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Introduction About TENLIMAC 20MG TABLET
What is Tenlimac 20mg Tablet?
Tenlimac 20mg Tablet contains Teneligliptin, a DPP-4 inhibitor used to control blood sugar levels in adults with type 2 diabetes when diet and exercise alone are insufficient. It helps increase insulin release after meals and reduces glucose production by the liver to maintain healthy blood sugar levels.
Teneligliptin blocks the DPP-4 enzyme, enhancing the activity of incretin hormones that regulate insulin and glucagon secretion. This action helps improve insulin response and control post-meal blood glucose spikes.
Take exactly as prescribed, usually once daily. It can be taken with or without food, preferably at the same time every day. Do not crush or chew the tablet. Do not stop the medication without consulting your doctor.
You must also inform your doctor if you have hormonal problems, stomach problems (surgery in the gut) or if you are malnourished, starved, on an irregular diet.
Inform your doctor if you have allergies, liver, or kidney problems. The common side effects may include headache, low blood sugar, or upper respiratory infections. Seek medical advice if side effects persist or worsen. Store in a cool, dry place away from direct sunlight. Keep out of reach of children.
Uses Of TENLIMAC 20MG TABLET
- It is used in adjunct to diet and exercise to manage type II diabetes mellitus in adults
Benefits of TENLIMAC 20MG TABLET
- Effectively lowers elevated blood sugar levels when combined with diet and exercise.
- Enhances insulin secretion from the pancreas after meals, improving glucose regulation.
- Inhibits the DPP-4 enzyme, preserving incretin hormones that help control blood sugar spikes.
- Helps reduce post-meal glucose levels and controls glucagon secretion.
- Can be used alone or with other antidiabetic medications for better glycemic control.
- Reduces risk of diabetes-related complications such as kidney damage, vision impairment, and cardiovascular diseases.
- Does not cause significant weight gain, supporting overall metabolic health.
- Improves quality of life by maintaining stable blood sugar levels and preventing symptoms related to hyperglycemia.
- Suitable for adults with type 2 diabetes not controlled adequately by diet and exercise alone.
- Supports long-term management of type 2 diabetes under medical supervision.
How TENLIMAC 20MG TABLET Works
Teneligliptin blocks the DPP-4 enzyme, enhancing the activity of incretin hormones that regulate insulin and glucagon secretion. This action helps improve insulin response and control post-meal blood glucose spikes.
How to use TENLIMAC 20MG TABLET
- Take exactly as prescribed, usually once daily
- Can be taken with or without food, preferably at the same time every day
- Do not crush or chew the tablet
- Do not stop the medication without consulting your doctor
Overdose
If you or anyone else accidentally took more TENLIMAC 20MG TABLET, consult your doctor immediately or visit the nearby hospital.
Side Effects Of TENLIMAC 20MG TABLET
Common Side Effects of TENLIMAC 20MG TABLET:
- headache
- low blood sugar
- upper respiratory infections
How To Manage Side Effects
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 the blood sugar again. consult your doctor if there is no improvement in your condition.
Warning & Precautions
Pregnancy
Monitoring requiredTENLIMAC 20MG TABLET should be used in pregnant women only if prescribed by the physician. Your doctor may prescribe TENLIMAC 20MG TABLET for you after evaluating the risks and benefit ratio.
Breastfeeding
ContraindicatedBreast-feeding should be stopped during management with TENLIMAC 20MG TABLET.
Driving and Using Machines
Use with CautionDo not drive or operate any machines if you feel dizzy after taking TENLIMAC 20MG TABLET.
Alcohol
Consult your doctorAvoid consumption of alcohol while taking TENLIMAC 20MG TABLET as it may increase the risks of side effects.
Liver
Use with CautionTENLIMAC 20MG TABLET should be used with caution in patients with severe liver diseases.
Allergy
ContraindicatedDo not take TENLIMAC 20MG TABLET if you are allergic to Teneligliptin or any other ingredients of this medicine.
Heart Disease
Use with CautionTENLIMAC 20MG TABLET should be used with caution in patients with heart problems (like heart failure or slow heartbeat).
Use In Pediatrics
Consult your doctorThere is no proper information regarding the use of TENLIMAC 20MG TABLET in children and in adolescents (below 18 years).
Use In Geriatrics
Use with CautionTENLIMAC 20MG TABLET should be used with caution in elderly patients.
Other Warnings for TENLIMAC 20MG TABLET
Before taking TENLIMAC 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 (low blood potassium levels)
Who should not take TENLIMAC 20MG TABLET
TENLIMAC 20MG TABLET is not recommended for use if you:
- have severe ketosis
- have diabetic coma or precoma
- have type I diabetes mellitus
- have serious traumatic injury
Diet and Lifestyle Advice
Provide practical lifestyle integration tips, for example, how combining Tenlimac with diet changes and exercise leads to better diabetes management and fewer side effects
- Balanced Diet: Focus on a low-glycemic, high-fiber diet rich in vegetables, whole grains, lean proteins, and healthy fats to help maintain steady blood sugar levels alongside medication.
- Regular Exercise: Incorporate at least 30 minutes of moderate aerobic activity like walking, swimming, or cycling most days of the week to improve insulin sensitivity and cardiovascular health.
- Weight Management: Achieve and maintain a healthy weight to reduce insulin resistance and improve the effectiveness of Tenlimac.
- Consistent Monitoring: Regularly check blood glucose levels to track progress and avoid hypoglycemia or hyperglycemia.
- Hydration: Drink ample water daily to support kidney health and optimize medication efficacy.
- Avoid Smoking and Alcohol: These habits can worsen diabetes control and increase side effects.
- Stress Control: Use relaxation techniques such as yoga, meditation, or deep breathing to reduce stress-induced blood sugar fluctuations.
- Medication Adherence: Take Tenlimac exactly as prescribed, avoiding missed doses and consulting your healthcare provider for any concerns.
Drug - Drug interaction
- Other antidiabetic drugs: Combining Tenlimac with insulin, sulfonylureas (e.g., glimepiride), metformin, or other oral antidiabetics may increase the risk of hypoglycemia (low blood sugar). Careful dose adjustment and monitoring are required.
- Beta blockers (e.g., atenolol, propranolol): May mask hypoglycemia symptoms and affect blood sugar control when used with Tenlimac.
- ACE inhibitors and diuretics: Possible additive effects can affect kidney function and electrolyte balance, so physician supervision is important.
- Certain antibiotics and antifungals (e.g., rifampicin, clarithromycin, fluconazole): May alter Teneligliptin levels by affecting liver enzymes, impacting efficacy or side effects.
- Drugs for gout (probenecid), thyroid hormones, salicylic acid, and some antidepressants: Possible interactions affect metabolism or efficacy, requiring caution.
Synopsis
| Drug | : | Teneligliptin |
| Pharmacological Category | : | Dipeptidyl Peptidase-4 Inhibitors |
| Therapeutic Indication | : | Type II Diabetes mellitus |
| Dosage Forms | : | Tablet |
More Information
Whether Tenlimac can cause weight changes or affect appetite?
Tenlimac (Teneligliptin) is generally considered weight-neutral and does not typically cause weight gain or loss by itself. Studies indicate it may help reduce insulin resistance and metabolic syndrome, which can contribute to modest weight improvements when combined with a healthy diet and exercise.
If patients notice any unexplained weight change or appetite fluctuations while taking Tenlimac, they should consult their healthcare provider. Maintaining a balanced diet and active lifestyle remains essential alongside medication for optimal diabetes management.
In summary:
- Tenlimac does not usually cause weight gain.
- It may support better metabolic health and weight management indirectly.
- Patients should monitor their weight and discuss any concerns with their doctor.
This makes Tenlimac a favorable choice for people who want effective blood sugar control without the side effect of weight gain commonly seen in some diabetes medications.
FAQs About TENLIMAC 20MG TABLET
Q: What is TENLIMAC 20MG TABLET used for?
A: TENLIMAC 20MG TABLET contains Teneligliptin which is used to manage type II diabetes (high blood sugar levels) in adults, that cannot be controlled by diet and exercise alone.
Q: Is Tenlimac suitable for type 1 diabetes?
A: No, it is for type 2 diabetes only.
Q: Can Tenlimac be taken long term?
A: Yes, under medical supervision.
Q: What if I miss a dose?
A: Take as soon as possible unless close to next dose.
Q: Is TENLIMAC 20MG TABLET safe to use in pregnancy?
A: TENLIMAC 20MG TABLET should be used in pregnant women only if prescribed by the physician.
Q: What precautions do I need to follow while taking TENLIMAC 20MG TABLET?
A: Before taking TENLIMAC 20MG TABLET, inform your doctor if you have any liver or heart problems. You must also inform your doctor if you have hormonal problems, stomach problems (surgery in the gut) or if you are malnourished. It is not suitable for use in patients with type I diabetes mellitus.
Q: Can I take medication for high blood pressure along with TENLIMAC 20MG TABLET?
A: No. It is not advisable to take medicines to control blood pressure while taking TENLIMAC 20MG TABLET without consulting your doctor.
Q: What should I do if I experience low blood sugar after taking TENLIMAC 20MG TABLET?
A: Low blood sugar is a common side effect of taking TENLIMAC 20MG TABLET. Try to have sugar rich food items such as fruit juice, glucose tablets or gel, soft drinks, honey, or sugary candy. Check your blood sugar after 10 minutes. If not gained optimum level, take another sugary snack, or drink, and check the blood sugar again. In case of persistent low blood sugar levels, consult your doctor immediately.
Q: Can TENLIMAC 20MG TABLET cause dizziness?
A: Yes. Dizziness is a common side effect of using TENLIMAC 20MG TABLET. In case you experience dizziness, lie down until it passes, then get up slowly and carefully. Get adequate rest. Drink plenty of water and other fluids. Avoid coffee, cigarettes, and alcohol. Do not drive or use machinery to avoid accidents. Consult your doctor if you experience dizziness continuously for a long time after taking TENLIMAC 20MG TABLET.
Q: Can TENLIMAC 20MG TABLET be taken with insulin?
A: Co-administration of TENLIMAC 20MG TABLET with insulin is considered risky as they are increased chances of hypoglycemia (decreased blood sugar levels).
Q: How much TENLIMAC 20MG TABLET should I take?
A: TENLIMAC 20MG 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.
References
1. Joseph T. DiPiro, Robert L. Talbert, Gary C. Yee, Gary R. Matzke, Barbara G. Wells, L. Michael Posey. Diabetes Mellitus. Pharmacotherapy- A Pathophysiologic Approach. Eighth edition. Page- 1263, 1264.
2. Mitra, A., & Ray, S. Evaluation of the Safety and Efficacy of Teneligliptin at a Higher Dose in Indian Type 2 Diabetes Patients: A Retrospective Analysis. NIH National Library of Medicine, National center for biotechnology information. PubMed Central. January 2020. [Accessed on 25th November 2025] ![]()
3. Mitsubishi Tanabe Pharma Factory Ltd. Teneligliptin. [Revised in April 2020] [Accessed on 25th November 2025] 



