Tenegreen Duo Extended-Release Tablet 10/500mg

Adult dose

The medication is typically administered once daily with dinner, and the dosage is adjusted gradually. The 20/1000mg extended-release tablet is taken once daily, one tablet at a time. The 10/750mg or 10/500mg extended-release tablets are taken once daily, two tablets together at a time. The initial dosage is teneligliptin 20mg once daily along with the patient's existing metformin dosage. The maximum recommended daily dosage is teneligliptin 20mg.

This medication is used to assist in controlling blood sugar levels for diabetic patients. However, it should not be administered to patients with moderately reduced kidney function or those with severe heart disease or poor liver function. Additionally, patients scheduled for tests using radiocontrast iodine should discontinue this medication 48 hours prior to the test and only resume after confirming normal kidney function post-testing. Women who are pregnant or may become pregnant should avoid taking this medication. Caution should be exercised as taking this medication with other diabetes treatments can result in hypoglycemia, and patients should be well-informed about the symptoms and management of hypoglycemia. Rarely, lactic acidosis may occur during treatment, which can start with symptoms such as muscle pain, weakness, difficulty breathing, and abdominal pain, and can be life-threatening in severe cases, so immediate consultation with healthcare personnel is advised if suspected symptoms arise. Regular monitoring of liver and kidney function is important during treatment, particularly for elderly patients who may have reduced kidney function. Moreover, alcohol consumption can increase the risk of lactic acidosis, hence it is advisable to avoid drinking during treatment. Vitamin B12 levels may decrease during the course of the treatment, thus regular blood tests are recommended. If undergoing surgery or experiencing severe infection, trauma or other conditions affecting overall health, this medication should be temporarily discontinued until recovery. This medication should be stored out of reach of children, and any unusual symptoms or suspected side effects during treatment must be discussed immediately with a physician.

Serious side effects

Hives, severe swelling (edema), chest tightness, difficulty breathing, cold sweat, pallor, severe rash with high fever, blisters, skin peeling, pain in oral or ocular mucosa, shortness of breath or difficulty breathing, asthma attack, respiratory abnormalities accompanied by cough and fever, yellowing of the skin or eyes (jaundice), profound lethargy, sudden and extremely severe headache, thunderclap headache, seizures, altered consciousness, visual disturbances, paralysis, urinary changes

Mild side effects

• Hypoglycemia
• constipation
• dizziness
• headache
• abdominal pain
• stomatitis
• cold sweat
• itching
• rash
• malaise

This medication should be stored in a tightly sealed container to protect from air, and it is recommended to keep it at room temperature, between 1 to 30 degrees Celsius. Storing it this way helps maintain its effectiveness and safety.

Appearance

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

Package unit

30 tablets per bottle