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About Valera M 500 Tablet
Valera M 500 Tablet is used as an adjunct to diet and exercise to improve glycaemic control in adult patients with type 2 diabetes mellitus. This medication improves glycaemic control in diabetic patients who do not react well to metformin alone. Type 2 diabetes mellitus is a chronic or life-long condition in which blood sugar or glucose levels rise more than normal.
Valera M 500 Tablet is a combination of two medicines: Metformin and Evogliptin. Metformin acts by decreasing liver glucose production and intestinal glucose uptake. On the other side, Evogliptin works by increasing insulin release from the pancreas and decreasing the hormones that raise blood sugar levels. This reduces fasting and post-meal sugar levels. Thereby, Valera M 500 Tablet reduces sugar levels in the body.
Take Valera M 500 Tablet as prescribed. You are advised to take Valera M 500 Tablet for as long as your doctor has advised. In some cases, Valera M 500 Tablet may cause nausea, vomiting, diarrhoea, headache, stomach ache, respiratory infection, and indigestion. Most of these side effects do not require medical attention and will resolve gradually over time. However, if the side effects persist or worsen, consult your doctor.
Do not take Valera M 500 Tablet if you are allergic to any of its contents. Valera M 500 Tablet may cause lactic acidosis (accumulation of lactic acid in the blood), which requires immediate medical attention. The risk increases if you are previously diagnosed with kidney or liver diseases. Do not consume alcohol (risk of lactic acidosis) or fast for prolonged periods (risk of hypoglycaemia). Also, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
Uses of Valera M 500 Tablet
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Directions for Use
Medicinal Benefits
Valera M 500 Tablet is indicated for managing type 2 diabetes with the right diet and exercise. Valera M 500 Tablet is a combination of two medicines: Metformin (biguanide) and Evogliptin (dipeptidyl peptidase-4 inhibitor). Metformin acts by decreasing liver glucose production and intestinal glucose uptake. Evogliptin works by increasing insulin release from the pancreas and decreasing the hormones that raise blood sugar levels. This reduces fasting and post-meal sugar levels. Thereby, Valera M 500 Tablet reduces sugar levels in the body.
How Valera M 500 Tablet Works
Storage
What if I have taken an overdose of Valera M 500 Tablet
Drug Warnings
Do not take Valera M 500 Tablet if you are allergic to any of its contents. Do not use this medicine if you have heart failure, bladder cancer, or diabetic ketoacidosis (a complication of diabetes). Valera M 500 Tablet may cause lactic acidosis (accumulation of lactic acid in the blood), which requires immediate medical attention. The risk increases if you are previously diagnosed with kidney or liver diseases. Do not consume alcohol with Valera M 500 Tablet as it may increase the risk of lactic acidosis or fast for prolonged periods as it might increase the risk of hypoglycaemia. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
Drug-Drug Interactions
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Drug-Food Interactions
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Diet & Lifestyle Advise
Eat at regular intervals. Do not take a long gap between a meal or snack.
Monitor your blood sugar level regularly, especially when there are a lot of fluctuations.
Invest in at least 150 minutes of moderate-intensity physical activity and 15 minutes of high-intensity exercise weekly.
Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
Replace refined carbohydrates-containing foods with whole-grain foods. Increase fruits, vegetables and other fibre-enriched foods in your diet.
Reduce saturated fat foods such as chips, crisps, pastries, biscuits, and samosas.
Choose omega-3 fatty acid-containing oils for daily cooking.
Do not take stress as it may elevate your blood sugar level. You may adopt stress management techniques like mindfulness, yoga, or meditation to control stress-related blood sugar changes.
Opt for low-fat dairy products (low-fat yoghurt, fat-free milk, cheese, etc.).
Avoid drinking alcohol while on Valera M 500 Tablet . It increases the risk of hypoglycaemia (a decrease in blood sugar which might be fatal in some cases) and lactic acidosis (when the lactic acid increases in the body, which impacts various organs).
Try to quit smoking and reduce your intake of carbohydrate-rich food like potatoes, rice, mangoes, bread, sugar, etc.
Habit Forming
Therapeutic Class
Alcohol
Caution
It is advised to avoid alcohol intake since it may worsen the side effects like lactic acidosis and increase the risk of developing low blood sugar levels.
Pregnancy
Caution
Limited information is available on the use of Valera M 500 Tablet in pregnant women. Your doctor will weigh the benefits and potential risks before prescribing them. Please consult your doctor.
Breast Feeding
Caution
Limited information on the use of Valera M 500 Tablet in breastfeeding mothers is available. Your doctor will weigh the benefits and potential risks before prescribing them. Please consult your doctor.
Driving
Caution
If your blood sugar is too low or too high, your driving ability may be affected. Do not drive if these symptoms appear.
Liver
Caution
There is limited information available on the use of Valera M 500 Tablet in patients with liver disease. Your doctor will weigh the benefits and any potential risks before prescribing them to you. Please consult your doctor.
Kidney
Caution
Limited information is available on using Valera M 500 Tablet in patients with kidney disease. Your doctor will weigh the benefits and potential risks before prescribing them. Please consult your doctor.
Children
Unsafe
Valera M 500 Tablet is not recommended for people younger than 18 years of age.
Valera M 500 Tablet is used as an adjunct to diet and exercise to improve glycaemic control in adult patients with type 2 diabetes mellitus. This medication improves glycaemic control in diabetic patients who do not react well to metformin alone. Type 2 diabetes mellitus is a chronic or life-long condition in which blood sugar or glucose levels rise more than usual.
Valera M 500 Tablet contains Metformin and Evogliptin. Metformin works by lowering glucose production in the liver, delaying glucose absorption from the intestines, and increasing the body's sensitivity to insulin. Evogliptin works by increasing insulin release from the pancreas and decreasing the hormones that raise blood sugar levels. Altogether Valera M 500 Tablet reduces sugar levels in the body.
Hypoglycemia refers to low blood glucose levels. Valera M 500 Tablet may cause hypoglycemia. Hypoglycemia can occur if you miss or delay your food, drink alcohol, do intense exercise, or take other antidiabetic medicine along with Valera M 500 Tablet .
If you feel that your blood sugar levels are dropping, eat glucose tablets or chocolate immediately. This will help to increase your sugar levels instantly. Always carry glucose tablets or sugar candies with you.
Do not discontinue taking Valera M 500 Tablet without consulting your doctor. Take Valera M 500 Tablet for as long as it has been advised by the doctor. If you experience any difficulty while taking Valera M 500 Tablet , consult a doctor.
Take the missed dose as soon as possible. However, if it is time for the next dose, skip the missed dose and return to your regular dosing schedule. Do not double the dose.
The side effects of Valera M 500 Tablet include nausea, vomiting, headache, stomach pain, diarrhoea, and indigestion. If these side effects persist or worsen, please consult your doctor.
Medicines used to secrete insulin or insulin injections raise the risk of hypoglycemia (low blood sugar levels) when taken with metformin. Therefore, inform your doctor if you are on insulin injections before starting Valera M 500 Tablet .
There are no human studies conducted to see the effects of Valera M 500 Tablet on fertility. However, studies on animals do not show the harmful effects of high doses of evogliptin and metformin on the fertility in both the genders in rats and mice. If you have any concerns regarding this, please discuss with your doctor.
There is no information on role of Valera M 500 Tablet in causing cancer as no human studies have been performed. However, animal studies results do not show cancer.
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