Istamet D -XR 1000 Tablet

Uses and Benefits of Istamet D -XR 1000 Tablet (DAPAGLIFLOZIN 10MG + SITAGLIPTIN 100MG + METFORMIN 1000MG)

This composition is used to manage type 2 diabetes mellitus in adults, especially when diet, exercise, and single medicines have not given adequate blood sugar control.

WHAT THIS MEDICINE IS USED FOR

• Controlling high blood sugar levels in type 2 diabetes
• Used along with diet and exercise as advised by your doctor
• Sometimes used together with other diabetes medicines

HOW IT WORKS

• Dapagliflozin helps kidneys remove extra sugar through urine
• Sitagliptin increases hormones that help the pancreas release insulin after meals
• Metformin reduces sugar production by the liver and improves how the body uses insulin
• Together they lower blood sugar through three complementary actions

WHAT IT IS NOT USED FOR

• Not used for type 1 diabetes
• Not used for diabetic ketoacidosis
• Not a treatment for weight loss, though some weight change may occur
• Not a substitute for a healthy diet and physical activity
• Not meant for children

Side Effects of Istamet D -XR 1000 Tablet (DAPAGLIFLOZIN 10MG + SITAGLIPTIN 100MG + METFORMIN 1000MG)

COMMON SIDE EFFECTS

• Nausea or stomach upset
• Diarrhea or loose motions
• Loss of appetite
• Increased urination
• Mild headache

LESS COMMON SIDE EFFECTS

• Genital yeast infections
• Urinary tract infection
• Dizziness
• Skin rash or itching
• Low blood sugar when combined with other diabetes medicines

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of lactic acidosis such as severe weakness, muscle pain, trouble breathing, unusual tiredness
• Severe dehydration or very low blood pressure
• Signs of ketoacidosis even with normal blood sugar, such as nausea, vomiting, stomach pain
• Severe allergic reaction with swelling of face, lips or throat
• Signs of pancreatitis such as severe stomach pain radiating to the back
• Sudden decrease in urination or signs of kidney problems

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use Istamet D -XR 1000 Tablet (DAPAGLIFLOZIN 10MG + SITAGLIPTIN 100MG + METFORMIN 1000MG)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually with meals
• Swallow the tablet whole with water; do not crush or chew
• Do not change the dose or stop without consulting your doctor
• Continue to follow your diet and exercise plan
• Monitor blood sugar regularly as advised

IF YOU MISS A DOSE

• Take it as soon as you remember
• If it is almost time for your next dose, skip the missed one
• Do not take a double dose to make up for a missed one
• If you miss doses often, inform your doctor

STORAGE

• Store at room temperature, away from heat and moisture
• Keep in original packaging until use
• Keep out of reach of children and pets
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for Istamet D -XR 1000 Tablet (DAPAGLIFLOZIN 10MG + SITAGLIPTIN 100MG + METFORMIN 1000MG)

This medicine is available only with a valid doctor's prescription in India.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to dapagliflozin, sitagliptin, metformin or any ingredient
• Have type 1 diabetes or diabetic ketoacidosis
• Have severe kidney disease
• Have severe liver disease
• Are undergoing dialysis

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have any kidney or liver problems
• Have a history of pancreatitis
• Have recurrent urinary or genital infections
• Are dehydrated or have low blood pressure
• Are pregnant, planning pregnancy, or breastfeeding
• Are scheduled for surgery or an imaging test involving contrast dye
• Drink alcohol regularly

MEDICINES THAT CAN INTERACT

• Insulin or other sulfonylurea medicines that lower blood sugar
• Diuretics (water pills)
• Contrast dye used in X-ray or CT scans
• Certain blood pressure medicines
• Steroids or other medicines that raise blood sugar

FREQUENTLY ASKED QUESTIONS

Can I drink alcohol while taking this medicine?

Alcohol should be avoided or limited as it increases the risk of low blood sugar and lactic acidosis.

Will this medicine cause weight gain?

This combination is usually weight-neutral or may cause mild weight loss, unlike some other diabetes medicines.

Can I stop this medicine once my sugar is controlled?

• No, do not stop without consulting your doctor as diabetes needs long-term management.
• Doctor ya pharmacist se salah lein.