Ziten 20mg Strip Of 15 Tablets

• If you are allergic to teneligliptin or other ingredients of this medicine.
• If you have metabolism-related problems called ketosis (when the body utilises fats for energy and not sugar).
• If you have type1 diabetes mellitus.
• If you suffer from infection and have experienced a diabetic coma (an emergency condition in which blood sugar gets too high).
• If you are undergoing surgery or suffering from a serious physical injury, these may require insulin for controlling blood sugar.
• If you have a history of pancreatitis.

• Headache
• Fever
• Nausea
• Vomiting
• Constipation
• Bloating
• Passing gas (Flatulence)
• Stomach pain
• Diarrhoea
• Skin allergy
• Itching
• Rashes

Other General Warnings

• You have serious liver and kidney function problems.
• You have a history of pancreatitis or develop sudden pain in the stomach or back, stop the medicine and report to the hospital.
• You have 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 surgery on the stomach or intestine.
• You have heart problems like irregular heart rhythm and heart failure as it may increase the symptoms.
• You are using other medicines to treat diabetes like Insulin and Glimepiride, a drastic fall in blood glucose occurs.

• Store at room temperature.
• Keep it away from children and pets.
• Dispose of if this medicine is expired.

Overdose

• An overdose of this medicine leads 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 and confirm.
• Whether you test the levels or not, it is important to take glucose water/juice/eat sugar or chocolates and rush to the doctor.

Missed a Dose

• Missing a dose is not advised as it leads to fluctuations in blood sugar.
• If you have missed taking a dose of the medicine, take it as soon as you remember.
• If it's time for the next dose, skip the missed dose and continue with the regular dosing schedule.
• Avoid taking a double dose to compensate for the missed one as taking a double dose can cause a drastic fall in blood glucose which is 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 decreases glucagon levels which is a counter-hormone of insulin, thereby decreases blood sugar levels.

Interactions with other medicines

• Some medicines affect the way the Ziten 20mg tablet works or this medicine itself reduces 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.
• Avoid taking this medicine 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 using 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 using steroids, thyroxine.