Zita Plus 20mg Strip Of 15 Tablets

• If you are allergic to teneligliptin or any of the ingredients of the Zita Plus 20 tablet.
• If you have a metabolism-related problem called ketosis (when your body utilises fats for energy and not sugar).
• If you have type1 diabetes mellitus.
• If you are suffering from serious infections 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, these may require insulin for controlling blood sugar.

• Dizziness
• Headache
• Fever
• Constipation
• Diarrhoea
• Low blood sugar

Other General Warnings

• You are suffering from 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 are suffering from malnutrition, are dieting, taking irregular meals, doing vigorous muscle exercise and consuming too much alcohol, then you may experience low blood sugar.
• You have undergone any surgery on the stomach or intestine.
• You are suffering from 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, as a drastic fall in blood glucose can occur.
• You develop an allergic reaction after taking the Zita Plus 20 tablet.

• Store the Zita Plus 20 tablets below 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

• An overdose of this medicine 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 have missed any dose of the Zita Plus 20 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 this medicine to compensate for the missed one as taking a double dose can cause a drastic fall in the 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.

Interactions with other medicines

• Some medicines can affect the way the Zita Plus 20 tablet works or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
• Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interaction.
• Do not take the Zita Plus 20 tablet if you are taking medicines like quinidine, sotalol, procainamide and amiodarone as it may cause heart rhythm problems and cardiac arrest.
• You may have symptoms of low blood sugar if you are taking other medicines for diabetes like metformin, insulin, canagliflozin, liraglutide, medicines used to treat depression like phenelzine, medicines for fever and pain (salicylates like aspirin) and medicines used to treat high blood pressure like atenolol and propranolol.
• You may have high blood sugar if you are taking steroids, thyroxine.