Cospiaq Sm 25+100+1000 Tablet 10

Torrent Pharmaceuticals Ltd.

Strip of 10 Units

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MRP ~~₹214.65~~

₹171.72

₹21.47/Units

20% off

*MRP inclusive of all taxes

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15 days Easy returns

Prescription required for this medicine

Store Below 30° C

Composition

Empagliflozin (25 Mg) + Metformin (1000 Mg) + Sitagliptin (100 Mg)

Cospiaq Sm 25+100+1000 Tablet 10 is used to manage type 2 diabetes control. It is a combination antidiabetic medicine containing empagliflozin, metformin and sitagliptin.

This medicine helps lower blood glucose levels in adults with inadequately controlled type 2 diabetes. It also provides multi-pathway blood sugar regulation alongside diet and physical activity. It also supports the prevention of diabetes-related cardiovascular, renal, and neurological complications.

Regular meals, a balanced diet and physical activity can support blood sugar control alongside this medicine.

Before starting, tell your doctor about your medical conditions and allergies. Tell the doctor about all other medicines, supplements or herbal products you take. Tell your doctor if you are pregnant, planning a pregnancy or breastfeeding. Attend any monitoring appointments advised by your doctor. Report persistent or serious side effects to your doctor. Do not stop taking or using the medicine unless your doctor advises you to do so.

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Cospiaq Sm 25+100+1000 Tablet 10 is used to manage type 2 diabetes control.

Uses of Cospiaq Sm 25+100+1000 Tablet 10 are:

Type 2 Diabetes Control: Helps lower blood glucose levels in adults with inadequately controlled type 2 diabetes.
Combination Glycaemic Management: Provides multi-pathway blood sugar regulation alongside diet and physical activity.
Long-term Complication Protection: Supports the prevention of diabetes-related cardiovascular, renal, and neurological complications.

Swallow the tablet whole with water
Take it preferably at the same time each day
It is usually taken with food to reduce stomach discomfort
Do not crush, chew, or split the tablet
Always follow your doctor’s instructions regarding dose and timing

Cospiaq Sm 25+100+1000 Tablet 10 is intended for oral use.

Cospiaq Sm 25+100+1000 Tablet 10 may cause some side effects that are usually mild and go away as your body adjusts to the medicine.

A few common side effects of Cospiaq Sm 25+100+1000 Tablet 10:

Genital and urinary: urinary tract infections, genital infections, increased urination.
Digestive: diarrhoea, nausea, flatulence, abdominal discomfort, indigestion.

If any side effect does not improve or becomes serious, speak to your doctor. Do not stop taking the medicine unless your doctor advises you to do so.

Management Of Side Effects:

Most side effects are mild and resolve with continued use or dose adjustment. Consult your doctor if symptoms persist or worsen.

Urinary tract or genital infections: Maintain good personal hygiene, stay well hydrated, and seek medical advice if there is a burning sensation, discharge, or fever.
Increased urination: Ensure adequate fluid intake to prevent dehydration.

Cospiaq Sm 25+100+1000 Tablet 10 contains the following active components:

Empagliflozin (25 mg): Empagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor. It lowers blood glucose by reducing glucose reabsorption in the kidneys, leading to increased glucose excretion through urine.
Metformin (1000 mg): Metformin is a biguanide that decreases glucose production in the liver and improves insulin sensitivity in peripheral tissues, enhancing glucose utilisation.
Sitagliptin (100 mg): Sitagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor that increases levels of incretin hormones, thereby improving insulin release and reducing glucagon secretion in a glucose-dependent manner.

Pregnancy

Caution is advised while taking Cospiaq Sm 25+100+1000 Tablet 10 if you are pregnant. It is best to consult your doctor before taking this medicine, as it should only be used during pregnancy if the potential benefit justifies the potential risk to the baby.

Breastfeeding

Cospiaq Sm 25+100+1000 Tablet 10 is not recommended during breastfeeding as its safety has not been established. Always consult your doctor before use.

Alcohol

Alcohol may increase the risk of low blood sugar, dehydration, and lactic acidosis when taken with Cospiaq Sm 25+100+1000 Tablet 10. Alcohol intake should be avoided or strictly limited.

Liver

Cospiaq Sm 25+100+1000 Tablet 10 should be used cautiously in patients with liver impairment and is not recommended in severe liver disease. Inform your doctor about any liver-related conditions.

Kidney

Cospiaq Sm 25+100+1000 Tablet 10 is contraindicated in severe kidney impairment. Patients with mild to moderate kidney disease require regular monitoring of kidney function, and dose adjustments may be necessary.

Use In Driving And Operating Machinery

Fluctuations in blood sugar levels may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you know how this medicine affects you.

Allergy

Do not use Cospiaq Sm 25+100+1000 Tablet 10 if you are allergic to empagliflozin, metformin, sitagliptin, or any other component. Seek immediate medical help if rash, swelling, or breathing difficulty occurs.

Children

Cospiaq Sm 25+100+1000 Tablet 10 is not recommended for individuals below 18 years of age.

Older Patients

Elderly patients may be at increased risk of dehydration, low blood pressure, and kidney impairment. Close monitoring is advised if Cospiaq Sm 25+100+1000 Tablet 10 is prescribed.

Drug-Drug Interactions

Cospiaq Sm 25+100+1000 Tablet 10 interacts with the following medicines:

Diuretics (e.g., furosemide and hydrochlorothiazide): The concomitant use may increase the risk of dehydration and low blood pressure
Cationic medicines (e.g., cimetidine, ranolazine): The concomitant use may affect metformin elimination
Carbonic anhydrase inhibitors (e.g., topiramate, acetazolamide): The concomitant use may increase the risk of lactic acidosis

Drug-Disease Interactions

Cospiaq Sm 25+100+1000 Tablet 10 interacts with the following diseases:

Urinary tract infections (UTIs): There may be a higher risk of UTIs while on this tablet.
Vitamin B12 deficiency: The metformin in this tablet can reduce Vitamin B12 levels over time.
Kidney impairment: This tablet should be used with caution; discontinue if kidney function worsens.
Pancreatitis: Sitagliptin has been associated with reports of acute pancreatitis, requiring immediate discontinuation if suspected.
Diabetic ketoacidosis: Cospiaq Sm 25+100+1000 Tablet 10 may increase the risk of diabetic ketoacidosis, including cases with near-normal blood glucose levels; treatment should be discontinued immediately and medical evaluation is required if symptoms such as nausea, vomiting, abdominal pain, rapid breathing, or confusion occur.

Daily Dose

The recommended dose of Cospiaq Sm 25+100+1000 Tablet 10 is determined by your doctor based on individual blood sugar control, kidney function, and treatment response. Do not modify the dose without medical advice.

Over Dose

Overdose of Cospiaq Sm 25+100+1000 Tablet 10 may lead to severe dehydration, excessive urination, dizziness, low blood sugar, or symptoms of lactic acidosis such as rapid breathing, muscle pain, or extreme weakness. Seek immediate medical attention if overdose is suspected.

Missed Dose

If a dose of Cospiaq Sm 25+100+1000 Tablet 10 is missed, take it as soon as remembered unless it is close to the next scheduled dose. Skip the missed dose if necessary. Do not take a double dose.

Store in a cool, dry place away from moisture and sunlight
Keep out of reach of children
Do not use after the expiry date printed on the pack

Follow a diet low in refined sugars and simple carbohydrates
Maintain adequate hydration throughout the day
Engage in regular physical activity as advised by your doctor
Monitor blood glucose levels regularly
Attend routine follow-up visits for kidney function and overall diabetes management

Fact Box

Dosage Forms Available	Tablet Er
Habit Forming	No
Ailment	Type 2 diabetes mellitus
Drug Category	SGLT2 inhibitor, biguanide, DPP-4 inhibitor
Therapeutic Category	Antidiabetics

What is Cospiaq Sm 25+100+1000 Tablet 10 used for?

It is used to improve blood sugar control in adults with Type 2 Diabetes Mellitus.

Can Cospiaq Sm 25+100+1000 Tablet 10 cause low blood sugar?

The risk is low when used alone, but it may increase when taken with insulin or other antidiabetic medicines.

Is long-term use of Cospiaq Sm 25+100+1000 Tablet 10 safe?

Yes, when taken as prescribed and monitored regularly by a doctor.

Does Cospiaq Sm 25+100+1000 Tablet 10 help prevent diabetes complications?

Maintaining good glycaemic control with this tablet can help reduce the risk of long-term diabetes-related complications.

Can elderly patients take Cospiaq Sm 25+100+1000 Tablet 10?

Yes, but with careful monitoring for dehydration, kidney function, and blood pressure.

Last Updated On 09 Sep. 2026 | 1:06PM (IST)

Certified Content

Written by

Dr. Divya Mandial

Medical Content Writer | 10 years

PhD in Chemistry

Reviewed by

Dr. Betina Chandolia

Lead Medical Content Reviewer | 11 years

BDS, MDS, PGCCL, PGDMH

Check out Editorial Policy

Manufacturer details

Torrent House, Off. Ashram Road, Ahmedabad - 380009, Gujarat, India

Country of origin: INDIA

Expiry on or after: January 2027

In case of any issues, contact us:

support@truemeds.in|09240250346

Address: 6th floor, Urmi Corporate Park Solaris, Saki Vihar Road, Andheri East, Mumbai 400071

References

Merck Sharp & Dohme Corp. (2007). HIGHLIGHTS OF PRESCRIBING INFORMATION. https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/022044s042lbl.pdf
Sitagliptin: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB01261
Metformin: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB00331
Empagliflozin: MedlinePlus Drug Information. (n.d.). https://medlineplus.gov/druginfo/meds/a614043.html
Empagliflozin: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB09038
Empagliflozin, Sitagliptin and Metformin Hydrochloride Tablet. (n.d.). Torrentpharma.Com. Retrieved January 19, 2026, from https://www.torrentpharma.com/assets/Empagliflozin_Sitagliptin_Metformin_PI_cd9fab6934.pdf

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We, at Truemeds make a diligent attempt to deliver accurate, expert- drafted and thoroughly reviewed medicine related information to our consumers. However, it should, by no means, be considered a substitute for prescription from a certified doctor or a trustworthy doctor-patient relationship. In fact we detest any form of self medication without expert advice. The sole purpose of the information on our portal is to educate our consumers, which helps improve the communication between a doctor and a patient. The information by no means is complete in its entirety and should not be used to diagnose or treat any medical condition. No amount of information can replace the experience and expertise of a doctor, therefore his/her advice always holds priority and should be followed appropriately.

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CIN: U62099MH2019PTC320566

Telephone:09240250346

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Email: grievance-officer@truemeds.in

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