Tiban M 20/500mg Tablet (Metformin 500mg / Teneligliptin 20mg)

Medical Description

Tiban M Tablet is a combination of two medicines Teneligliptin and Metformin. It is an anti-diabetic medicine. Tiban M Tablet is used to lower the high blood sugar levels in people with type 2 diabetes mellitus along with lifestyle changes. This medicine works best when used along with a healthy diet and regular exercise. This medicine will help you keep your sugar levels in control and reduce the risk of diabetes complications. Thus, always take Tiban M Tablet as prescribed by your doctor, and at the same time to gain optimal benefit. Do not stop taking this medicine abruptly, it may lead to serious health consequences. You may experience the most common side effects such as diarrhoea, nausea, vomiting, upset stomach, headache, low blood sugar level (hypoglycemia). If these side effects worsen reach out to the nearest clinic. This medicine should not be used in patients having liver or kidney disease, thus it is important to inform your doctor about medical conditions and lifestyle.

Uses of Tiban M 20mg/500mg Tab 15’S

Tiban M Tablet is used to treat type 2 diabetes mellitus along with an appropriate diet and exercise.

Contraindications of Tiban M 20mg/500mg Tab 15’S

If you are allergic to Teneligliptin, Metformin or any of the ingredient of Tiban M Tablet.
If you have liver or severe kidney problems.
If you are an alcoholic.
If you are in a state of diabetic coma due to a sudden rise or drop in blood sugar level.
If you have type1 diabetes mellitus.
If you have a severe infection or you have a recent surgery.
If you have a known history of pancreatitis.

Side effects of Tiban M 20mg/500mg Tab 15’S

Low blood sugar level, be watchful for symptoms of low blood sugar like trembling, sweating, anxiety, blurred vision, tingling lips, paleness, irritability or confusion
Nausea
Constipation
Stomach pain
Flatulence, polyps in stomach
Diarrhoea, loss of appetite
Rashes, itching, allergy
Tiredness
Abnormal urine and liver test reports
Inflammation in pancreas
Decrease of vitamin B12
Lactic acidosis (too much acid in the body)

Related Product

Other General Warnings

Talk to your doctor if
You have a known history of pancreatitis or develop sudden pain in the stomach or back, immediately stop this medicine and report to the hospital.
You have a liver or heart problem like irregular heartbeat and heart failure.
You are suffering from persistent diarrhoea, vomiting and loss of body fluids.
You have serious liver and kidney function problems.
You have an irregular diet, habit of excessive alcohol intake and intense exercise.
You have a history of any abdomen surgery.
You are using other medicines like Glimepiride because it can cause a drop in blood sugar level.
You experience muscle pain, stomach pain, vomiting, breathing difficulty and low body temperature. It could be a serious condition known as lactic acidosis.
Tiban M Tablet should not be used in children below 18 years of age.

Mode of Action of Tiban M 20mg/500mg Tab 15’S

How Does It Work?
Teneligliptin in Tiban M Tablet works by increasing insulin secretion from the pancreas by inhibiting the enzyme dipeptidyl peptidase 4 (DPP4), whereas Metformin decreases the production of glucose from the liver, the amount of glucose absorbed from the intestine and increases insulin sensitivity.

Directions for Use of Tiban M 20mg/500mg Tab 15’S

Take Tiban M Tablet as instructed by your doctor, as a whole with a glass of water.
Take this medicine with or after a meal to reduce its side effects.
Consult your doctor for the appropriate dosage.

Interactions of Tiban M 20mg/500mg Tab 15’S

Interactions with other medicines
If you need to take an injection of iodine-containing contrast medium into your bloodstream, for an X-ray or scan, your doctor will ask you to stop taking this medicine before or at the time of injection.
You may have symptoms of low blood sugar if you are taking other medicines for diabetes like Metformin, Insulin, Canagliflozin and Liraglutide.
Medicines used to treat depression like Phenelzine.
Medicines for fever and pain (salicylates like aspirin).
Medicines used to treat high blood pressure like Atenolol, Propranolol and Verapamil.
You may have high blood sugar if you are taking steroids, thyroxine.
Never take this medicine if you are taking medicines like Quinidine, Sotalol, Procainamide and Amiodarone as it may cause heart rhythm problems and cardiac arrest.
Interactions with food items
Absorption of vitamin B12 appears to be reduced during long-term Metformin therapy and annual screening of serum vitamin B12 levels and red blood cell parameters has been recommended.

Storage and disposal of Tiban M 20mg/500mg Tab 15’S

Store this medicine below 25°C.
Keep it out of reach of children and pets.

Dosage of Tiban M 20mg/500mg Tab 15’S

Overdose
Excess of Tiban M Tablet may cause lactic acidosis characterized by vomiting, stomach and muscle cramps, difficulty in breathing.
If you think you have taken too much of this medicine contact your doctor immediately or visit the nearest hospital.
Missed a Dose
If you missed a dose of this medicine, take it as soon as you remember. If it’s time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose of this medicine to compensate for the missed one.