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compositionComposition:METFORMIN HYDROCHLORIDE-500MG+TENELIGLIPTIN-20MG
prescription
Prescription Medicine
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Tenimega-M 20/500 Tablet 10's is an anti-diabetic medicine used in the treatment of Type II diabetes. This combination medicine works by increasing the amount of insulin generated by the pancreas and helps manage the amount of glucose (sugar) in the blood. This medicine may cause common side effects like hypoglycaemia, allergy/ skin Reactions, stomach pain, diarrhoea, abdominal pain, heartburn, nausea, and vomiting.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

METFORMIN HYDROCHLORIDE-500MG+TENELIGLIPTIN-20MG

Manufacturer/Marketer :

Humed Laboratories

Consume Type :

Oral

Expires on or after :

Dec-28

Return Policy :

Not Returnable

About Tenimega-M 20/500 Tablet 10's

Tenimega-M 20/500 Tablet 10's is an oral medicine prescribed to help manage and control high blood sugar levels in adults with type 2 diabetes. By keeping your blood sugar within a safe range, it helps prevent serious long-term health complications. Tenimega-M 20/500 Tablet 10's is most effective when used as a core part of a complete treatment plan that includes dietary changes and regular exercise.

You should take Tenimega-M 20/500 Tablet 10's consistently every day, exactly as your doctor has prescribed. It is typically taken with meals to reduce the chance of experiencing an upset stomach. To get the best results, it is important to pair Tenimega-M 20/500 Tablet 10's with a healthy diet low in refined sugars and a consistent physical activity routine.

While taking Tenimega-M 20/500 Tablet 10's, some people may experience mild side effects like nausea or diarrhea, which often improve as your body adjusts. However, you should contact your doctor immediately if you notice serious symptoms, such as severe stomach pain that spreads to your back, or deep, rapid breathing accompanied by muscle weakness.

Talk to your doctor before starting Tenimega-M 20/500 Tablet 10's if you have a history of kidney disease, liver damage, or heart problems. Do not take this if you have severe kidney failure, diabetic ketoacidosis, or if you are allergic to any of its ingredients.

Tenimega-M 20/500 Tablet 10's can interact with alcohol, which can significantly increase the risk of a rare but serious condition called lactic acidosis. If you are pregnant, planning to become pregnant, breastfeeding, or are over 65 years old, consult your doctor to ensure this treatment is safe for your specific situation. Kidney function should be checked before and during treatment with Tenimega-M 20/500 Tablet 10's. Your doctor may order an estimated glomerular filtration rate (eGFR) test to determine how well your kidneys are working.

Uses of Tenimega-M 20/500 Tablet 10's

Tenimega-M 20/500 Tablet 10's is used in the treatment of Type 2 Diabetes Mellitus. The detailed uses of Tenimega-M 20/500 Tablet 10's are as follows:

  • Type 2 Diabetes Mellitus: Tenimega-M 20/500 Tablet 10's helps lower daily blood sugar levels in adults when diet, exercise, and single-drug therapies are not enough to achieve proper glycemic control.

Key Benefits

Tenimega-M 20/500 Tablet 10's helps manage blood sugar levels in people with type 2 diabetes by combining two medicines that work in different ways. By providing consistent blood sugar control, it supports overall health and helps reduce the risk of diabetes-related complications.

Benefits may include:

  • Helps lower and maintain healthy blood sugar levels in people with type 2 diabetes.
  • Helps control both fasting and post-meal blood sugar levels.
  • Supports stable blood sugar control throughout the day.
  • Helps reduce the risk of long-term diabetes complications affecting the eyes, kidneys, nerves, heart, and blood vessels.
  • May help improve energy levels by reducing blood sugar fluctuations.
  • Works best when combined with a healthy diet, regular exercise, and other lifestyle measures.
Side effects of Tenimega-M 20/500 Tablet
  • 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.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.

Directions for Use

  • Tenimega-M 20/500 Tablet 10's can be taken with food to reduce stomach upset.
  • It is recommended to take Tenimega-M 20/500 Tablet 10's once daily at the same time each day. However, your doctor may adjust the dose based on your medical condition and response to treatment.
  • Swallow the whole Tenimega-M 20/500 Tablet 10's with a glass of water.
  • Do not break, chew, or crush it.

How Tenimega-M 20/500 Tablet 10's Works

Tenimega-M 20/500 Tablet 10's contains Metformin Hydrochloride and Teneligliptin. Metformin Hydrochloride: It helps lower the amount of sugar produced by the liver and improves the body's response to insulin. It also helps reduce the absorption of sugar from food, supporting better blood sugar control. Teneligliptin: It helps increase the body's natural ability to release insulin when blood sugar levels are high. It also helps reduce the amount of sugar produced by the liver, helping maintain healthy blood sugar levels throughout the day.
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Alcohol

Caution

Avoid drinking alcohol with Tenimega-M 20/500 Tablet 10's as it may increase the risk of hypoglycemia and lactic acidosis.

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Pregnancy

Caution

Please consult your doctor if you have any concerns regarding this; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Tenimega-M 20/500 Tablet 10's should not be used in breastfeeding mothers as it may pass into breast milk. Consult your doctor if you have any concerns.

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Driving

Caution

It is not known if Tenimega-M 20/500 Tablet 10's affects your ability to drive. Drive or operate machinery only if you are alert.

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Liver

Caution

Tenimega-M 20/500 Tablet 10's should be taken with caution in patients with liver diseases. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Tenimega-M 20/500 Tablet 10's should be taken with caution in patients with kidney diseases. The dose may have to be adjusted by your doctor.

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Children

Unsafe

Tenimega-M 20/500 Tablet 10's is not recommended for use in children as the safety and effectiveness have not been established.

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Heart

Caution

Tenimega-M 20/500 Tablet 10's should be taken with caution in patients with heart problems. Please inform your doctor if you have any pre-existing heart problems before using Tenimega-M 20/500 Tablet 10's.

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Geriatrics

Caution

Limited information is available regarding the usage of Tenimega-M 20/500 Tablet 10's in elders, so please consult a doctor if you have any concerns.

What if I have taken an overdose of Tenimega-M 20/500 Tablet 10's

If you take more than your prescribed dose of Tenimega-M 20/500 Tablet 10's, seek immediate medical attention or contact an emergency poison control center. An overdose can lead to severely low blood sugar or a dangerous buildup of acid in the blood.

Diet & Lifestyle Advise

  • Choose complex carbohydrates: Focus on whole grains, vegetables, and legumes, which digest slowly and prevent sudden spikes in blood sugar.
  • Eat consistent meals: Try to eat your meals and snacks at regular times every day to help your medicine manage your blood sugar levels effectively.
  • Engage in regular exercise: Aim for at least 150 minutes of moderate physical activity, like brisk walking, per week, as this helps your body use insulin more efficiently.
  • Monitor your blood sugar: Keep a regular log of your blood sugar readings as advised by your doctor to track your progress and identify patterns.
  • Stay well-hydrated: Drink plenty of water throughout the day to support kidney function and keep your body hydrated.
  • Check up: Attend regular follow-up appointments and have your HbA1c checked as recommended by your doctor. HbA1c is a blood test that reflects your average blood sugar levels over the previous 2–3 months and helps assess how well your diabetes treatment is working.
health query

Have a query?

How Soon It Starts Working

The time required for Tenimega-M 20/500 Tablet 10's to start to work: Tenimega-M 20/500 Tablet 10's ideally shows its action within few hours after administration. The time for which the effects of Tenimega-M 20/500 Tablet 10's last: The duration of action for Tenimega-M 20/500 Tablet 10's is clinically unknown.

What if you forget to take Tenimega-M 20/500 Tablet 10's

If you miss a dose, take it with food as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and return to your regular schedule. Do not take two doses at once to make up for a missed one.

Storage

• Store Tenimega-M 20/500 Tablet 10's tablets at room temperature, ideally below 30°C (86°F), in a dry place.

Drug Warnings

  • Avoid excessive alcohol consumption: Drinking large amounts of alcohol while taking Tenimega-M 20/500 Tablet 10's may increase the risk of lactic acidosis, a rare but serious medical condition.
  • Inform healthcare providers before procedures: Tell your doctor, dentist, or surgeon that you are taking Tenimega-M 20/500 Tablet 10's before any medical procedure or imaging test involving iodinated contrast dye. Your doctor may advise you to temporarily stop treatment and restart it after confirming that your kidney function is normal.
  • Attend regular monitoring appointments: Keep all scheduled blood test appointments so your doctor can monitor your kidney function, liver health, and response to treatment.
  • Be prepared for low blood sugar: Carry a fast-acting source of sugar, such as glucose tablets or fruit juice, especially if you take other medicines that lower blood sugar.
  • Monitor your health during illness or surgery: Contact your doctor if you develop severe illness, high fever, significant injury, or require surgery, as your blood sugar control may change and treatment adjustments may be necessary.

Drug-Drug Interactions

verifiedApollotooltip
  • Iodinated contrast agents (contrast dyes): Imaging dyes used during certain medical procedures may temporarily affect kidney function and increase the risk of lactic acidosis. Your doctor may advise stopping Tenimega-M 20/500 Tablet 10's before the procedure and restarting it after reassessing kidney function, usually after about 48 hours.
  • Diuretics (water pills): These medicines may increase blood sugar levels and reduce the effectiveness of Tenimega-M 20/500 Tablet 10's.
  • Corticosteroids (e.g., prednisolone): Steroid medicines may increase blood sugar levels and may require dose adjustments of Tenimega-M 20/500 Tablet 10's.
  • Other diabetes medicines (e.g., insulin, sulfonylureas): Taking these medicines alongside Tenimega-M 20/500 Tablet 10's may increase the risk of low blood sugar.
Teneligliptin + MetforminMetrizamide
Critical
Teneligliptin + MetforminIodamide
Critical

Drug-Drug Interactions

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Teneligliptin + MetforminMetrizamide
Critical
How does the drug interact with Tenimega-M 20/500 Tablet:
Co-administration of Tenimega-M 20/500 Tablet and metrizamide together can cause the risk of lactic acidosis (when the body produces too much lactic acid ).

How to manage the interaction:
Although there is an interaction between Tenimega-M 20/500 Tablet and metrizamide, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Teneligliptin + MetforminIodamide
Critical
How does the drug interact with Tenimega-M 20/500 Tablet:
Co-administration of Tenimega-M 20/500 Tablet with iodamide can increase the risk of kidney problems.

How to manage the interaction:
Although there is an interaction between Tenimega-M 20/500 Tablet and iodamide, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Teneligliptin + MetforminIomeprol
Critical
How does the drug interact with Tenimega-M 20/500 Tablet:
Co-administration of iomeprol with Tenimega-M 20/500 Tablet can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between metformin and Tenimega-M 20/500 Tablet, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Teneligliptin + MetforminGatifloxacin
Critical
How does the drug interact with Tenimega-M 20/500 Tablet:
Co-administration of Tenimega-M 20/500 Tablet with gatifloxacin can cause both hypoglycemia (low blood glucose) and, less frequently, hyperglycemia (high blood glucose).

How to manage the interaction:
Although there is an interaction between Tenimega-M 20/500 Tablet and gatifloxacin, they can be taken together if prescribed by a doctor. However, consult a doctor immediately if you experience headache, dizziness, sleepiness, nervousness, confusion, tremors (shaking of hands and legs), hunger, weakness, sweating, or fast heartbeats. Do not discontinue without consulting a doctor.
Teneligliptin + MetforminIodixanol
Critical
How does the drug interact with Tenimega-M 20/500 Tablet:
Co-administration of iodixanol with Tenimega-M 20/500 Tablet can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between Tenimega-M 20/500 Tablet and iodixanol, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Teneligliptin + MetforminIopamidol
Critical
How does the drug interact with Tenimega-M 20/500 Tablet:
Co-administration of Iopamidol with Metformin can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between metformin and iopamidol, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Teneligliptin + MetforminIopromide
Critical
How does the drug interact with Tenimega-M 20/500 Tablet:
Co-administration of iopromide with Tenimega-M 20/500 Tablet can increase the risk of side effects.

How to manage the interaction:
Although there is an interaction between iopromide and Tenimega-M 20/500 Tablet, they can be taken together if prescribed by a doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
Teneligliptin + MetforminTopiramate
Severe
How does the drug interact with Tenimega-M 20/500 Tablet:
Coadministration of Tenimega-M 20/500 Tablet and topiramate may increase the risk of lactic acidosis (excessive lactic acid production in the blood).

How to manage the interaction:
Although there is an interaction between Tenimega-M 20/500 Tablet and topiramate, it can be taken if prescribed by a doctor. However, if you experience weakness, muscle pain, fatigue, less desire to eat, slow or irregular heartbeat, breathing difficulty, or chills, consult a doctor immediately. Do not stop using any medication without a doctor's advice.
Teneligliptin + MetforminMethazolamide
Severe
How does the drug interact with Tenimega-M 20/500 Tablet:
Co-administration of Tenimega-M 20/500 Tablet with methazolamide may increase the risk of Lactic acidosis (excessive lactic acid production in the blood).

How to manage the interaction:
Although there is an interaction between Tenimega-M 20/500 Tablet and methazolamide, they can be taken together if prescribed by a doctor. However, if you experience weakness, muscle pain, fatigue, less desire to eat, slow or irregular heartbeat, breathing difficulty, or chills, contact a doctor immediately. Do not stop using any medications without a doctor’s advice.
Teneligliptin + MetforminZonisamide
Severe
How does the drug interact with Tenimega-M 20/500 Tablet:
Coadministration of Tenimega-M 20/500 Tablet and zonisamide may increase the risk of lactic acidosis (excessive lactic acid production in the blood).

How to manage the interaction:
Although there is an interaction between Tenimega-M 20/500 Tablet and zonisamide, it can be taken if prescribed by a doctor. However, if you experience weakness, muscle pain, fatigue, less desire to eat, slow or irregular heartbeat, breathing difficulty, or chills, consult a doctor immediately. Do not stop using any medication without a doctor's advice.

Drug-Food Interactions

verifiedApollotooltip
  • Alcohol: Avoid heavy alcohol consumption while taking Tenimega-M 20/500 Tablet 10's, as it may increase the risk of lactic acidosis and cause unpredictable changes in blood sugar levels.
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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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTIDIABETICS]

FAQs

Tenimega-M 20/500 Tablet 10's belongs to the group of medications called 'antidiabetic agents' used to treat type 2 diabetes mellitus.
Tenimega-M 20/500 Tablet 10's contains Teneligliptin and Metformin hydrochloride. It works by increasing insulin production, helping to restore your body's appropriate response to insulin, especially muscle and fatty tissues, thereby lowering your elevated blood sugar levels.
Hypoglycemia refers to low blood glucose levels. Tenimega-M 20/500 Tablet 10's may cause hypoglycemia. Hypoglycemia can occur if you miss or delay your food, drink alcohol, exercise excessively, or take other antidiabetic medicine along with this medicine.
No. Do not stop taking Tenimega-M 20/500 Tablet 10's without consulting your healthcare provider, even if your blood sugar levels become normal. Normal blood sugar usually means the medicine is working effectively. Stopping treatment without medical advice may cause your blood sugar levels to rise again. Continue taking Tenimega-M 20/500 Tablet 10's for as long as your doctor prescribes.
If you miss a dose, try to 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 instead. Avoid taking the double dose as it might cause unpleasant side effects or overdose.
You should include balanced diet to help manage your blood sugar levels effectively. Take foods high in fibre, like vegetables, fruits, whole grains, and legumes. Include steamed, boiled or baked food in your diet. Drink minimum 8 to 10 glasses of water every day. Carry a fruit or high fibre low-calorie biscuits while travelling. However, consult your doctor if you have any concerns.
Avoid high-sugar foods and reduce consumption of refined carbohydrates like white bread, pasta, and pastries. Avoid skipping meals, smoking and limit your alcohol consumption as excessive alcohol can affect blood sugar control. Avoid deep-fried vegetables, cream soups and vegetable curries with excess oil. Avoid stress as it may increase your blood sugar level. However, consult your doctor if you have any concerns.
Yes, Tenimega-M 20/500 Tablet 10's is safe when taken as prescribed by your doctor. Do not exceed the recommended daily dose.
Yes, Tenimega-M 20/500 Tablet 10's can cause nausea and vomiting as side effects. In case of vomiting, stay hydrated by drinking plenty of water or other fluids by taking small frequent sips. However, these side effects are relatively common and usually decreases as your body adjusts to the Tenimega-M 20/500 Tablet 10's.
Yes, Tenimega-M 20/500 Tablet 10's may cause lactic acidosis (build-up of lactic acid in the blood). Symptoms may include deep or rapid breathing, persistent nausea, vomiting, stomach pain, muscle cramps, severe fatigue, and difficulty breathing. If you experience any of these symptoms, stop taking Tenimega-M 20/500 Tablet 10's and consult your doctor immediately.
Yes, Tenimega-M 20/500 Tablet 10's may result in vitamin B12 deficiency. This is because metformin, one of the active ingredients of Tenimega-M 20/500 Tablet 10's, can interfere with the absorption of vitamin B12 in the intestines by competitively blocking the calcium dependent binding of the intrinsic factor vitamin B12 complex to its receptor. It is advised that you periodically monitor your vitamin B12 levels, and consult your doctor if you experience symptoms of deficiency, such as fatigue, weakness, or neurological issues.
Store the Tenimega-M 20/500 Tablet 10's at room temperature away from direct sunlight, heat and moisture. Make sure to keep it out of the reach of children and pets.
The common side effects of Tenimega-M 20/500 Tablet 10's are nausea, constipation, abdominal pain, bloating, loss of appetite, and diarrhoea. If any of these side effects persist or worsen, please consult your doctor.
It is highly recommended to take Tenimega-M 20/500 Tablet 10's with food or immediately after a meal. This helps to reduce common stomach-related side effects like nausea and indigestion. Talk to your doctor or pharmacist for specific advice.
One of the active components in Tenimega-M 20/500 Tablet 10's is generally weight-neutral or may support modest weight loss by helping control appetite, while the other does not cause weight gain. However, Tenimega-M 20/500 Tablet 10's is not prescribed for weight loss. Talk to your doctor to understand how it fits into your health plan.
If you develop symptoms of low blood sugar (hypoglycemia), such as sweating, shaking, dizziness, hunger, or confusion, consume a fast-acting source of sugar immediately, such as glucose tablets, fruit juice, regular (non-diet) soft drink, sugar candies, or chocolate. Recheck your blood sugar if possible. If your symptoms do not improve quickly, worsen, or you lose consciousness, seek emergency medical care. Always carry a fast-acting source of sugar with you if you are at risk of hypoglycemia.
It is best to avoid heavy alcohol consumption while taking Tenimega-M 20/500 Tablet 10's. Alcohol increases the risk of a rare but life-threatening side effect called lactic acidosis, and it can also cause sudden drops or spikes in blood sugar. Talk to your doctor about safe alcohol limits.
The most serious, though rare, side effect is lactic acidosis, a dangerous buildup of acid in the blood. You should also watch for severe stomach pain that could signal pancreas inflammation. If you experience these symptoms, stop taking Tenimega-M 20/500 Tablet 10's and seek emergency medical care. Talk to your doctor if you have concerns.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

43 Ashok Nagar Thandampalayam West,Coimbatore,Tamil Nadu - 641030
Other Info - TEN0764
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