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compositionComposition:DAPAGLIFLOZIN-10MG+TENELIGLIPTIN-20MG
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Prescription Medicine
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Tenespec-D Tablet is used to treat type-2 diabetes mellitus as an adjunct to diet and exercise. It contains Teneligliptin and Dapagliflozin. Teneligliptin decreases the release of glucagon, a hormone that raises blood sugar levels and increases insulin release from the pancreas. Dapagliflozin removes excess sugar from the body via urine. Together, Tenespec-D Tablet helps treat type-2 diabetes mellitus. Sometimes, this medication may cause side effects such as nausea, vomiting, diarrhoea, headache, and stomach upset.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

DAPAGLIFLOZIN-10MG+TENELIGLIPTIN-20MG

Manufacturer/Marketer :

Spectra Therapeutics Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Tenespec-D Tablet

Tenespec-D Tablet is a prescription tablet used to help control high blood sugar levels in adults with type 2 diabetes. Keeping your blood sugar under control helps lower the risk of long-term complications affecting the heart, kidneys, eyes, and nerves. Managing diabetes can sometimes feel overwhelming, but this medicine is designed to make blood sugar control easier when used together with a healthy diet, regular exercise, and your doctor's advice.

To get the best results, you must take Tenespec-D Tablet consistently every day, exactly as your doctor advises. You can take this tablet with or without food, preferably in the morning to keep your levels stable throughout the day. Combining this medication with regular exercise and a balanced diet is crucial to achieving optimal blood sugar control.

Some people taking Tenespec-D Tablet may experience common, mild side effects such as a runny nose, sore throat, or mild urinary tract infections. While these are usually manageable, you must consult your doctor immediately if you experience serious side effects like severe abdominal pain, persistent nausea, or painful urination. Recognizing these signs early ensures you receive the right care promptly.

Before starting Tenespec-D Tablet , talk to your doctor if you have a history of kidney disease, liver damage, pancreas problems, or heart failure. You should not take this medicine if you have type 1 diabetes, diabetic ketoacidosis, or severe kidney failure. Your doctor will evaluate your health history to confirm this treatment is safe for you.

This medicine can interact with alcohol and may increase the risk of dehydration or a serious condition called diabetic ketoacidosis (DKA), particularly during prolonged fasting, heavy alcohol intake, or severe illness. On its own, this medicine has a low risk of causing low blood sugar (hypoglycaemia), but the risk increases if it is taken together with insulin or sulfonylurea medicines. If you are pregnant, planning a pregnancy, breastfeeding, or are an older adult, consult your doctor before starting Tenespec-D Tablet .

Uses of Tenespec-D Tablet

Tenespec-D Tablet is used in the treatment of type 2 diabetes mellitus to help lower blood sugar levels when used along with diet, exercise, and other antidiabetic medicines. The detailed uses of Tenespec-D Tablet are as follows:

  • Type 2 Diabetes Mellitus: Tenespec-D Tablet is used to improve blood sugar control in adults with type 2 diabetes, helping to keep daily levels within a healthy target range.
  • Prevention of Diabetes Complications: By maintaining consistent blood sugar control, this medicine reduces the long-term risk of serious complications, including kidney damage, nerve problems, vision loss, and cardiovascular events like heart attacks or strokes.

Key Benefits

  • All-day blood sugar control: Helps keep blood sugar levels steady throughout the day and reduces sudden increases after meals.
  • Simplifies treatment: Combines two blood sugar-lowering medicines into one daily tablet, making it easier to follow your treatment plan.
  • Helps prevent long-term complications: Good blood sugar control lowers the risk of diabetes-related problems affecting the eyes, kidneys, nerves, heart, and blood vessels.
  • May protect the heart and kidneys: In suitable patients, the dapagliflozin component may reduce the risk of hospitalization for heart failure and help slow the progression of chronic kidney disease. Your doctor will determine whether these additional benefits apply to you.

Directions for Use

  • Take Tenespec-D Tablet with or without food or as advised by a doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Tenespec-D Tablet Works

Tenespec-D Tablet contains two active ingredients that work in different, complementary ways in your body to lower your blood sugar levels safely. The first active component works by increasing the levels of natural hormones called incretins. These hormones stimulate your pancreas to release more insulin when your blood sugar rises, especially after you eat. They also signal your liver to reduce the amount of excess sugar it produces, preventing unwanted sugar spikes. The second active component works directly through your kidneys. Instead of allowing excess sugar to be reabsorbed back into your bloodstream, it helps your kidneys filter it out and remove it from your body through your urine. Together, these two mechanisms provide a balanced, dual-action approach to diabetes management.
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Alcohol

Consult your doctor

It is unknown if alcohol affects Tenespec-D Tablet . Please consult the doctor.

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Pregnancy

Consult your doctor

Limited information is available. Please consult the doctor if you are pregnant or planning for pregnancy.

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Breast Feeding

Consult your doctor

Limited information is available. Please consult the doctor if you are breastfeeding.

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Driving

Consult your doctor

It is not known if Tenespec-D Tablet affects your ability to drive. Therefore, drive or operate machinery only if you are alert.

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Liver

Consult your doctor

Dose adjustment may be needed. Please consult the doctor if you have a liver impairment or any concerns regarding this.

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Kidney

Consult your doctor

Please consult the doctor if you have kidney impairment or any concerns.

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Children

Caution

Tenespec-D Tablet is not recommended for children as the safety and effectiveness have not been established.

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Heart

Consult your doctor

Please consult your doctor if you have any heart problems before taking Tenespec-D Tablet .

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Geriatrics

Consult your doctor

Please consult a doctor if you have any concerns regarding the use of Tenespec-D Tablet in elderly patients.

What if I have taken an overdose of Tenespec-D Tablet

If you accidentally take more than your prescribed dose of Tenespec-D Tablet , seek emergency medical attention or contact a poison control center immediately. Although this medicine alone has a low risk of causing low blood sugar, an overdose may increase the risk of dehydration, low blood pressure, kidney problems, or a serious condition called diabetic ketoacidosis (DKA). Do not try to manage an overdose by yourself. Healthcare professionals will monitor your condition and provide the appropriate treatment.

Diet & Lifestyle Advise

  • Stay well-hydrated: Because this medicine helps remove excess sugar through your urine, you may urinate more frequently. Drink plenty of water throughout the day to prevent dehydration.
  • Choose low-glycemic foods: Focus your diet on whole grains, leafy greens, lean proteins, and healthy fats. Limit your intake of sugary beverages, refined carbohydrates, and highly processed foods to prevent sudden blood sugar spikes.
  • Incorporate regular exercise: Aim for at least 150 minutes of moderate-intensity exercise, such as brisk walking, swimming, or cycling, each week. Physical activity helps your body use insulin more effectively.
  • Monitor your blood sugar: Keep a regular log of your blood sugar levels as recommended by your doctor. This helps you track how well Tenespec-D Tablet and your lifestyle changes are working together.
  • Practice daily foot care: Diabetes can affect your circulation and nerve sensitivity. Inspect your feet every day for cuts, blisters, redness, or swelling, and keep them clean and moisturized.
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How Soon It Starts Working

The time required for Tenespec-D Tablet to start to work: The time required for Tenespec-D Tablet to show its action is not clinically established. The time for which the effects of Tenespec-D Tablet last: The duration of action for Tenespec-D Tablet is not clinically established.

What if you forget to take Tenespec-D Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular routine. Do not take a double dose to make up for the missed one.

Storage

• Store the tablets at room temperature, ideally between 20°C and 25°C (68°F to 77°F).

Drug Warnings

  • Simple daily hygiene habits can help lower the risk of yeast or urinary tract infections, which may occur because more sugar passes into your urine. If you are unsure how to reduce this risk, your doctor or nurse can provide practical advice.
  • Learn to recognize the signs of dehydration, such as feeling very dizzy, lightheaded, or having dark-colored urine, especially during hot weather or illness.
  • If you also use insulin or sulfonylurea medicines, carry a fast-acting source of sugar such as glucose tablets or fruit juice in case you develop low blood sugar.
  • Limit or avoid heavy alcohol consumption, as it may increase the risk of dehydration and diabetic ketoacidosis. If you also use insulin or sulfonylurea medicines, alcohol may further increase your risk of low blood sugar.
  • Inform any doctor, surgeon, or dentist treating you that you take Tenespec-D Tablet , particularly before any scheduled surgery, as you may need to stop taking it temporarily.

verifiedApollotooltip
  • Insulin and Sulfonylureas: Taking Tenespec-D Tablet with these medications can significantly increase your risk of low blood sugar (hypoglycemia). Your doctor may need to adjust your doses.
  • Diuretics (water pills): Combining these with Tenespec-D Tablet can increase the risk of dehydration and low blood pressure.
  • Corticosteroids: Medicines like prednisone can raise your blood sugar, potentially reducing the effectiveness of Tenespec-D Tablet .

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verifiedApollotooltip
  • Heavy alcohol intake may increase the risk of dehydration and diabetic ketoacidosis while taking this medicine. Alcohol may also increase the risk of low blood sugar if you are taking insulin or sulfonylurea medicines at the same time. It is best to limit or avoid alcohol and discuss safe alcohol use with your doctor.

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Habit Forming

No

Therapeutic Class

[ANTIDIABETICS]

FAQs

Tenespec-D Tablet is used to treat Type-2 diabetes mellitus.
Tenespec-D Tablet works by removing excess sugar from the body via urine and increasing insulin release from the pancreas. Thereby, Tenespec-D Tablet helps treat type-2 diabetes mellitus.
Do not stop taking Tenespec-D Tablet without consulting your doctor, as it may cause an increase in blood glucose levels. Continue taking Tenespec-D Tablet for as long as your doctor has prescribed it to you. Do not hesitate to speak with your doctor if you experience difficulty taking Tenespec-D Tablet .
Try not to miss a dose and take it as the doctor prescribes. If you miss a dose, take it as soon as you remember. However, if it is almost time for the scheduled dose, skip the missed dose and take the scheduled dose. Avoid doubling the dose.
Tenespec-D Tablet is not generally associated with weight gain. Some people may experience modest weight loss while taking it because one of its components can cause excess glucose and calories to be passed in the urine. However, Tenespec-D Tablet is prescribed to manage diabetes and should not be used specifically for weight loss. Talk to your doctor if you have concerns about changes in your weight.
Whether you can take Tenespec-D Tablet depends on your kidney function and the severity of your kidney disease. Tenespec-D Tablet may not be suitable for people with severely reduced kidney function, and your doctor may need to check your kidney function before and during treatment. Tell your doctor if you have kidney disease or are receiving dialysis.
It is essential to manage your diet and exercise while on Tenespec-D Tablet . Maintaining a healthy diet and exercising regularly is vital to achieving the best results. Focus on eating fruits, vegetables, whole grains, and beans. It is also crucial to avoid smoking and alcohol, manage stress through meditation, and reduce your intake of sugary and unhealthy foods.
Tenespec-D Tablet can cause low blood sugar, particularly when taken with other diabetes medicines such as insulin or sulfonylureas. If you have symptoms such as shaking, sweating, dizziness, a fast heartbeat, confusion, or drowsiness, check your blood sugar if possible and take a fast-acting source of sugar, such as glucose tablets or fruit juice. Recheck your blood sugar after about 15 minutes and repeat treatment if it remains low. Seek urgent medical help if symptoms are severe, do not improve, or you are unable to safely take sugar by mouth.
Depending on your health condition, you should take Tenespec-D Tablet for the duration your doctor prescribes. It is usually taken long-term to help manage blood sugar levels in type 2 diabetes. Be sure to follow your doctor's instructions, complete the course as prescribed, and attend regular check-ups to ensure the treatment plan is appropriate for you.
If you accidentally take more than the prescribed dose of Tenespec-D Tablet , you may experience side effects such as low blood sugar, difficulty breathing, sweating, confusion, or dizziness. You should contact your doctor or go to the emergency room immediately for guidance on handling the situation.
You should know that Tenespec-D Tablet is a combination medication used to manage type 2 diabetes. To ensure its safe and effective use, you must follow your doctor’s instructions carefully, including the recommended dosage and timing. Monitoring your blood sugar regularly to keep it within a healthy range is crucial, and your doctor may adjust the dosage as needed. Be aware of potential side effects, such as urinary tract infections and low blood sugar. Drink plenty of water, as this medication may cause dehydration.  Contact your doctor immediately if you feel very thirsty, urinate often, or are tired. Additionally, inform your doctor if you have a history of liver, kidney, or heart problems. Finally, tell your doctor about any other medicines you take, including supplements and herbal products, to avoid possible interactions.
Tenespec-D Tablet is generally safe to take long-term if used as your doctor directs. However, it is important to follow your doctor's recommendations regarding the duration of use. If prescribed for long-term use, regular check-ups are necessary to monitor your blood sugar levels, detect any potential side effects, and ensure that the medication remains effective.
Yes, there may be side effects associated with Tenespec-D Tablet , but not everyone will experience them. Common side effects include nausea, vomiting, diarrhoea, headache, and stomach upset. These side effects are generally mild and often resolve on their own without the need for medical attention. However, if any side effects persist or worsen, please consult your doctor for further advice and management.
Yes, you can take Tenespec-D Tablet with or without food. It is generally recommended to take it at the same time each day, usually in the morning, to help maintain consistent blood sugar control. Talk to your doctor or pharmacist if you have any questions about how to take your medication.
Yes, because Tenespec-D Tablet works by helping your kidneys pass excess sugar out of your body through your urine, it can create an environment that encourages yeast growth in the genital area. Keeping the genital area clean and dry can help lower this risk. Talk to your doctor if you experience persistent itching, redness, or discomfort.
Alcohol should be limited or avoided while taking this medicine because it may increase the risk of dehydration and diabetic ketoacidosis. If you are also taking insulin or sulfonylurea medicines, alcohol can further increase the risk of low blood sugar. Talk to your doctor about what is safe for you.
No, Tenespec-D Tablet is only approved to treat type 2 diabetes in adults. It is not suitable for people with type 1 diabetes or for treating diabetic ketoacidosis. Talk to your doctor to determine the safest and most effective medication for your specific diagnosis.
Yes. The dapagliflozin component has been shown to provide heart and kidney benefits in suitable patients. In addition to lowering blood sugar, it may reduce the risk of hospitalization for heart failure and help slow the progression of chronic kidney disease. Your doctor will decide whether these benefits apply to your individual condition.

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Reference

  1. U.S. Food and Drug Administration (FDA). 202293S020Lbl [FDA Prescribing Information]. Silver Spring, MD: FDA; 2024. [Accessed on 02 Jun. 2026]Check here
  2. Drugs.com Clinical Review Team. Dapagliflozin Clinical Drug Monograph. Auckland, NZ: Drugs.com; 2026. [Accessed on 02 Jun. 2026]Check here
  3. Ajay S. Dabhi, Nikita R. Bhatt, and Mohit J. Shah. Voglibose: An Alpha Glucosidase Inhibitor. December 2013, [Accessed on December 29th, 2023]Check here
  4. MICRO LABS LIMITED. [Revised on April, 2017] [Accessed on December 30th, 2023] 20 TENELIGLIPTIN TABLET-SMPC.pdfCheck here
  5. 2F4B9Cbb0657Cbd755Ecd3D5F00D6B99 A1. [Accessed on 02 Jun. 2026]Check here
  6. Dapagliflozin and teneliglipti. 2025. [Accessed on 21 Mar. 2025]Check here
  7. AstraZeneca Pharmaceuticals. [Revised on September, 2023] [Accessed on December 30th, 2023] viewable rendition v.pdfCheck here

Country of origin

India

Manufacturer/Marketer address

Ff-11-12-13, Narayan Krupa Complex, Bopal Rd, South Bopal, Bopal, Ahmedabad, Gujarat 380058
Other Info - TEN0915
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