ZUKANORM-D 5MG TABLET

Uses and Benefits of ZUKANORM-D 5MG TABLET (DAPAGLIFLOZIN 5MG + VILDAGLIPTIN 100MG)

This medicine is used to manage type 2 diabetes mellitus in adults, especially when diet, exercise, and a single medicine are not enough to control blood sugar.

WHAT THIS MEDICINE IS USED FOR

• Controlling high blood sugar (hyperglycemia) in type 2 diabetes
• Used along with diet and exercise
• Often prescribed when one diabetes medicine alone is not enough

HOW IT WORKS

• Dapagliflozin blocks sugar reabsorption in the kidneys, causing extra sugar to be passed out in urine
• Vildagliptin increases natural insulin release and reduces sugar production by the liver after meals
• Together they lower blood sugar through two different mechanisms

WHAT IT IS NOT USED FOR

• Not used for type 1 diabetes
• Not used for diabetic ketoacidosis
• Not a substitute for insulin in insulin-dependent patients
• Not used for weight loss on its own, though some weight loss may occur
• Not meant for children

Side Effects of ZUKANORM-D 5MG TABLET (DAPAGLIFLOZIN 5MG + VILDAGLIPTIN 100MG)

COMMON SIDE EFFECTS

• Urinary tract infection
• Genital yeast infection
• Increased urination
• Headache
• Dizziness
• Nausea

LESS COMMON SIDE EFFECTS

• Low blood sugar (especially when combined with other diabetes medicines)
• Back pain
• Tremor
• Dry mouth
• Constipation or diarrhoea

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of diabetic ketoacidosis: nausea, vomiting, abdominal pain, unusual tiredness, difficulty breathing (even with normal blood sugar)
• Severe pain, swelling, or redness in the genital or groin area (rare but serious infection)
• Signs of dehydration or low blood pressure: dizziness, fainting
• Signs of liver problems: yellowing of skin/eyes, dark urine, severe fatigue
• Signs of pancreatitis: severe stomach pain spreading to back, persistent vomiting
• Signs of severe allergic reaction: swelling of face/lips/throat, difficulty breathing, rash

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

How to Use ZUKANORM-D 5MG TABLET (DAPAGLIFLOZIN 5MG + VILDAGLIPTIN 100MG)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily
• Can be taken with or without food, at the same time each day
• Swallow the tablet whole with water; do not crush or chew unless advised
• Continue taking it regularly even if you feel well
• Keep following the diet and exercise plan suggested by your doctor
• Do not stop the medicine without talking to 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
• Do not take two doses together to make up for a missed one
• If you often forget doses, ask your doctor about reminder strategies

STORAGE

• Store at room temperature, away from heat and direct sunlight
• Keep in the original packaging until ready to use
• Keep out of reach of children and pets
• Do not use after the expiry date printed on the pack
• Do not store in the bathroom or near a sink

Safety Information and Precautions for ZUKANORM-D 5MG TABLET (DAPAGLIFLOZIN 5MG + VILDAGLIPTIN 100MG)

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

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to dapagliflozin, vildagliptin, or any ingredient in the tablet
• Have type 1 diabetes or diabetic ketoacidosis
• Have severe kidney disease or are on dialysis
• Have severe liver disease
• Are pregnant or breastfeeding, unless specifically advised by your doctor

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have a history of urinary tract or genital infections
• Have kidney or liver problems
• Have a history of pancreatitis
• Are on a low-sodium or low-salt diet, or have low blood pressure
• Are elderly or dehydrated
• Have heart failure or are on diuretics (water pills)
• Are planning surgery or have had a recent illness with vomiting/diarrhoea

MEDICINES THAT CAN INTERACT

• Other diabetes medicines including insulin (risk of low blood sugar)
• Diuretics (water tablets)
• Blood pressure medicines
• Certain medicines affecting kidney function
• NSAID painkillers used regularly
• Always share a full list of your current medicines and supplements with your doctor

FREQUENTLY ASKED QUESTIONS

Can I drink alcohol while taking this medicine?

Alcohol can increase the risk of low blood sugar and dehydration, so it is best to limit or avoid it and discuss with your doctor.

Will this medicine cause weight loss?

Some patients notice mild weight loss due to sugar loss in urine, but this medicine is not intended as a weight-loss treatment.

How will I know if my blood sugar is too low?

• Symptoms include sweating, shakiness, confusion, and hunger; keep a fast-acting sugar source handy and inform your doctor if this happens often.
• Doctor ya pharmacist se salah lein.