Tenlimac M 500mg Strip Of 10 Tablets

• It is used to treat type 2 diabetes mellitus along with an appropriate diet and exercise.

• If you are allergic to this medicine or any of the ingredients of this medicine.
• If you have liver or severe kidney problems.
• If you are an alcoholic.
• If you are in a state of diabetic coma due to a sudden rise or drop in blood sugar level.
• If you have type1 diabetes mellitus.
• If you have a severe infection or you have gone through surgery.
• You have a known history of inflammation in the pancreas.

• Low blood sugar level, be watchful for symptoms of low blood sugar like trembling, sweating, mood disorders, blurred vision, tingling lips, paleness, irritability or confusion
• Nausea
• Constipation
• Stomach pain
• Gases
• Diarrhoea, loss of appetite
• Rashes, itching, allergy
• Tiredness
• Abnormal urine and liver test reports
• Inflammation in pancreas
• Decrease of vitamin B12
• Lactic acidosis (too much acid in the body)

Other General Warnings

• If you have a known history of pancreatitis or you develop sudden pain in the stomach or back, immediately stop this medicine and report to the hospital.
• If you have liver or heart problems like irregular heartbeats and heart failure.
• If you are suffering from continuous diarrhoea, vomiting and loss of body fluids.
• If you have serious liver and kidney function problems.
• If you have an irregular diet, habit of excessive alcohol intake and intense exercise.
• If you have a history of any abdomen surgery.
• If you are using other medicines like Glimepiride because it can cause a drop in blood sugar level.
• If you experience muscle pain, stomach pain, vomiting, difficulty in breathing and low body temperature. It could be a serious condition known as lactic acidosis.

• Take this medicine as instructed by your doctor.
• Take this medicine with or after a meal to reduce its side effects.
• Consult your doctor for the appropriate dosage.
• Take this tablet as a whole with a glass of water.

Overdose

• In case of an overdose, lactic acidosis may occur.
• Symptoms of lactic acidosis are vomiting, stomach and muscle cramps, difficulty in breathing.
• You must seek immediate medical care if you suspect an overdose.

Missed a Dose

How Does It Work?

Interactions with other medicines

• If you need to take an injection of iodine-containing contrast medium into your bloodstream, for an X-ray or scan, your doctor will ask you to stop taking this medicine before or at the time of injection.
• You may have symptoms of low blood sugar if you are taking other medicines for diabetes like Metformin, Insulin, Canagliflozin and Liraglutide.
• Medicines like Phenelzine used to treat mood disorders.
• Medicines for fever and pain (salicylates like aspirin).
• Medicines used to treat high blood pressure like Atenolol, Propranolol and Verapamil.
• You may have high blood sugar if you are taking medicines to treat thyroid disorder.
• Never take this medicine if you are taking medicines like Quinidine, Sotalol, Procainamide and Amiodarone as it may cause heart rhythm problems and cardiac arrest.

Interactions with food items

• Absorption of vitamin B12 appears to be reduced during long-term Metformin therapy and annual screening of serum vitamin B12 levels and red blood cell parameters has been recommended.