Teneblu Dm 20/10/1000mg Strip Of 15 Tablets

• If you are allergic to teneligliptin, metformin, dapagliflozin or any other ingredient of Teneblu Dm tablet.
• If you have type 1 diabetes, diabetic ketoacidosis, diabetic coma, or a past history of diabetic coma.
• If you have a severe infection, are undergoing major surgery, or have experienced serious trauma, as blood sugar control in these situations is usually managed with insulin rather than this medicine.

• Headache
• Dizziness
• Low blood sugar
• Rashes
• Painful urination

Other General Warnings

• You have advanced liver problems, as the safety of this medicine is not well established in severe liver failure.
• You have severe heart failure (NYHA class III or IV) or other serious heart conditions.
• You have pituitary or adrenal gland problems, poor nutrition, irregular eating habits, prolonged fasting, severe weakness, intense physical activity, or excess alcohol intake, as these may increase the risk of low blood sugar.
• You have had abdominal surgery or a history of bowel blockage, as this medicine may worsen bowel-related problems.
• You have heart rhythm problems, a very slow heartbeat, low potassium levels, congenital long QT syndrome, a history of serious rhythm disorders such as Torsades de pointes, or are using medicines for heart rhythm control.
• You are taking medicines that increase insulin release, such as sulfonylureas, as using them together may increase the risk of severe low blood sugar.

• Teneblu Dm tablet should be taken exactly as directed by your doctor.
• Swallow it as a whole with a glass of water.
• Do not cut, break or chew the medicine.
• Do not take more than the prescribed dose.

• Store Teneblu Dm tablet in a cool, dry place, protected from direct sunlight, moisture, and heat.
• Keep it out of the reach of children and pets.

• Take Teneblu Dm tablet at the same time each day to help maintain steady blood sugar control.
• Do not skip meals, as this may increase the risk of low blood sugar.
• Monitor your blood glucose regularly, especially if you are taking other diabetes medicines.
• Avoid excessive alcohol intake, as it can affect blood sugar levels.
• Maintain a balanced diet and regular physical activity as advised by your doctor.
• Inform your doctor about all other medicines you are taking to avoid interactions.

Overdose

Missed a Dose

How Does It Work?

• Dapagliflozin reduces blood glucose levels by increasing urinary glucose excretion.
• Metformin reduces glucose absorption from food and glucose production by the liver, while increasing the body's response to insulin.
• Teneligliptin works by increasing natural hormones that help release insulin after meals and reduce sugar production by the liver, helping to control blood sugar levels.

Interactions with other medicines

• Medicines such as beta-blockers or MAO inhibitors may increase the blood sugar-lowering effect and raise the risk of low blood sugar, while steroids or thyroid hormones may reduce the glucose-lowering effect.
• Concomitant use with ketoconazole can increase teneligliptin levels in the blood, which may increase the risk of side effects.
• Certain medicines taken with metformin, such as amiloride, digoxin, morphine, procainamide, quinidine, ranitidine, or vancomycin, may reduce metformin elimination and increase the risk of lactic acidosis.
• Use with furosemide may increase metformin levels in the blood and reduce furosemide levels, so monitoring may be required.
• Long-term use of metformin may reduce vitamin B12 absorption and, in rare cases, lead to deficiency.
• Nifedipine may increase the absorption of metformin, leading to higher blood levels of metformin.
• Danazol may increase blood glucose levels, and dose adjustment or closer blood sugar monitoring may be necessary.

Interactions with food items

• Excessive alcohol intake should be avoided, as it may increase the risk of low blood sugar and lactic acidosis, especially with metformin.
• A balanced diet with consistent carbohydrate intake helps maintain better blood sugar control while on this therapy.