Vildamac M 50/500 Tablet

• Vildamac M 50/500 Tablet is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.
• Vildamac M 50/500 Tablet is prescribed when metformin alone is insufficient, when a patient is already taking vildagliptin and metformin separately, and in combination with other diabetes treatments, including a sulfonylurea or insulin.

• If you are allergic to vildagliptin or metformin or other ingredients of Vildamac M 50/500 mg tablet.
• If you have uncontrolled diabetes along with nausea, vomiting, diarrhoea, rapid weight loss, lactic acidosis (symptoms include stomach pain, fast or rapid breathing, sleepiness).
• If you are in a diabetic coma due to a sudden rise or drop in blood sugar level.
• If you are an alcoholic or consume alcohol in excess regularly.
• If you have a pre-existing medical condition like kidney or liver disorder, heart disease, type 1 diabetes, etc.
• If you have infection or dehydration.
• If you are undergoing surgery or stress.
• If you are breastfeeding.

• Nausea and vomiting
• Diarrhoea
• Abdominal pain
• Metallic taste in the mouth
• Dizziness
• Headache
• Tremor
• Low blood sugar (when used with insulin or a sulfonylurea)
• Reduced vitamin B12 levels with long-term use

Other General Warnings

• You suffer from problems with the liver or kidneys.
• You have uncontrolled diabetes.
• You have some infections.
• You have a planned surgery.
• You suffer from heart problem like irregular heartbeat, heart failure.
• You develop symptoms of lactic acidosis like vomiting, stomach pain, muscle cramps, fatigue, difficulty breathing.
• You notice symptoms like dehydration, vomiting, diarrhoea, fever.
• You have an irregular diet, habit of excessive alcohol intake, intense muscular movement.
• Vildamac M 50/500 mg tablet is not recommended for patients below 18 years of age.

• Vildamac M 50/500 mg tablet must be taken as directed by the doctor.
• Swallow as a whole with a glass of water.
• Do not cut, break or chew the medicine.
• It must be taken with or after having the meal. It would be best if you take it at the same time every day for optimal results.
• Avoid consuming it more than prescribed by the doctor.

• Vildamac M 50/500 Tablet combines two medicines that lower blood sugar by entirely different mechanisms. Always take it with or immediately after food; this is the most effective way to reduce stomach upset.
• Stomach symptoms usually settle within the first few weeks.
• Ask your doctor what your personal HbA1c target is, and test every three to six months.
• Get written sick-day rules so you know when to pause the medicine during vomiting or fever.
• Attend your liver blood tests, especially during the first year.
• Report yellowing of the eyes or skin, dark urine or persistent nausea without delay.
• Tell your doctor before any CT scan with contrast dye or any surgery.
• Seek emergency care for muscle pain with rapid breathing, extreme tiredness or feeling very cold.
• Ask for a vitamin B12 check after several years, or if you develop tingling in the hands and feet.
• Avoid binge drinking and never drink on an empty stomach.
• Carry your medicines in hand baggage when travelling, with a doctor's letter.

Overdose

Missed a Dose

Interactions with other medicines

• Some medicines affect the way Vildamac M 50/500 mg tablet works or the medicine itself reduce the effectiveness of other medicines taken at the same time.
• Inform the doctor regarding the medicines, supplements or herbals you take or might take to avoid possible interaction.
• If you are using other antidiabetic medicines, anti-hypertensive or heart medicine, painkillers, medicine for respiratory problems, etc.

Interactions with food items

• Take Vildamac M 50/500 Tablet with or immediately after food. This makes a substantial difference to the nausea, metallic taste, and diarrhoea from the metformin component.
• Keep meals regular and consistent in carbohydrate content. Skipped meals are a frequent cause of low readings if you also take a sulfonylurea or insulin.
• Avoid binge drinking and never drink on an empty stomach, given the combined risk of lactic acidosis, liver strain, and delayed low blood sugar.
• Drink enough fluid, especially in hot weather or during illness with vomiting or diarrhoea, as dehydration is the commonest trigger for metformin-related complications.
• Include milk, curd, paneer, eggs and fish for vitamin B12, since long-term metformin reduces its absorption.
• Build meals around whole grains, pulses, vegetables, and lean protein while limiting sugary drinks, sweets, refined flour, and fried food.