Sitanorm M 50/500 Tablet 15

Sitanorm M 50/500 Tablet 15 interacts with the following medicines:

• Carbonic anhydrase inhibitors: Medications such as acetazolamide or methazolamide may interact with Sitanorm M 50/500 Tablet 15, increasing the risk of lactic acidosis due to metformin.
• Insulin and insulin secretagogues: When taken with Sitanorm M 50/500 Tablet 15, insulin and sulfonylureas like glimepiride or glibenclamide can cause low blood sugar (hypoglycaemia).
• Cationic medicines: Medicines like amiloride or quinidine, which are excreted via renal tubular secretion, may interact with Sitanorm M 50/500 Tablet 15, leading to an accumulation of metformin.
• Diuretics: Furosemide may increase plasma levels of metformin when used with Sitanorm M 50/500 Tablet 15, enhancing its blood glucose-lowering effect.
• Calcium channel blockers: Nifedipine may interact with Sitanorm M 50/500 Tablet 15, leading to increased absorption and peak concentration (Cmax) of metformin.

None

Sitanorm M 50/500 Tablet 15 interacts with the following diseases:

• Renal impairment: Patients with severe renal impairment (eGFR < 30 mL/min/1.73 m²) should avoid Sitanorm M 50/500 Tablet 15 due to the risk of medicine accumulation and potential toxicity.
• Liver disease: Patients with liver disease should use Sitanorm M 50/500 Tablet 15 cautiously, as it may impact the metabolism of the medication.
• Congestive heart failure: Those with heart failure requiring medication should exercise caution when taking Sitanorm M 50/500 Tablet 15, as it may worsen their condition.
• Vitamin B12 deficiency: The metformin component in Sitanorm M 50/500 Tablet 15 can reduce Vitamin B12 levels; therefore, individuals with a deficiency should be monitored closely.
• Hypoxic states: Conditions like cardiovascular collapse (shock) can increase the risk of lactic acidosis, necessitating careful monitoring when using Sitanorm M 50/500 Tablet 15.

You should take Sitanorm M 50/500 Tablet 15 as instructed by your doctor. The dosage can vary based on your individual health condition and response to the medication.

If you accidentally take more Sitanorm M 50/500 Tablet 15 than prescribed, you may experience symptoms like nausea, weakness, or diarrhoea. If these symptoms occur, kindly consult your doctor.

If you miss a dose of Sitanorm M 50/500 Tablet 15, take it as soon as you remember. If it's nearly time for your next dose, skip the missed one.