Teddyform Extended-Release Tablet 10/500 mg

Adult dose

This medication is generally administered once daily with dinner and dosage may be gradually adjusted to reduce gastrointestinal side effects related to Metformin. The 20/1000 mg extended-release tablet is taken once daily, one tablet at a time. Patients taking the 10/750 mg or 10/500 mg extended-release tablets take two tablets concurrently, once daily. In patients unable to achieve adequate blood sugar control with Metformin monotherapy, the initial dosage of this medication should provide 20 mg of Teneligliptin once daily and the existing dosage of Metformin. In patients transitioning from Teneligliptin and Metformin combination therapy to this medication, the dosage can start with existing doses. When converting from immediate-release Metformin to extended-release formulation, blood sugar control should be closely monitored and dosage adjustments should be made appropriately. When co-administered with sulfonylureas, a reduction in the dosage of sulfonylureas may be considered to reduce the risk of hypoglycemia. The maximum recommended daily dosage is 20 mg of Teneligliptin and 2000 mg of extended-release Metformin. The safety and efficacy of this medication have not been specifically evaluated in patients transitioning from other antihyperglycemic agents. Any changes in treatment for patients with type 2 diabetes, which can cause blood sugar control fluctuations, should be monitored carefully. To maintain the extended-release properties, this medication should be swallowed whole and not divided, crushed, broken, or chewed.

This medication is used in the treatment of diabetes and helps in controlling blood sugar. However, it can rarely cause a condition called lactic acidosis, where excessive lactic acid builds up in the body, which can be dangerous. Additionally, hypoglycemia may occur when used alongside insulin or sulfonylureas, so it's essential to monitor blood sugar levels closely. This medication should not be used in patients with moderate to severe renal impairment, severe heart failure, or acute kidney disease. Discontinue this medication at least 48 hours before any radiologic examination involving iodinated contrast, and resume only after confirming normal kidney function. It is safer for pregnant women or those who may become pregnant to avoid taking this medication. Patients should be well aware of hypoglycemia symptoms while taking this medication, and if hypoglycemia is suspected, they should immediately consume a source of sugar. Gastrointestinal symptoms such as diarrhea, constipation, and abdominal pain may occur, and if these symptoms persist, consult a physician. Those with impaired liver or kidney function are at higher risk of lactic acidosis, so regular monitoring is necessary, and it is advisable to avoid alcohol. This medication can lower vitamin B12 levels, so regular blood tests should be conducted if taken for a prolonged period. If undergoing surgery, discontinue this medication 48 hours prior to surgery and resume only after confirming normal kidney function post-surgery. Elderly patients may experience reduced kidney function and may require dosage adjustments, with regular kidney function checks. If sudden severe abdominal pain, vomiting, or difficulty breathing occurs while taking this medication, inform healthcare personnel immediately and seek a diagnosis. Lastly, safety for children and nursing mothers has not been established, so caution is needed.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with fever, blisters, skin peeling, pain in oral/eye mucous membranes, difficulty breathing or shortness of breath, asthma attack, respiratory distress accompanied by cough and fever, yellowing of skin or eyes (jaundice), extreme fatigue, sudden and severe headache, thunderclap headache, seizures, confusion, visual disturbances, paralysis, urinary retention

Mild side effects

• Hypoglycemia
• constipation
• dizziness
• tremors
• headache
• weakness
• hunger
• fatigue
• facial swelling
• diarrhea

This medication should be stored in a tightly sealed container to prevent air or moisture ingress, ideally at room temperature between 1 to 30 degrees Celsius. Proper storage will help maintain the medication's efficacy and safety.

Appearance

Orange, egg-shaped extended-release film-coated tablet

Package unit

30 tablets per bottle