Teniva 20mg Strip Of 15 Tablets

• If you are allergic to teneligliptin or any of the ingredients of Teniva 20 mg tablet.
• If you have a metabolism-related problem called ketosis (when your body utilizes fats for energy and not sugar).
• If you have type1 diabetes mellitus.
• If you are suffering from serious infection and have experienced diabetic coma (an emergency condition in which blood sugar gets too high).
• If you have to undergo surgery or are suffering from a serious physical injury, as these may require insulin for controlling blood sugar.
• If you have a known history of pancreatitis.

• Headache
• Fever
• Diarrhoea
• Constipation
• Nausea
• Stomach pain
• Skin allergy (itching, rashes)
• Low blood sugar

Other General Warnings

• You have serious liver and kidney function problems.
• You have a known history of pancreatitis or develop sudden pain in the stomach or back, immediately stop the medicine and report to the hospital.
• You have malnutrition, are dieting, taking an irregular meal, doing vigorous muscle exercise and consuming too much alcohol, then you may experience low blood sugar.
• You have undergone any surgery of the stomach or intestine.
• You have heart problems like irregular heart rhythm and heart failure as it may increase the symptoms further.
• You are taking other medicines to treat diabetes like Insulin and Glimepiride, drastic fall in blood glucose can occur.

• Teniva 20 mg tablet should be taken as directed by your doctor.
• Swallow it whole with a glass of water, do not cut, break or chew the medicine.
• It would be best if you took it at a fixed time for optimal results.
• You should not consume it more than that prescribed by your doctor.

• Store Teniva 20 mg tablets at room temperature
• Keep the medicine out of the reach of children and pets
• Properly dispose of the tablet if it has passed its expiry date

Overdose

• Overdose of Teniva 20 mg tablet will lead to low blood sugar levels and you may experience symptoms like dizziness, fainting, sweating and tremors.
• If you have the blood glucometer with you, test immediately and confirm.
• Whether you test your levels or not, it is important to take some glucose water/juice/eat sugar or chocolates immediately and then rush to your doctor.

Missed a Dose

• Missing a dose is not advised as it will lead to fluctuations in your blood sugar.
• If you missed any dose of Teniva 20 mg tablet, take it as soon as you remember.
• If it's time for your next dose, skip the missed dose and continue with your regular dosing schedule.
• Do not take a double dose of medicine to compensate for the missed one as taking a double dose can cause a drastic fall in blood glucose which can be dangerous.

How Does It Work?

• When we eat, glucose increases in the body. The small intestine increases the release of certain chemicals called incretins. These play an important role in controlling blood glucose. But these are rapidly degraded by an enzyme called DPPP-4.
• Teneligliptin inhibits this DPP-4. Thus, incretins don’t get degraded rapidly and can act to control blood glucose.
• It increases insulin synthesis by the pancreas, thereby reducing glucose levels.
• It also decreases glucagon levels which is a counter-hormone of insulin, thereby further decreasing blood sugar levels.