Teneglim TL Extended-Release Tablet 20/1000 mg

Adult dose

This medication is generally administered once daily with the evening meal. The 20/1000 mg extended-release tablets are taken one tablet once daily. The 10/750 mg or 10/500 mg extended-release tablets are taken two tablets at the same time once daily. The initial dosage should be 20 mg of teneligliptin once daily along with the current metformin dosing. During the conversion to the extended-release formulation, blood glucose control should be closely monitored and dosage adjustments made as necessary.

This medication is used for the treatment of diabetes and contains the ingredient metformin. Care should be taken as there is a risk of a rare but serious side effect known as lactic acidosis when taking this medication. Lactic acidosis is a condition characterized by increased lactate levels in the blood and acidity, with symptoms including fatigue, muscle pain, difficulty breathing, weakness, and abdominal pain. If these symptoms occur, immediate consultation with a physician is necessary. Patients with poor kidney function, or those in severe conditions such as heart failure, acute myocardial infarction, or sepsis should not take this medication. Patients scheduled to undergo tests with radioiodine contrast agents should discontinue this medication at least 48 hours before starting the tests and resume after confirming normal kidney function post-testing. Women who are pregnant or may become pregnant should not take this medication. When taken with other diabetes medications, there may be a risk of hypoglycemic symptoms, so it is important to be well-informed about hypoglycemia and how to manage it, and dosages of other medications can be adjusted as needed. It is important to regularly monitor kidney function and blood tests, especially vitamin B12 levels, during treatment with this medication. Caution is advised when performing tasks that require concentration, such as driving or working at heights, as there may be risks due to symptoms of hypoglycemia or lactic acidosis. If any unusual symptoms occur, such as persistent abdominal pain, vomiting, or skin blisters, notify a doctor immediately. Alcohol consumption may increase the risk of side effects from this medication, so it is advisable to avoid drinking while taking it. Elderly patients may experience decreased kidney function, so dosage adjustments should be made according to a doctor's instruction and regular kidney function tests should be performed. Interactions with other medications may occur, so if currently taking other medications, it is essential to inform a doctor or pharmacist. The safety and effectiveness of this medication in children have not been established, so it should not be used in this population. In case of overdose, immediate medical attention should be sought and, if necessary, blood dialysis can be performed to remove the medication. Finally, it is recommended to keep this medication out of the reach of children and not to transfer it to another container.

Serious side effects

• Severe lactic acidosis
• severe hypoglycemia
• liver dysfunction
• interstitial pneumonia
• blistering dermatitis
• acute pancreatitis
• severe hypoglycemia
• brain infarction
• hepatic coma
• severe edema

Mild side effects

• Dizziness
• constipation
• abdominal distension
• abdominal discomfort
• nausea
• abdominal pain
• bloating
• stomatitis
• gastric polyps
• colon polyps

This medication should be stored in a tightly sealed container to prevent air exposure and should be kept at room temperature between 1 to 30 degrees Celsius. Proper storage will help maintain the medication's effectiveness.

Appearance

Pink, oval shaped extended-release film-coated tablets

Package unit

30 tablets/bottle