Tenella M Extended-Release Tablet 20/1000 mg (Teneligliptin Hydrobromide Monohydrate, Metformin Hydrochloride)

Adult dose

This medication is generally administered once daily with the evening meal. The 20/1000 mg extended-release tablet is taken once daily, one tablet per dose. The 10/750 mg or 10/500 mg extended-release tablets are taken once daily, two tablets at a time. For patients who cannot achieve sufficient blood sugar control with metformin monotherapy, administer Teneligliptin 20 mg once daily along with the existing dosage of metformin. Maximum recommended dosage per day.

This medication is used for diabetes treatment and contains two components: Metformin and Teneligliptin. One of the most important precautions while taking this medication is the serious side effect of lactic acidosis. Lactic acidosis is very rare but can be fatal, so it may be unsafe to use if you have reduced kidney function, heart disease, or liver dysfunction. Additionally, this medication can cause hypoglycemia, so when taken with insulin or other diabetes drugs, you should be careful of hypoglycemia symptoms. If you experience hypoglycemic symptoms, you should consume foods containing sugar immediately. Patients with moderate to severe renal impairment, severe heart failure, acute infections, severe trauma, or those scheduled for surgery should not take this medication or may need to discontinue it. During the use of this medication, liver and kidney functions should be monitored regularly, and if there are problems with the liver or kidneys, administration may be stopped. Women who are pregnant or may become pregnant should avoid taking this medication, and it is also recommended to avoid it while breastfeeding. This medication can cause various side effects, including gastrointestinal disturbances, constipation, dizziness, headaches, and fatigue, so if symptoms are severe or persistent, consult a doctor. Moreover, this medication can interact with certain drugs, so if you are taking other medications, be sure to inform your doctor or pharmacist. Special caution is needed when combined with drugs affecting renal function or blood sugar. Finally, the safety and effectiveness of this medication have not been established in children, and in the elderly, the dosage should be adjusted considering reduced kidney function. If any abnormal symptoms occur while taking the medication, it is crucial to consult with healthcare professionals immediately and to undergo regular check-ups for safe treatment.

Serious side effects

• Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe allergic reactions
• Severe rash with high fever, blisters, peeling skin, pain in oral and ocular mucosa, severe skin abnormal reactions
• Bowel obstruction, liver dysfunction (increased AST, ALT), interstitial pneumonia, similar to acute dermatitis, acute pancreatitis
• Shortness of breath or difficulty breathing, asthma attacks, breathing abnormalities accompanied by cough + fever
• Yellowing of skin or eyes

Mild side effects

• Constipation
• dizziness
• headache
• tremors
• weakness
• hunger
• fatigue
• diarrhea
• indigestion
• nausea

This medication should be stored in a tightly closed container to prevent exposure to air or moisture. The storage temperature should be maintained between 1 to 30 degrees Celsius.

Appearance

Pink oval-shaped extended-release film-coated tablets

Package unit

Bottle - 30 tablets/bottle