Janugreen Duo tablet 50/850 milligrams

Adult dose

The dosage of this medication is determined based on each patient's current treatment regimen, efficacy, and tolerability, without exceeding the recommended maximum daily doses of 100 mg of sitagliptin and 2000 mg of metformin. Typically, it is administered twice daily with meals, gradually increasing the dose to minimize gastrointestinal side effects related to metformin. 1. For patients currently not being treated with metformin:

This medication contains both sitagliptin and metformin and is primarily used for the treatment of type 2 diabetes. Serious allergic reactions may occur while taking this medication, so if symptoms such as skin rash, difficulty breathing, or swelling of the face or neck appear, discontinue use immediately and consult a physician. There is a risk of developing acute pancreatitis, so it is essential to notify healthcare professionals if severe abdominal pain, vomiting, or nausea occurs. This medication should not be administered to patients with poor kidney function, and dosing should be discontinued or adjusted based on kidney function test results. It should not be used in situations that could affect kidney function, such as heart failure, acute myocardial infarction, severe infections, dehydration, or acute illnesses. Women who are pregnant or may become pregnant, or those who are breastfeeding, should not take this medication. This medication may cause hypoglycemia, so caution is needed for those skipping meals, having irregular eating habits, or engaging in excessive exercise; the risk of hypoglycemic symptoms may be heightened when combined with other hypoglycemic agents. Regular kidney function and blood tests should be conducted during treatment, and supplementation may be necessary if vitamin B12 levels decrease. Alcohol consumption may increase the risk of side effects with this medication, so it is advisable to avoid drinking. Before surgery, consult with a physician and discontinue this medication 48 hours prior, and resume only after confirming normal kidney function post-surgery. Severe joint pain or skin disorders may occur rarely during treatment; notify healthcare professionals immediately if these symptoms occur. In cases of overdose, seek immediate medical attention, as the medication can be removed through hemodialysis. This medication can be used in the elderly, but dose adjustments and regular monitoring are necessary due to common age-related declines in kidney function. Maintain regular meals and exercise, and consistently monitor blood glucose and kidney function, consulting with a physician immediately if any unusual symptoms arise.

Serious side effects

Hives, severe swelling (angioedema), anaphylaxis, angioedema, Stevens-Johnson syndrome, exfoliative skin disease, severe rash with fever, blisters, skin peeling, oral/eye mucosal pain, acute pancreatitis, shortness of breath or difficulty breathing (dyspnea), acute renal failure, severe joint pain with complications, bullous pemphigoid, severe allergic reactions, severe skin adverse reactions, respiratory issues, liver abnormalities (jaundice)

Mild side effects

• Diarrhea
• nausea
• vomiting
• abdominal pain
• upper respiratory infection
• nasopharyngitis
• headache
• hypoglycemia
• constipation
• weakness

This medication should be stored in a sealed container to prevent exposure to air, at room temperature between 1 and 30 degrees Celsius. Proper storage can help maintain the efficacy of the medication for a longer period.

Appearance

Pink oval film-coated tablet

Package unit

30 tablets/box [10 tablets/PTPX3]