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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Zita-D 20/10 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, Zita-D 20/10 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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Manufacturer/Marketer :

Glenmark Pharmaceuticals Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Zita-D 20/10 Tablet

Zita-D 20/10 Tablet belongs to the anti-diabetic medicines used to treat type-2 diabetes mellitus as an adjunct to diet and exercise. Type-2 diabetes mellitus, or non-insulin-dependent diabetes or adult-onset diabetes, is a medical condition in which blood glucose levels are above normal.

Zita-D 20/10 Tablet 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, Zita-D 20/10 Tablet helps treat type-2 diabetes mellitus.

Sometimes, you may experience side effects such as nausea, vomiting, diarrhoea, headache, and stomach upset. These side effects may not require medical attention and resolve gradually over time. However, you are advised to consult the doctor if any side effects persist or worsen.

Consult the doctor if you are pregnant or breast-feeding. Zita-D 20/10 Tablet is not recommended for children as the safety and effectiveness have not been established. Keep the doctor informed about your health condition and medications to avoid unpleasant side effects/interactions.

Uses of Zita-D 20/10 Tablet

Zita-D 20/10 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 Zita-D 20/10 Tablet are as follows:<br/>• Promotes urinary glucose excretion: Zita-D 20/10 Tablet lowers blood sugar by helping the kidneys remove excess glucose through urine.<br/>• Enhances insulin action: Zita-D 20/10 Tablet works by increasing incretin levels, improving insulin secretion, and reducing sugar production in the liver.<br/>• Adjunct to lifestyle and therapy: Zita-D 20/10 Tablet is prescribed alongside a healthy diet, regular physical activity, and other diabetes medications to manage type 2 diabetes more effectively.<br/>

Directions for Use

• Take Zita-D 20/10 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 glass of water.• Do not crush, break, or chew it.

Medicinal Benefits

Zita-D 20/10 Tablet is a combination of two drugs, Teneligliptin and Dapagliflozin. Zita-D 20/10 Tablet belongs to the anti-diabetic medicines used to treat type-2 diabetes mellitus as an adjunct to diet and exercise. Teneligliptin is a dipeptidyl peptidase-4 inhibitor which decreases the release of glucagon, a hormone that raises blood sugar levels and increases the release of insulin from the pancreas. Dapagliflozin is a sodium-glucose cotransporter 2 inhibitor which removes excess sugar from the body via urine. Together, Zita-D 20/10 Tablet helps treat type-2 diabetes mellitus.

How Zita-D 20/10 Tablet Works

Zita-D 20/10 Tablet 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, Zita-D 20/10 Tablet helps treat type-2 diabetes mellitus.

Storage

• Store in a cool and dry place away from sunlight.
• Keep Zita-D 20/10 Tablet out of reach and sight of children.
• Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
Side effects of Zita-D 20/10 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.
  • Painful urination can be reduced by drinking lots of water.
  • Don't hold urine, as it can worsen the pain during urination.
  • Try taking probiotics and eating garlic, which can help reduce painful urination.
  • Sleep well and give enough rest to your body.
  • Take a balanced diet and avoid bladder-irritating foods.
  • Quit smoking and intake of alcohol.
  • Practice yoga and meditation to improve inner strength and stay healthy.
  • Vaginal yeast infections need immediate medical attention.
  • Eat healthy foods like whole grains, lean protein and probiotics.
  • Keep your blood sugar levels in the medium range, which can help reduce the risk of yeast infections.
  • Wash your vulva well to prevent contamination, and after using the toilet, wipe from the front to prevent the spread of infection.
  • Avoid tight-fitting clothes as they may increase moisture and heat in the affected area. Ensure to use cotton underwear only.
  • Frequently change pads or tampons and always keep the effects dry.
  • Avoid sprays, perfumes and deodorants in the vaginal area, as they can change the normal balance of organisms in the vagina.
  • Include lifestyle modification by normalising body weight and intake of a balanced diet.
  • Follow healthy patterns that are good for heart and reduce the fat level in your body.
  • Contact your doctor and follow the prescribed course for a speedy recovery.
  • Quit smoking and avoid intake of alcohol which can worsen the situation.
  • High levels of phosphate in the blood need immediate medical attention.
  • Get a physical examination and blood tests to identify factors causing high phosphate levels to manage the outcomes.
  • Avoid consuming phosphate rich foods like egg yolks, soft drinks, milk, chocolate etc.
  • Talk to your dietician and consume foods which can maintain ideal phosphorus levels.
  • Maintain a healthy weight and implement good habits to prevent stress and anxiety.
Managing Medication-Triggered UTIs: A Comprehensive Approach:
  • Inform your doctor about the medication you're taking and the UTI symptoms you're experiencing.
  • Your doctor may adjust your medication regimen or consider alternative medications or dosages that may reduce the risk of UTIs.
  • Drink plenty of water (at least 8-10 glasses a day) to help flush out bacteria. Avoid sugary drinks and caffeine, which can exacerbate UTI symptoms.
  • Urinate when you feel the need rather than holding it in. This can help prevent bacterial growth and reduce the risk of UTIs.
  • Consider cranberry supplements: Cranberry supplements may help prevent UTIs by preventing bacterial adhesion.
  • Monitor UTI symptoms and report any changes to your doctor.
  • If antibiotics are prescribed, take them as directed and complete the full course.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.

What if I have taken an overdose of Zita-D 20/10 Tablet

If you take too much Zita-D 20/10 Tablet , you may experience low blood sugar. If you think that you’ve taken too much of this medication or have symptoms of low blood sugar, get medical help right away. Do this even if there are no signs of discomfort or poisoning.

Drug Warnings

Do not take Zita-D 20/10 Tablet if you are allergic to its components. Inform the doctor if you have kidney or liver problems, type 1 diabetes, ketoacidosis, low blood sugar, adrenal insufficiency, intestinal obstruction, or heart problems. Consult the doctor if you are pregnant or breast-feeding. Zita-D 20/10 Tablet is not recommended for children as the safety and effectiveness have not been established. Let the doctor know if you take other medicines, including supplements and herbal products.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Zita-D 20/10 Tablet:
Co-administration of Zita-D 20/10 Tablet with Gatifloxacin may sometimes affect blood glucose levels. Both low blood glucose and, less frequently, high blood glucose have been reported.

How to manage the interaction:
Although there is a possible interaction, Gatifloxacin can be taken with Zita-D 20/10 Tablet if prescribed by the doctor. Consult the prescriber if you experience symptoms such as nervousness, confusion, headache, dizziness, drowsiness, tremor, nausea, hunger, weakness, perspiration, palpitation, rapid heartbeat, increased urination, increased thirst, and increased hunger. Maintaining blood glucose levels is advised. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Zita-D 20/10 Tablet:
Co-administration of Zita-D 20/10 Tablet with Aliskiren may increase the risk of dehydration and low blood pressure.

How to manage the interaction:
If you are supposed to use Zita-D 20/10 Tablet and Aliskiren together, a doctor may adjust the dose and monitor you more frequently. However, if you experience dizziness, fainting, headache, lightheadedness, and/or changes in pulse or heart rate, contact a doctor. Do not discontinue the medication without consulting a doctor.

Drug-Food Interactions

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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 fruits, vegetables, whole grains, and beans in your diet.
  • Try eating food at regular intervals. Do not skip meals. Also, try not to overeat.
  • Maintain a healthy weight by exercising regularly.
  • Rest properly.
  • Avoid stress by doing meditation or yoga.
  • Limit saturated and processed food.
  • Stay physically active as it helps manage blood glucose levels. 
  • Avoid/limit the consumption of alcohol as it may affect blood sugar levels.

Habit Forming

No

Therapeutic Class

ANTIDIABETICS
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Alcohol

Consult your doctor

It is unknown if alcohol affects Zita-D 20/10 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 Zita-D 20/10 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

Zita-D 20/10 Tablet is not recommended for children as the safety and effectiveness have not been established.

Have a query?

FAQs

Zita-D 20/10 Tablet is used to treat Type-2 diabetes mellitus.

Zita-D 20/10 Tablet works by removing excess sugar from the body via urine and increasing insulin release from the pancreas. Thereby, Zita-D 20/10 Tablet helps treat type-2 diabetes mellitus.

Do not stop taking Zita-D 20/10 Tablet without consulting your doctor, as it may cause an increase in blood glucose levels. Continue taking Zita-D 20/10 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 Zita-D 20/10 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.

No, Zita-D 20/10 Tablet is not known to cause weight gain. However, individual responses may vary, so discussing any concerns with your doctor is advisable.

Zita-D 20/10 Tablet is not necessarily bad for your kidneys, but it may affect kidney function in some people, especially those with pre-existing kidney problems.  If you have kidney disease, please inform your doctor before using this medication.

It is essential to manage your diet and exercise while on Zita-D 20/10 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.

Yes, it is possible for your blood sugar levels to drop too low (hypoglycaemia) while taking Zita-D 20/10 Tablet . This is more likely to happen if you are also using other diabetes medications that lower blood sugar, such as insulin or sulfonylureas. It is important to monitor your blood sugar levels regularly. If you experience symptoms of low blood sugar, such as shaking, a fast heartbeat, drowsiness, sweating, or confusion, contact your doctor immediately. Always follow your doctor's guidance to prevent low blood sugar.

Depending on your health condition, you should take Zita-D 20/10 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 Zita-D 20/10 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 Zita-D 20/10 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.

Zita-D 20/10 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 Zita-D 20/10 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.

Country of origin

India

Manufacturer/Marketer address

Glenmark Pharmaceuticals Limited, B/2, Mahalaxmi Chambers, 22, Bhulabhai Desai Road, Mumbai €“ 400 026.
Other Info - ZIT0190

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