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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Emsita M 50/500 mg Tablet is used to treat Type 2 diabetes. It contains Sitagliptin and Metformin, which work by increasing the amounts of certain natural substances that lower blood sugar when it is high. Additionally, it reduces glucose production in the liver, slows glucose absorption from the intestines, and enhances the body's sensitivity to insulin. Thus, it controls blood glucose levels from rising to very high after meals. The most common side effect is hypoglycemia (low blood glucose levels), characterised by dizziness, sweating, palpitations, hunger pangs, dry mouth, and skin, among others. To avoid hypoglycemia, it is essential to eat regularly and carry a source of sugar with you. Other side effects include changes in taste, nausea, diarrhoea, stomach pain, headache, and upper respiratory symptoms.

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Manufacturer/Marketer :

Emcure Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Emsita M 50/500 mg Tablet

Emsita M 50/500 mg Tablet is a combination drug used in the treatment of type 2 diabetes mellitus. Type 2 diabetes develops when the body does not produce enough insulin or when the body's insulin does not work as well as it should. It can also develop if the body produces too much glucagon. Insulin is a substance which helps to lower the level of sugar in your blood, especially after meals.

Emsita M 50/500 mg Tablet contains metformin and vildagliptin, which help control blood sugar levels. It works by causing the pancreas to produce more insulin and less glucagon (the effect of vildagliptin) and also by helping the body utilise insulin more effectively (the effect of metformin).

Not everyone who is taking Emsita M 50/500 mg Tablet will get these side effects. The most common side effect of Emsita M 50/500 mg Tablet is hypoglycemia (low blood glucose levels) characterised by dizziness, sweating, hunger pangs, dry mouth and skin, etc. Other side effects include changes in taste, nausea, diarrhoea, stomach pain, headache, and upper respiratory symptoms.

Emsita M 50/500 mg Tablet should be taken with food to avoid an upset stomach. It is advised to take it at the same time each day for best results. For better advice, your doctor will determine the appropriate dose, which can change quickly depending on your condition. Do not skip your meals, and also carry a form of sugar with you to prevent low blood sugar levels.

Avoid taking Emsita M 50/500 mg Tablet if you are allergic to it. Emsita M 50/500 mg Tablet should not be stopped even if you feel better without consulting your doctor, as sugar levels may change. If you stop taking Emsita M 50/500 mg Tablet abruptly, it may increase your sugar levels, which could further increase the risk of eyesight loss (retinopathy), kidney damage and nerve damage. Emsita M 50/500 mg Tablet should not be taken if you have type 1 diabetes mellitus or severe kidney or liver disease. Please inform your doctor if you have any heart disease or are planning to get pregnant or breastfeed. You must continue following the diet and exercise recommended for you while on treatment with Emsita M 50/500 mg Tablet .

Uses of Emsita M 50/500 mg Tablet

Emsita M 50/500 mg Tablet is used in the treatment of Type 2 Diabetes Mellitus. The detailed uses of Emsita M 50/500 mg Tablet are as follows:

  • Management of Diabetes: Emsita M 50/500 mg Tablet is commonly prescribed to help regulate blood sugar levels in patients with type 2 diabetes, particularly those who may require additional medication alongside lifestyle changes.
  • Improvement of Glycemic Control: Emsita M 50/500 mg Tablet aids in improving overall glycemic control by enhancing insulin sensitivity and decreasing hepatic glucose production.
  • Weight Management: In some cases, Emsita M 50/500 mg Tablet can assist in weight management for diabetic patients, as it may help reduce appetite or modify fat metabolism.
  • Prevention of Diabetes Complications: Regular use of Emsita M 50/500 mg Tablet can contribute to the prevention of long-term complications associated with diabetes, such as neuropathy, nephropathy, and retinopathy.

Directions for Use

  • Emsita M 50/500 mg Tablet should be taken with meals to avoid stomach upset.
  • It is usually taken twice daily; however, your doctor may adjust the dosage based on your blood sugar levels.
  • Swallow Emsita M 50/500 mg Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

Medicinal Benefits

  • Emsita M 50/500 mg Tablet helps your pancreas produce more insulin, effectively utilise insulin, and decrease the excess sugar that your liver makes.
  • It helps control the rise of blood sugar levels in your body after a meal. 
  • Emsita M 50/500 mg Tablet plays a vital role in controlling blood sugar levels and prevents serious complications of diabetes like eyesight loss (retinopathy), kidney (nephropathy), nerve damage (neuropathy), diabetic foot ulcer and delayed wound healing.

How Emsita M 50/500 mg Tablet Works

Emsita M 50/500 mg Tablet is a combination of Sitagliptin and Metformin. Metformin slows the release of stored sugar from the liver, decreases the amount of sugar absorbed from the stomach, and improves how your body uses sugar. Sitagliptin increases the body's production of chemicals that stimulate the pancreas to release more insulin, thereby helping to regulate blood sugar levels. Thus, Emsita M 50/500 mg Tablet controls blood glucose levels from rising to very high after meals.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Emsita-M 50 mg/500 mg Tablet
Here are the steps to manage Gastrointestinal Air and Swelling (GAS) caused by medication:
  • Tell your doctor about your GAS symptoms. They may change your medication regimen or prescribe additional drugs to help you manage them.
  • To manage GAS symptoms, eat a balanced diet of fibre, vegetables, and fruits.
  • Drink enough water throughout the day to avoid constipation and treat GAS symptoms.
  • Regular exercise like yoga and walking may help stimulate digestion and alleviate GAS symptoms.
  • Take probiotics only if your doctor advises, as they may help alleviate GAS symptoms by promoting gut health.
  • Take medication for GAS symptoms only if your doctor advises, as certain medications can interact with your existing prescriptions or worsen symptoms.
  • If symptoms persist, worsen, or are accompanied by severe abdominal pain, vomiting, or bleeding, seek immediate medical attention.
  • If you experience low blood sugar levels, inform your doctor. They will assess the severity and make recommendations for the next actions.
  • Your doctor will assess your symptoms, blood sugar levels, and overall health before recommending the best course of action, which may include treatment, lifestyle modifications, or prescription adjustments.
  • Follow your doctor's instructions carefully to manage the episode and adjust your treatment plan.
  • Make medication adjustments as recommended by your doctor to prevent future episodes.
  • Implement diet and lifestyle modifications as your doctor advises to manage low blood sugar levels.
  • Monitor your blood sugar levels closely for patterns and changes.
  • Track your progress by recording your blood sugar levels, food intake, and physical activity.
  • Seek further guidance from your doctor if symptoms persist or worsen so that your treatment plan can be revised.
  • Consult your doctor about alternative medications if side effects occur.
  • Ensure adequate intake of food rich in vitamin B12, such as meat, poultry, seafood (salmon and cod), dairy, and eggs.
  • Consider a Vitamin B12 supplement, but consult your doctor for the proper dosage.
  • Avoid drinking too much alcohol.
  • Schedule regular doctor visits to monitor your B12 levels.
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.
Here are the step-by-step strategies to manage the side effects of " Muscle Pain" caused by medication usage:
  • Report to Your Doctor: Inform your doctor about the muscle pain, as they may need to adjust your medication.
  • Stretch Regularly: Gentle stretching can help relieve muscle pain and stiffness.
  • Stay Hydrated: Adequate water intake supports muscle health by removing harmful substances and maintaining proper muscle function.
  • Warm or Cold Compresses: Apply cold or warm compresses to the affected area to reduce pain and inflammation.
  • Rest and Relaxation: Adequate rest helps alleviate muscle strain, while relaxation techniques like deep breathing and meditation can soothe muscle tightness, calm the mind, and promote relief from discomfort.
  • Gentle Exercise: Participate in low-impact activities, such as yoga or short walks, to improve flexibility, reduce muscle tension, and alleviate discomfort.
  • Consult a physician: If your symptoms don't improve or get worse, go to the doctor for help and guidance.
  • Always wear loose-fitting clothes which are suitable for your activity.
  • Include the diet containing fruits like watermelon, grapes, bananas and green leafy vegetables.
  • Drink plenty of water stay hydrated.
  • Avoid moving more and staying in hot sun.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.

What if I have taken an overdose of Emsita M 50/500 mg Tablet

Do not take more than the prescribed dose of Emsita M 50/500 mg Tablet as it may cause an overdose. If you suspect you have taken an overdose, please consult a doctor immediately.

Drug Warnings

  • Inform your doctor if you are allergic to Emsita M 50/500 mg Tablet .
  • This medicine should not be used in patients with type 1 diabetes or with diabetic ketoacidosis.
  • Some diabetic patients, while taking Emsita M 50/500 mg Tablet , might develop a rare but serious condition called lactic acidosis (too much lactic acid accumulated in the blood) that can damage the working of your liver and kidneys, which are required for the elimination of excess lactic acid from the blood.
  • Before you start taking Emsita M 50/500 mg Tablet , tell your doctor if you’ve ever had pancreatitis (inflammation of the pancreas), kidney disease, or a low vitamin B12 level.
  • Emsita M 50/500 mg Tablet , when used with insulin, may significantly lower the blood sugar level, leading to a hypoglycemic condition, which can be fatal.
  • Inform your doctor if you are pregnant, planning for a pregnancy or breastfeeding before starting the treatment.
  • Prolonged intake of Emsita M 50/500 mg Tablet may lower your thyroid-stimulating hormone (TSH); hence, an annual checkup of TSH is recommended.
  • In rare cases, you may also develop a severe skin reaction known as bullous pemphigoid that requires immediate medical attention.
  • Inform your doctor if you are scheduled to undergo a diagnostic test that involves an injection of dye or an X-ray contrast agent. The use of Emsita M 50/500 mg Tablet should be stopped for a short time before having an X-ray procedure.
  • It is always important to check for the expiry of the medicine. Discard the medicine if it reaches the expiry date.

Drug-Drug Interactions

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MetforminIoxitalamic acid
Critical
MetforminIofendylate
Critical

Drug-Drug Interactions

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MetforminIoxitalamic acid
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Emsita-M 50 mg/500 mg Tablet and Ioxitalamic acid can increase the risk of lactic acidosis (when the body produces too much lactic acid).

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Ioxitalamic acid is not recommended, please consult your doctor before taking it.
MetforminIofendylate
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Iofendylate with Emsita-M 50 mg/500 mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Iofendylate is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIopentol
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Iopentol with Emsita-M 50 mg/500 mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Iopentol is not recommended, please consult your doctor before taking it.
MetforminIoversol
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Ioversol with Emsita-M 50 mg/500 mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Ioversol is not recommended, please consult your doctor before taking it.
MetforminIomeprol
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Iomeprol with Emsita-M 50 mg/500 mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Iomeprol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
MetforminIoglicic acid
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Ioglicic acid with Emsita-M 50 mg/500 mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Ioglicic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIotroxic acid
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Iotroxic acid with Emsita-M 50 mg/500 mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Iotroxic acid is not recommended, please consult your doctor before taking it.
MetforminIodamide
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Emsita-M 50 mg/500 mg Tablet and Iodamide can increase the risk of lactic acidosis (when the body produces too much lactic acid).

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Iodamide is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIohexol
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Iohexol with Emsita-M 50 mg/500 mg Tablet can increase the risk of side effects.

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Iohexol is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIocetamic acid
Critical
How does the drug interact with Emsita-M 50 mg/500 mg Tablet:
Co-administration of Emsita-M 50 mg/500 mg Tablet and Iocetamic acid can increase the risk of lactic acidosis (when the body produces too much lactic acid).

How to manage the interaction:
Taking Emsita-M 50 mg/500 mg Tablet with Iocetamic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Include starchy veggies, proteins, and whole grains in your diet.
  • Eat at regular intervals. Do not take a long gap between a meal or snack.
  • Monitor your blood sugar level regularly.
  • If you feel that your blood sugar level is going down and you are feeling weak, immediately eat sugar candies or drink sugary beverages. It will help to balance the blood sugar level in your body. So, it is advisable to keep sugar candies with you.
  • Invest in at least 150 min of moderate-intensity physical activity or one hour and 15 minutes of high-intensity exercise every week.
  • Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
  • Replace refined carbohydrate-containing foods with whole grain foods and increase the intake of fruits, veggies, and other fibre-enriched foods.
  • Reduce intake of saturated fat (or hidden fats) in food like chips, crisps, pastries, biscuits, and samosas. Choose omega-3 fatty acid-containing oils for daily cooking. For frying, you can use palm oil, mustard oil, groundnut oil, rice bran oil, and safflower oil.
  • Do not take stress as it may elevate your blood sugar level. You can adopt stress management techniques like mindfulness to control stress-related blood sugar changes.
  • Opt for low-fat dairy products (low-fat yoghurt, fat-free milk, cheese, etc.).
  • Keep your blood pressure as normal (140/90) as possible. As it reduces the risk of cardiovascular diseases in diabetes patients.

Habit Forming

No

Therapeutic Class

ANTIDIABETICS
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Alcohol

Unsafe

Avoid consumption of alcohol while on treatment with Emsita M 50/500 mg Tablet .

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Pregnancy

Consult your doctor

Emsita M 50/500 mg Tablet is only recommended during pregnancy when the benefit outweighs the risk. Please consult your doctor before starting Emsita M 50/500 mg Tablet if you are pregnant or planning to conceive.

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Breast Feeding

Consult your doctor

Consult your doctor; Emsita M 50/500 mg Tablet should be used in breastfeeding mothers only if the benefits outweigh the risks.

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Driving

Caution

Drive only if you are physically stable and mentally focussed, If you experience drowsiness after taking these medications you should not drive or operate any machinery or vehicles.

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Liver

Consult your doctor

If you have or have a history or evidence of any liver-related diseases, please consult the doctor before taking medicine.

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Kidney

Consult your doctor

If you have or had a history or evidence of any kidney-related diseases, please consult the doctor before taking medicine.

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Children

Consult your doctor

It is advisable to consult a doctor before using it.

Have a query?

FAQs

Emsita M 50/500 mg Tablet is used to treat Type 2 Diabetes Mellitus.

Sitagliptin and Metformin are combined to form $ name. Metformin slows down the release of stored sugar from the liver, decreases the amount of sugar absorbed from the stomach, and improves how your body uses sugar. Sitagliptin increases the body's production of chemicals that stimulate the pancreas to release more insulin, thereby helping to regulate blood sugar levels. Thus, Emsita M 50/500 mg Tablet controls blood glucose levels from rising to very high after meals.

Increased hunger, increased thirst, frequent urination (usually at night), unexplained weight loss, fatigue, blurred vision, slow wound/sore healing, and frequent infections are the signs of type 2 diabetes. Please consult your doctor if you notice such symptoms.

No. Emsita M 50/500 mg Tablet is only prescribed for the treatment of type 2 diabetes, also called non-insulin-dependent diabetes.

Emsita M 50/500 mg Tablet needs to be taken with food to avoid stomach upset. Take it as prescribed by your doctor.

Do not crush or chew Emsita M 50/500 mg Tablet as it may release all of the medicine at once and cause side effects. It should be taken as a whole, with food, or as advised by your doctor.

Generally, Emsita M 50/500 mg Tablet does not cause hypoglycemia. It can cause low blood sugar if taken along with other antidiabetic medications, especially when engaging in strenuous exercise or consuming low-calorie foods. Symptoms of low blood sugar include sudden sweating, blurred vision, shaking, hunger, increased heart rate, dizziness, or tingling sensations in the hands or feet. If you experience low blood sugar while taking Emsita M 50/500 mg Tablet , consult your doctor.

To quickly increase your blood sugar, eat sugar, candy, honey, or drink fruit juice or non-diet soda if you have sudden sweating, blurry vision, shaking, dizziness, increased heartbeat, or hunger.

Long-term use of Emsita M 50/500 mg Tablet can lead to Vitamin B12 deficiency. It interferes with the absorption of Vitamin B12 in the stomach. If left untreated, it may lead to anaemia and nerve problems, which can cause the patient to experience tingling sensations and numbness in the hands and feet, urinary problems, weakness, changes in mental status, and difficulty maintaining balance (ataxia). Some researchers recommend the intake of vitamin B12 from external sources at least once a year to avoid such problems.

Emsita M 50/500 mg Tablet may cause side effects such as headache, nausea, vomiting, diarrhoea, low blood sugar, or upper respiratory tract infection. If these side effects persist or worsen, please consult your doctor.

Emsita M 50/500 mg Tablet should be avoided in patients with known allergy to any of the components or excipients in it and in patients with severe liver impairment, kidney impairment, congestive heart failure, diabetic ketoacidosis or lactic acidosis.

No, it is not safe to take alcohol while using Emsita M 50/500 mg Tablet as it may increase the chance of a life-threatening condition known as lactic acidosis.

Store Emsita M 50/500 mg Tablet at room temperature. Protect from light and moisture. Keep it out of reach of children.

Yes, the use of Emsita M 50/500 mg Tablet can lead to lactic acidosis. It is a life threatening condition caused by the increased levels of lactic acid in the blood. It is also known as MALA (Metformin associated lactic acidosis). It is a rare side effect of metformin and thus, it is avoided in patients with underlying kidney disease, elderly patients or who take large amounts of alcohol. Symptoms of lactic acidosis may include muscle pain or weakness, tiredness, dizziness, difficulty in breathing, feeling of cold in arms and legs, stomach pain, nausea, vomiting, or slow heart rate. If you have these symptoms, stop taking Emsita M 50/500 mg Tablet and consult your doctor immediately.

Emsita M 50/500 mg Tablet can lower the chance of severe complications such as nerve problems, kidney damage, blindness, limb amputations, and heart diseases by controlling high blood sugar.

You are recommended to consult your doctor before taking other medications with Emsita M 50/500 mg Tablet to avoid drug interactions.

Avoid alcohol consumption while taking Emsita M 50/500 mg Tablet and ensure regular monitoring of kidney function. Always take Emsita M 50/500 mg Tablet as prescribed by your doctor.

Country of origin

India

Manufacturer/Marketer address

A €“ 504, Shapath-4, B/S Hotel Crowne Plaza, Opp. Karnavati Club, S. G. Highway ,Ahmedabad 380 051 Gujarat
Other Info - EMS0043

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