Teneldim Extended-Release Tablet 10/500 mg

Adult dose

The usual dosage of this medication is administered once daily with the evening meal. For 20/1000 mg extended-release tablets, take one tablet daily. For 10/750 mg or 10/500 mg extended-release tablets, take two tablets each time, once daily. The initial dosage consists of teneligliptin 20 mg once daily and the regular dose of metformin. The maximum recommended dose is teneligliptin 20 mg and extended-release metformin.

This medication is used to control blood glucose and should not be administered to patients with impaired kidney function or severe heart failure. Additionally, it should be temporarily discontinued in cases of acute renal failure, severe infections, or before and after surgery, and can be resumed only after kidney function has returned to normal. It can lead to a rare but serious side effect called lactic acidosis, which is more likely to occur in circumstances of diminished kidney function, liver dysfunction, severe dehydration, or cardiopulmonary disease. Symptoms of lactic acidosis may include fatigue, muscle pain, dyspnea, and abdominal pain, and should prompt immediate consultation with a physician. When combined with other diabetes medications, this drug may increase the risk of hypoglycemia, so patients should be aware of symptoms and management strategies for hypoglycemia. Moreover, excessive alcohol consumption can elevate the risk of lactic acidosis, so it is advisable to avoid drinking alcohol. Patients should have regular kidney function and blood tests while taking this medication, and it is particularly important to monitor vitamin B12 levels. It is safe for pregnant women or those who may become pregnant, as well as breastfeeding women, to refrain from using this medication. If symptoms such as dizziness, abdominal pain, skin rash, or dyspnea occur, medical attention should be sought immediately. Elderly patients may have reduced kidney function; therefore, dosage adjustments and regular monitoring may be necessary. During the course of this medication, any sudden vomiting, diarrhea, or dehydration symptoms should prompt a consultation with a physician to adjust the medication as necessary. Care should be taken during driving or performing tasks requiring concentration due to the risk of hypoglycemia or dizziness.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with fever, blisters, peeling skin, pain in mucous membranes of mouth/eyes, shortness of breath or difficulty breathing, asthma attack, respiratory changes with cough and fever, yellowing of skin or eyes (jaundice), profound malaise, sudden and severe headaches, thunderclap headache, seizures, altered consciousness, visual disturbances, paralysis, urination changes

Mild side effects

• Hypoglycemia
• constipation
• dizziness
• abdominal distension
• abdominal discomfort
• nausea
• abdominal pain
• bloating
• stomatitis
• gastric polyp

This medication should be stored in a tightly sealed container to prevent air exposure, and the temperature should be maintained between 1 and 30 degrees Celsius at room temperature. Proper storage helps maintain the effectiveness of the medication.

Appearance

Orange egg-shaped extended-release film-coated tablet

Package unit

30 tablets/bottle