Manufacturer: Intas Pharmaceuticals Ltd
Salt Composition : Metformin(500mg), Teneligliptin(20mg)
Strip of 20 Tablet Er
(Inclusive of all taxes)
Teniva 20 Tablet is normally prescribed when diet and exercise alone or other medicines do not prove sufficient to control your blood sugar level. Your doctor may prescribe it alone or in combination with other diabetes medicines. It can be taken with or without food. The dose will depend on your condition and blood sugar levels. Use it strictly as advised by your doctor.
You should take it regularly at the same time each day to get the most benefit from it. Do not stop taking the medicine unless your doctor recommends it. This medicine helps you control your blood sugar levels and prevent serious complications in the future. It is important to stay on the diet and exercise program recommended by your doctor while taking this medicine. Your lifestyle plays a big part in controlling diabetes.
The most common side effects of this medicine are hypoglycemia and constipation. It is important to recognize the symptoms of hypoglycemia (such as lightheadedness, sweating, dizziness, fainting, and dry mouth) and know how to deal with it. You can carry sugar or glucose candy and have them to control your symptoms if you experience any. Contact your doctor if the side effects if they do not go away or worry you.
Before taking this medicine, let your doctor know if you have ever had kidney disease, heart disease, or pancreas problems. Pregnant or breastfeeding women should also consult their doctor before taking it. Some other medicines you are taking may interfere with this medicine's working. So, make sure your doctor knows about all the other medicines you are using. Limit your alcohol intake while taking this medicine because it can increase your risk of developing low blood sugar levels. You may need regular tests such as kidney function and blood glucose levels to check that the medicine is working properly.
When we eat, glucose concentration increases in the body. In response to that small intestine increases the release of a chemical called incretins. These controls blood glucose. These are degraded by an enzyme called DPPP-4. Teneligliptin inhibits the action of DPP-4 enzymes and slows down the rapid degradation of incretins.
It increases insulin synthesis by the pancreas and decreases glucagon levels which are a counter-hormone of insulin, decreases blood sugar levels.
Teneligliptin is a potent, selective, and long-lasting DPP-4 inhibitor with a t½ of approximately 24 h and unique pharmacokinetic properties: it is metabolized by cytochrome P450 (CYP) 3A4 and flavin-containing monooxygenase 3 (FMO3), or excreted from the kidney in an unchanged form.
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Teniva
Dizziness
Headache
Diarrhea
Hypoglycemia (low blood glucose level)
Nausea
Vomiting
If you are allergic to teneligliptin or other ingredients of the medicine.
Teniva 20 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
It is unsafe to consume alcohol with Teniva 20 Tablet.
Teniva 20 Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Teneligliptin is indicated for the treatment of type 2 diabetes mellitus as monotherapy or in combination with other oral hypoglycemic agents (e.g., metformin, pioglitazone, sulfonylureas, glinides, and α glucosidase inhibitors) and insulin. Recommended dose is 20 mg, taken orally once a day in adults.
TENELIGLIPTIN interacts with medicines used to treat diabetes (glipizide, gliclazide, glimepiride) medicines used to treat high blood pressure (atenolol, bisoprolol, metoprolol, nadolol, propranolol), anti-depressant (bupropion, selegiline, isocarboxazid, phenelzine), painkillers (aspirin).
Do not chew, crush or break it. Teniva 20 Tablet may be taken with or without food, but it is better to take it at a fixed time.
Store below 30°C
If you miss a dose of Teniva 20 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
Consult a doctor before taking any medicines.
Teniva 20 Tablet should be taken at the same time every day since this helps you remember to take it.
Be careful while driving or operating machinery until you know how Teniva 20 Tablet affects you.
It may cause hypoglycemia (low blood sugar level) when used with other antidiabetic medicines, alcohol or if you delay or miss a meal.
Always carry some sugary food or fruit juice with you in case you experience hypoglycemia symptoms such as cold sweats, cool pale skin, tremor and anxiety.
Inform your doctor if you notice joint pains or develop symptoms such as stomach pain, nausea and/or vomiting.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Teniva 20 Tablet may be taken with or without food, but it is better to take it at a fixed time.
Q. Does Teniva 20 Tablet cause weight gain?
No, Teniva 20 Tablet is not known to cause weight gain by itself. However, keeping a healthy weight is an important part of managing diabetes. Consult your doctor if you experience weight gain while taking Teniva 20 Tablet.
Q. Is Teniva 20 Tablet bad for your kidneys?
No, Teniva 20 Tablet is not bad for your kidneys if your kidney function is normal. However, it is important to inform your doctor if you have, or ever had, any kidney problems. If you have kidney problems, you may need dose modification.
Q. Do I still have to manage my diet and exercise while on Teniva 20 Tablet?
Yes, it is important to manage your diet and exercise while taking Teniva 20 Tablet. In addition to medicine, making healthy food choices and being physically active are also important to effectively manage blood sugar levels. You may consult a dietitian and follow a diet chart that suits you best. A well-balanced diet is one part of a healthy lifestyle for people with type 2 diabetes. Additionally, thirty minutes of exercise such as a brisk walk is recommended.
Q. Can my blood sugar levels go too low on Teniva 20 Tablet?
Yes, it is possible that your blood sugar levels may become very low (hypoglycemia). The chances are higher if you are on any other antidiabetic medicine or insulin along with Teniva 20 Tablet. Additionally, blood sugar levels can take a huge dip if you skip meals, exercise more than usual, or if you have taken an overdose of Teniva 20 Tablet. If you experience a sudden fall in your sugar levels, inform your doctor. The doctor may suggest dose modification to prevent your blood sugar levels from decreasing significantly (hypoglycemia). Follow your doctor’s advice and monitor your blood sugar levels regularly.
Q. How long do I need to take Teniva 20 Tablet?
Teniva 20 Tablet only helps to manage your blood sugar levels but does not cure your diabetes. Keep taking Teniva 20 Tablet as long as your doctor recommends it. You may have to take it lifelong. It is important to keep your blood sugar levels under control as any fluctuations in your blood sugar levels may cause serious problems. Therefore, do not stop taking it without talking to your doctor.
Q. What will happen if I accidentally take more than the prescribed dose of Teniva 20 Tablet?
If you have accidentally taken more than the prescribed dose of Teniva 20 Tablet, your blood sugar levels may become too low (hypoglycemia). This hypoglycemia may be mild or severe. Monitor your blood sugar levels more frequently for the next 24 hours. Mild episodes of hypoglycemia (with symptoms like anxiety, sweating, weakness, tremors, fast heartbeat) can usually be corrected with the help of sugary foods such as sugar or glucose candy, fruit juice and glucose/glucon-D. However, it is important to consult your doctor to decide the further course of treatment. More severe episodes of hypoglycemia may even lead to a seizure (fit) or unconsciousness. This can be life-threatening and immediate medical help may be required.
Q. What if I miss a dose of Teniva 20 Tablet?
If you miss a dose, take it as soon as you remember. If in case you do not remember until it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not take two doses of Teniva 20 Tablet at the same time.
Q. What is the most important information I should know about Teniva 20 Tablet?
Teniva 20 Tablet is safe to use if taken in the dose and duration prescribed by the doctor. However, in rare cases, some serious side effects can also be observed. In some people, Teniva 20 Tablet may cause inflammation of the pancreas (pancreatitis) which could be severe and can even lead to death. If you experience severe and persistent pain in your stomach area (abdomen), stop the medication and immediately contact your doctor. Teniva 20 Tablet can also cause heart failure. This means the heart is not able to pump blood well enough, therefore, inform your doctor if you have or ever had heart problems before you start taking Teniva 20 Tablet. In addition to that, problems related to kidneys should also be discussed with the doctor.
Q. Is Teniva 20 Tablet safe to be taken for a long term?
Yes, it is safe to take Teniva 20 Tablet for a long time. Its long-term use, which can continue for months, years or even lifelong, has not shown any harmful effects. Keep taking Teniva 20 Tablet as long as your doctor recommends it. Remember, Teniva 20 Tablet only helps to keep your blood sugar levels under control but does not cure your diabetes.
