed on 27th October 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8029565/

3. Rx Farma Limited. Electronic Medicines Compendium (EMC). [Revised in September 2019] [Accessed on 27th October 2022] https://www.medicines.org.uk/emc/files/pil.11951.pdf

4. Torrent Pharmaceutical Ltd. Teneligliptin. [Revised in April 2021] [Accessed on 27th October April 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/2991.pdf

5. Centaur Pharmaceuticals Pvt Ltd. TEN20 – M. [Accessed on 27th October 2022] https://www.centaurpharma.com/downloads/Ten20M2018.pdf

6. Johnlee Pharmaceuticals Pvt Ltd. TENALIP-M 1000. [Accessed on 27th October 2022] http://johnleeindia.com/product/tenalip-m-1000/

USEFUL DIAGNOSTIC TESTS

• Glucose - Fasting Blood
• Glucose - Postprandial Blood
• Glycosylated Hemoglobin

AUTHOR DETAILS

Written By Dr. R. Dinesh John Rajkumar, Pharm.D
Last updated on 21 Oct 2023 | 04:06 PM(IST)