ISTAMET D-XR 500

Uses and Benefits of ISTAMET D-XR 500 (Dapagliflozin 10mg + Sitagliptin 100mg + Metformin 500mg)

This combination medicine is used to treat type 2 diabetes mellitus in adults, especially when blood sugar is not controlled well enough by diet, exercise, or single medicines alone.

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 along with other diabetes medicines or insulin

HOW IT WORKS

• Dapagliflozin helps the kidneys remove extra sugar from the body through urine
• Sitagliptin helps the body release more insulin and lowers sugar production by the liver after meals
• Metformin reduces sugar production in the liver and improves how the body uses insulin

WHAT IT IS NOT USED FOR

• Not used for type 1 diabetes
• Not used for diabetic ketoacidosis, a serious emergency condition
• Not a treatment for weight loss, though weight loss may happen as a side effect
• Not meant for children unless specifically advised by a specialist

Side Effects of ISTAMET D-XR 500 (Dapagliflozin 10mg + Sitagliptin 100mg + Metformin 500mg)

COMMON SIDE EFFECTS

• Nausea or stomach upset
• Diarrhoea
• Loss of appetite
• Increased urination
• Mild headache

LESS COMMON SIDE EFFECTS

• Urinary tract infections
• Genital yeast infections
• Dizziness
• Low blood sugar (especially if combined with other diabetes medicines)
• Skin rash or itching

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of lactic acidosis: severe weakness, muscle pain, trouble breathing, unusual tiredness
• Signs of ketoacidosis even with normal sugar: nausea, vomiting, stomach pain, fast breathing
• Severe dehydration or very low blood pressure
• Signs of pancreatitis: severe stomach pain spreading to the back, with vomiting
• Severe allergic reaction: swelling of face/lips/throat, difficulty breathing, severe rash
• Signs of kidney problems: reduced urination, swelling in legs

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

How to Use ISTAMET D-XR 500 (Dapagliflozin 10mg + Sitagliptin 100mg + Metformin 500mg)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily with the first main meal of the day
• Swallow the tablet whole with water; do not crush or chew unless your doctor says it is safe
• Drink enough water during the day, especially in hot weather
• Continue to follow the diet and exercise plan advised by your doctor
• Do not stop the medicine suddenly without consulting your doctor, even if you feel well

IF YOU MISS A DOSE

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

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep in the original pack until it is time to take it
• Keep out of reach and sight of children
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for ISTAMET D-XR 500 (Dapagliflozin 10mg + Sitagliptin 100mg + Metformin 500mg)

This is a prescription-only medicine in India and should be used only under a doctor's supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to dapagliflozin, sitagliptin, metformin, or any ingredient in the tablet
• Have severe kidney disease or are on dialysis
• Have diabetic ketoacidosis or type 1 diabetes
• Have severe liver disease
• Have a serious infection, dehydration, or are having major surgery soon

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have a history of urinary tract or genital infections
• Have heart failure or bladder problems
• Have a history of pancreatitis
• Are pregnant, planning pregnancy, or breastfeeding
• Are scheduled for any surgery, X-ray, or scan involving contrast dye
• Drink alcohol regularly

MEDICINES THAT CAN INTERACT

• Insulin or other diabetes medicines, which may increase risk of low blood sugar
• Diuretics (water pills), which can increase dehydration risk
• Certain contrast dyes used in imaging tests
• Steroids and some blood pressure medicines
• Always inform your doctor about all medicines, supplements, and herbal products you take

FREQUENTLY ASKED QUESTIONS

Can I drink alcohol while taking this medicine?

It is best to avoid or limit alcohol as it can increase the risk of low blood sugar and lactic acidosis.

Will this medicine cause weight gain?

This combination usually does not cause weight gain and may even lead to mild weight loss in some people.

Can I stop this medicine once my sugar is normal?

• No, do not stop without consulting your doctor, as diabetes needs ongoing management even when sugar levels look normal.
• Doctor ya pharmacist se salah lein.