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compositionComposition:S AMLODIPINE-2.5MG+TELMISARTAN-40MG
prescriptionPrescription Medicine
Espin TM Tablet 10's
Espin TM Tablet 10's
Espin TM Tablet 10's

Espin TM Tablet is used to treat hypertension (high blood pressure). It helps control blood pressure and lowers the risk of severe heart problems such as heart attack and stroke. It improves blood flow, reduces cardiac strain, and supports more efficient cardiac function.

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Written By Lakshmithulasi Yarragunta ,
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

S AMLODIPINE-2.5MG+TELMISARTAN-40MG

Manufacturer/Marketer :

Intas Pharmaceuticals Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Espin TM Tablet

Espin TM Tablet is used to treat hypertension (high blood pressure). Hypertension is a condition characterised by increased blood pressure within blood vessels.

Espin TM Tablet is a combination of S-Amlodipine and Telmisartan. S-amlodipine works by relaxing and widening the blood vessels. Telmisartan lowers blood pressure and increases blood flow by preventing blood vessel narrowing.

You may experience certain side effects, such as dizziness, stomach pain, nausea, constipation, double vision, muscle cramps, and low blood pressure. Most of these side effects do not require medical attention and gradually resolve over time. However, if these side effects persist, please consult your doctor.

If you are known to be allergic to Espin TM Tablet or any other medicines, please inform your doctor. Pregnant or breastfeeding women should discontinue this Espin TM Tablet because it can cause injury and death to the developing fetus. Rise slowly if you have been sitting or lying down, as it may cause you to feel lightheaded or weak, especially when you stand up.

Uses of Espin TM Tablet

Espin TM Tablet is used in the treatment of Hypertension (high blood pressure). The detailed use of Espin TM Tablet is as follows:

  • Hypertension Management: Espin TM Tablet is primarily prescribed to lower high blood pressure, reducing the risk of heart-related complications.

Have a query?

Directions for Use

  • Espin TM Tablet can be taken with or without food as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.
  • Swallow Espin TM Tablet as a whole with a glass of water.
  • Do not chew, crush or break it.

Key Benefits

  • Helps lower and control high blood pressure effectively.
  • Maintains stable blood pressure throughout the day.
  • Reduces strain on the heart and blood vessels.
  • Helps lower the risk of heart attack and stroke.
  • Reduces the chance of heart failure and related complications.

How Espin TM Tablet Works

Espin TM Tablet is a combination of two medicines, S-Amlodipine and Telmisartan, which are antihypertensive medicines. • S-amlodipine is a calcium channel blocker and works by relaxing and widening the blood vessels. It is equally efficacious at a half dose with better tolerability and fewer side effects, including peripheral oedema, than amlodipine. • Telmisartan is an angiotensin II receptor antagonist that lowers blood pressure and increases blood flow by preventing blood vessel narrowing. It is used to lower the chances of stroke, heart attack and death. Altogether, Espin TM Tablet helps to lower high blood pressure, chest pain (angina) and other conditions caused by coronary artery disease.

Storage

Store in a cool and dry place away from sunlight
Side effects of Espin TM Tablet
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
Managing back pain as a side effect of medication requires a combination of self-care techniques, lifestyle modifications, and medical interventions. Here are the steps:
  • Talk to your doctor about your back pain and potential medication substitutes or dose changes.
  • Try yoga or Pilates and other mild stretching exercises to increase flexibility and strengthen your back muscles.
  • To lessen the tension on your back, sit and stand upright and maintain proper posture.
  • To alleviate discomfort and minimize inflammation, apply heat or cold packs to the afflicted area.
  • Under your doctor's supervision, think about taking over-the-counter painkillers like acetaminophen or ibuprofen.
  • Make ergonomic adjustments to your workspace and daily activities to reduce strain on your back.
  • To handle tension that could make back pain worse, try stress-reduction methods like deep breathing or meditation.
  • Use pillows and a supportive mattress to keep your spine in the right posture as you sleep.
  • Back discomfort can worsen by bending, twisting, and heavy lifting.
  • Speak with a physical therapist to create a customized training regimen to increase back strength and flexibility.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
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.
Here are the steps to manage the medication-triggered Sinusitis (Sinus infection or Inflammation Of Sinuses):
  • Consult your doctor if you experience symptoms of sinusitis, such as nasal congestion, facial pain, or headaches, which may be triggered by your medication.
  • Your doctor may adjust your treatment plan by changing your medication, adding new medications, or providing guidance on managing your sinusitis symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • If your doctor advises, you can use nasal decongestants or saline nasal sprays to help relieve nasal congestion and sinus pressure.
  • To help your body recover, get plenty of rest, stay hydrated, and engage in stress-reducing activities. If your symptoms persist or worsen, consult your doctor for further guidance.
Here are the steps to manage Joint Pain caused by medication usage:
  • Please inform your doctor about joint pain symptoms, as they may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Your doctor may prescribe common pain relievers if necessary to treat joint discomfort.
  • Maintaining a healthy lifestyle is key to relieving joint discomfort. Regular exercise, such as low-impact sports like walking, cycling, or swimming, should be combined with a well-balanced diet. Aim for 7-8 hours of sleep per night to assist your body in repairing and rebuilding tissue.
  • Applying heat or cold packs to the affected joint can help reduce pain and inflammation.
  • Please track when joint pain occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
  • If your joint pain is severe or prolonged, consult a doctor to rule out any underlying disorders that may require treatment.
Here are the 7 step-by-step strategies to manage the side effect of "inability to sleep" caused by medication usage:
  • Prepare for a restful night's sleep: Develop a calming pre-sleep routine, like reading or meditation, to help your body relax and prepare for sleep.
  • Create a sleep-conducive Environment: Make bedroom a sleep haven by ensuring it is quiet, dark and calm.
  • Follow a Sleep Schedule: Go to bed and get up at the same time every day to help regulate your body's internal clock and increase sleep quality.
  • Try relaxing techniques like deep breathing, mindfulness meditation and any others.
  • Limit stimulating activities before bedtime: Avoid stimulating activities before bedtime to improve sleep quality.
  • Monitor Progress: Keep track of your sleep patterns to identify areas for improvement.
  • Consult a doctor if needed: If these steps don't improve your sleep, consult a doctor for further guidance and therapy.

What if I have taken an overdose of Espin TM Tablet

Do not take more than the prescribed dose of Espin TM Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

  • Don't stop taking Espin TM Tablet without talking to your doctor first.
  • Stopping Espin TM Tablet abruptly may cause changes in your blood pressure and heart rhythm, cause chest pain or a heart attack.
  • Your doctor will lower your dose gradually over a period of time to help prevent these symptoms.
  • Espin TM Tablet should not be given to the people allergic to Espin TM Tablet or any of its ingredients, have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease, liver disease.
  • Do not take Espin TM Tablet if you are pregnant, planning to conceive, or breastfeeding.
  • Espin TM Tablet is not recommended to children below 18 years.
  • Espin TM Tablet can cause ankle or foot swelling, raise your legs while you are sitting down and talk to your doctor if it does not go away.
  • Avoid potassium supplements with Espin TM Tablet as it may lead to high potassium levels in the blood.
  • Do not consume alcohol with Espin TM Tablet as it may increase the risk of low blood pressure.

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
TelmisartanEnalapril
Severe

Drug-Drug Interactions

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TelmisartanAliskiren
Critical
How does the drug interact with Espin TM Tablet:
Co-administration of Aliskiren with Espin TM Tablet can increase the risk of hyperkalemia (high potassium levels in the blood).

How to manage the interaction:
Taking Espin TM Tablet with Aliskiren can possibly lead to an interaction, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
TelmisartanEnalapril
Severe
How does the drug interact with Espin TM Tablet:
Coadministration of enalapril with Espin TM Tablet may increase the risk of hyperkalemia (high potassium levels in the blood), hypotension, syncope (fainting), and renal failure due to additive or synergistic effects. If you are elderly, dehydrated, or have a history of renal or heart illness, your risk is enhanced.

How to manage the interaction:
Although taking Enalapril together with Espin TM Tablet may possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if you experience signs and symptoms of hyperkalemia, such as nausea, vomiting, confusion, numbness, tingling in hands and feet, and irregular heartbeat. It is advised to limit the intake of potassium-rich foods like tomatoes, bananas, papayas, mangoes, beans, and potassium-containing supplements. Do not discontinue any medication without consulting your doctor.
TelmisartanSpironolactone
Severe
How does the drug interact with Espin TM Tablet:
Taking spironolactone with Espin TM Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is a possible interaction, Espin TM Tablet can be taken with spironolactone if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanPotassium acetate
Severe
How does the drug interact with Espin TM Tablet:
Co-administration of Potassium acetate can make Espin TM Tablet more likely to cause high levels of potassium in the blood.

How to manage the interaction:
Although taking Potassium acetate and Espin TM Tablet together can evidently cause an interaction, it can be taken if your doctor has suggested it. Do not stop using any medications without a doctor's advice.
TelmisartanQuinapril
Severe
How does the drug interact with Espin TM Tablet:
Taking quinapril with Espin TM Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Espin TM Tablet can be taken with quinapril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium, such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanRamipril
Severe
How does the drug interact with Espin TM Tablet:
Taking ramipril with Espin TM Tablet may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Espin TM Tablet can be taken with ramipril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medications without consulting a doctor.
TelmisartanTizanidine
Severe
How does the drug interact with Espin TM Tablet:
Taking tizanidine with Espin TM Tablet may have additive effects in lowering the blood pressure.

How to manage the interaction:
Although there is a possible interaction, Espin TM Tablet can be taken with tizanidine if prescribed by your doctor. Consult the prescriber if you experience symptoms of low blood pressure, such as headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Be cautious when getting up from a sitting or lying position. Do not discontinue the medications without consulting a doctor.
TelmisartanTrimethoprim
Severe
How does the drug interact with Espin TM Tablet:
Taking trimethoprim with Espin TM Tablet may increase potassium levels in the blood.

How to manage the interaction:
Although there is an interaction between Espin TM Tablet and trimethoprim, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, and a weak pulse. Do not discontinue the medications without consulting a doctor.
TelmisartanAmiloride
Severe
How does the drug interact with Espin TM Tablet:
Co-administration of amiloride with Espin TM Tablet may increase potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, abnormal heart rhythm).

How to manage the interaction:
Although there is a possible interaction, amiloride may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is important to maintain proper fluid intake while taking these medications. Do not stop using any medications without talking to a doctor.
TelmisartanBenazepril
Severe
How does the drug interact with Espin TM Tablet:
Taking Espin TM Tablet with benazepril may increase the risk of side effects such as low blood pressure, kidney function impairment, and high blood potassium.

How to manage the interaction:
Although there is a possible interaction, Espin TM Tablet can be taken with benazepril if prescribed by the doctor. Consult the prescriber if you experience symptoms of high potassium such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat. Maintain adequate fluid intake during treatment with these medications. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

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S AMLODIPINE-2.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate

Drug-Food Interactions

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S AMLODIPINE-2.5MG+TELMISARTAN-40MGPotassium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Tomatoes, Sweet Potatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt

How to manage the interaction:
Consuming high potassium-containing foods while taking S-amlodipine and telmisartan can cause high levels of potassium in the blood, increasing the risk of side effects such as weakness, an irregular heartbeat, confusion, or feelings of heaviness in the legs. Limit or avoid high potassium-containing foods when using S-amlodipine and telmisartan, as they may cause an interaction.

Diet & Lifestyle Advise

Diet:

  • Limit salt intake to help control blood pressure.
  • Reduce intake of foods high in fat and cholesterol.
  • Eat more fruits, vegetables, and whole-grain foods.
  • Follow a low-salt, low-fat diet while taking Espin TM Tablet .
  • Avoid excess potassium supplements unless advised by your doctor.

Physical Activity:

  • Engage in regular light-to-moderate exercise, such as walking.
  • Avoid sudden strenuous activity without medical advice.

Habits & Monitoring:

  • Avoid tobacco use and inform your doctor about marijuana use.
  • Limit alcohol intake as it may affect blood pressure control.
  • Check blood pressure regularly to monitor treatment response

Habit Forming

No

Therapeutic Class

[ANTI- HYPERTENSIVES]

All Substitutes & Brand Comparisons

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Alcohol

Unsafe

Espin TM Tablet and alcohol together result in an abnormal decrease in blood pressure levels, thus strictly not to be taken together.

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Pregnancy

Unsafe

Espin TM Tablet is not recommended and unsafe in pregnancy. It can affect and harm the baby. Consult your doctor before taking Espin TM Tablet if you plan to become pregnant or already pregnant. Your doctor will weigh the potential risks and benefits before prescribing Espin TM Tablet .

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Breast Feeding

Unsafe

Espin TM Tablet is known to pass breast milk, but its effect on the baby is not known. So, before breastfeeding, let your doctor know about this. Either you need to stop breastfeeding for using Espin TM Tablet or stop taking Espin TM Tablet .

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Driving

Caution

Espin TM Tablet may cause side effects like dizziness, headaches, nausea, or tiredness, which can affect your ability to concentrate and drive. Hence, it is recommended not to drive or operate machinery until you are mentally alert.

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Liver

Caution

Espin TM Tablet has been found to affect liver function in certain cases thus patients with liver problems should discuss with their doctor for proper guidance regarding treatment with this medication.

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Kidney

Caution

Espin TM Tablet consists of Telmisartan drug, which may affect the kidney functioning. A patient is strictly advised to consult and discuss with his/her doctor before taking this medication.

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Children

Unsafe

Espin TM Tablet is not recommended for use in the people below 18 years of age as its safety and effectiveness have been not established.

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Heart

Safe if prescribed

Espin TM Tablet is safe for use in heart patients if recommended by the physician.

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Geriatrics

Caution

Espin TM Tablet should be used under caution in geriatric patients. Please consult your physician.

FAQs

Espin TM Tablet belongs to the class of medicines called anti-hypertensives used to treat hypertension (high blood pressure).

Espin TM Tablet is a combination of two medicines: S-Amlodipine and Telmisartan. S-Amlodipine is a calcium channel blocker (CCB) and Telmisartan is an angiotensin receptor blocker (ARB). They work by relaxing the blood vessels and making the heart more efficient at pumping blood throughout the body. Together, they lower blood pressure effectively.

Espin TM Tablet not recommended to take if you are pregnant as it can cause damage to the unborn baby (may lead to fetal toxicity). It contains telmisartan, a category D pregnancy drug and it is harmful to the baby.

No, you are advised to inform your doctor and monitor your blood pressure for at least two weeks before stopping the medicine. Depending upon your current blood pressure readings, there is a possibility your doctor may lower your medicine dosage and not recommend discontinuing it.

Espin TM Tablet contains telmisartan which may increase potassium levels in the blood (hyperkalemia). Therefore, it is recommended to avoid the intake of potassium supplements and foods that are rich in potassium like coconut water, bananas and broccoli.

Yes, Espin TM Tablet contains S-amlodipine, which is known to cause ankle swelling upon long term use. Please try to keep your feet up when sitting for long hours. If the problem persists still, consult your doctor and do as advised.

Please inform your doctor before surgery if you are taking Espin TM Tablet as it needs to be stopped because it might lower the blood pressure further if taken along with general anesthesia.

Espin TM Tablet can be taken at any time of the day, with or without food. But try to take it at the same time each day to see the best results. However, based on your age, body weight, and medical condition, your doctor will determine when it is appropriate for you to take Espin TM Tablet .

The common side effects of Espin TM Tablet are dizziness, stomach pain, nausea, constipation, double vision, muscle cramps, swollen ankles, oedema (fluid retention), and hypotension (low blood pressure). If any of these side effects persist or worsen, please consult your doctor.

If you stop taking Espin TM Tablet , your blood pressure may increase, and your condition may worsen. Consult your doctor before stopping or changing your treatment plan to ensure your blood pressure remains controlled.

If you forget to take a dose of Espin TM Tablet , take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up the dose.

Take Espin TM Tablet at the same time every day to help you remember to take it. Monitor your blood pressure regularly to ensure the medication is working effectively. Before taking Espin TM Tablet , inform your doctor if you have any pre-existing medical conditions. Avoid consuming alcohol as it can worsen dizziness. Stop taking Espin TM Tablet and consult your doctor immediately if you become pregnant. Regularly visit your doctor and take all the necessary blood tests your doctor recommends without fail.

It is advised to avoid consuming alcohol while taking Espin TM Tablet . Alcohol can raise blood pressure and may increase the risk of side effects like dizziness and drowsiness.

Taking more than the required dose of Espin TM Tablet leads to an overdose. Symptoms of overdose include low blood pressure, abnormal heartbeat, fainting, drowsiness, nausea, vomiting or confusion. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention, even if there are no symptoms.

Take Espin TM Tablet as prescribed by your doctor. Typically, Espin TM Tablet can be taken daily to manage high blood pressure. Therefore, please consult your doctor before using Espin TM Tablet ; your doctor will evaluate your health condition and suggest whether you can take Espin TM Tablet every day.

Espin TM Tablet may alter the blood sugar levels in your body. Therefore, please inform your doctor if you have diabetes before taking Espin TM Tablet . Your doctor will closely monitor your blood sugar levels to avoid the risk of side effects.

Country of origin

India

Manufacturer/Marketer address

Chinubhai Centre, Off. Nehru Bridge, Ashram Road, Ahmedabad - 380009. Gujarat. India.
Other Info - ESP0041

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Author Details

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Mar 5, 2026 | 2:45 PM IST

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