TENEBEST-M TABLET

Uses and Benefits of TENEBEST-M TABLET (TENELIGLIPTIN 20MG + METFORMIN 500MG)

This combination is used to manage type 2 diabetes mellitus in adults, along with a proper diet and exercise routine.

WHAT THIS MEDICINE IS USED FOR

• Controlling high blood sugar (hyperglycemia) in type 2 diabetes
• Improving blood sugar control when diet, exercise, and metformin alone are not enough
• Long-term management of diabetes to reduce risk of complications

HOW IT WORKS

• Teneligliptin increases levels of natural hormones (incretins) that help the pancreas release insulin after meals and lower excess sugar production
• Metformin reduces the amount of sugar produced by the liver and improves how the body uses insulin
• Together they help lower blood sugar more effectively than either medicine alone

WHAT IT IS NOT USED FOR

• Type 1 diabetes
• Diabetic ketoacidosis (a medical emergency)
• As a weight-loss medicine
• Sudden or emergency lowering of very high blood sugar levels

Side Effects of TENEBEST-M TABLET (TENELIGLIPTIN 20MG + METFORMIN 500MG)

COMMON SIDE EFFECTS

• Nausea or upset stomach
• Diarrhea
• Loss of appetite
• Mild stomach discomfort
• Metallic taste in mouth

LESS COMMON SIDE EFFECTS

• Headache
• Dizziness
• Gas or bloating
• Mild skin rash

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of low blood sugar (sweating, shaking, confusion, fast heartbeat) especially if combined with other diabetes medicines
• Signs of lactic acidosis (unusual muscle pain, trouble breathing, extreme tiredness, stomach pain with vomiting)
• Severe allergic reaction (swelling of face/lips/tongue, difficulty breathing, severe rash)
• Yellowing of skin or eyes (jaundice)
• Severe or persistent stomach pain (possible pancreatitis)

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

How to Use TENEBEST-M TABLET (TENELIGLIPTIN 20MG + METFORMIN 500MG)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually with meals to reduce stomach upset
• Swallow the tablet whole with water; do not crush or chew unless advised
• Take it at the same time(s) each day to maintain steady blood sugar control
• Continue taking it regularly even if you feel well; diabetes needs long-term management
• Do not stop the medicine without consulting your doctor

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 and continue your normal schedule
• Do not take two doses together to make up for a missed one

STORAGE

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

Safety Information and Precautions for TENEBEST-M TABLET (TENELIGLIPTIN 20MG + METFORMIN 500MG)

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

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to teneligliptin, metformin, or any ingredient in the tablet
• Have severe kidney disease
• Have severe liver disease
• Have a history of diabetic ketoacidosis or metabolic acidosis
• Have severe heart failure or recent heart attack
• Are undergoing surgery or imaging tests requiring contrast dye (stop temporarily as advised)

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have kidney or liver problems
• Drink alcohol regularly
• Are pregnant, planning pregnancy, or breastfeeding
• Have a history of pancreatitis
• Are elderly or have other chronic illnesses
• Are taking other medicines for diabetes or blood pressure

MEDICINES THAT CAN INTERACT

• Other diabetes medicines including insulin (risk of low blood sugar)
• Diuretics (water pills)
• Steroids like prednisolone
• Certain blood pressure medicines
• Alcohol (increases risk of lactic acidosis and low blood sugar)
• Contrast dye used in X-ray/CT scans

FREQUENTLY ASKED QUESTIONS

Can I take this medicine with alcohol?

No, alcohol should be avoided as it increases the risk of low blood sugar and a serious condition called lactic acidosis.

Will this medicine cure my diabetes?

No, it helps control blood sugar levels but does not cure diabetes; it must be taken along with healthy diet and exercise.

Can I stop taking it once my sugar levels are normal?

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