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CompositionTendia M Forte Tablet is used primarily to manage type 2 diabetes mellitus in adults. It combines teneligliptin (DPP-4 inhibitor) and metformin (biguanide). This dual therapy improves glycemic control when diet and exercise alone are insufficient, aiding in controlling elevated blood sugar levels and reducing the potential complications associated with diabetes.
Tendia M Forte Tablet is used for improving blood sugar control in adults with type 2 diabetes mellitus. It helps manage diabetes when diet and exercise alone are insufficient, works by enhancing the body's response to insulin, reducing the amount of glucose produced by the liver, and decreasing glucagon levels to aid blood sugar control.
Here's how you should take Tendia M Forte Tablet:
Swallow the tablet whole with a glass of water during your meal.
Do not break, chew or crush the tablet.
Follow your doctor's advice on how often you need to take your medicine.
Never exceed the recommended dosage without consulting your doctor first.
If you feel like stopping this medicine, consult your doctor before doing so.
Tendia M Forte Tablet is taken orally.
Tendia M Forte Tablet may have the following common side effects: diarrhoea, nausea, vomiting, abdominal pain, flatulence, indigestion, and loss of appetite.
Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Tendia M Forte Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.
Here are some general guidelines for managing common side effects:
Diarrhoea: Try taking this medicine with food to lessen this effect.
Nausea: If you feel nauseous after taking this tablet, consider taking it after meals.
Tendia M Forte Tablet consists of two active ingredients:
Metformin hydrochloride (1000 mg): As a biguanide, metformin primarily works by decreasing hepatic glucose production. It also enhances insulin sensitivity, leading to increased peripheral glucose uptake, boosts fatty acid oxidation, and reduces absorption of glucose from the gastrointestinal tract.
Teneligliptin hydrobromide hydrate (20 mg): Classified as a DPP-4 inhibitor, teneligliptin works by slowing down the inactivation of incretin hormones GLP-1 and GIP. This leads to increased concentrations of these hormones in the bloodstream. As a result, insulin is released from pancreatic beta cells in a glucose-dependent manner while glucagon secretion from pancreatic alpha cells decreases, effectively reducing blood glucose levels.
Caution is advised while taking Tendia M Forte Tablet if you are pregnant. The medicine should only be used if the potential benefit justifies the potential risk to the foetus. Consult your doctor before taking this medicine.
Metformin, one of the ingredients in Tendia M Forte Tablet, is secreted into human breast milk which could potentially lead to hypoglycemia in nursing infants. If you are breastfeeding, it's best to consult your doctor before using this medicine.
Excessive alcohol intake may increase the risk of lactic acidosis, a rare but serious metabolic complication that can occur due to metformin accumulation. If you drink alcohol, please discuss this with your doctor before starting Tendia M Forte Tablet.
If you have liver problems, caution is advised while taking Tendia M Forte Tablet. This is especially important if you have hepatic impairment or congestive heart failure requiring pharmacologic treatment. Consult your doctor before starting this medicine if you have any liver-related concerns.
Tendia M Forte Tablet should not be used if you have severe renal impairment or end-stage renal disease requiring dialysis. If you have a history of kidney problems, do consult your doctor before starting this medicine.
There is no specific impact of Tendia M Forte Tablet on your ability to drive or operate machines. However, as with any medication, you should be aware of how it affects you and avoid driving or operating machinery if it impairs your ability.
If you have known hypersensitivity to metformin or teneligliptin, the active ingredients in Tendia M Forte Tablet, it's best not to take this medicine. Ensure your doctor knows about any allergies you have.
Always consult your doctor before giving this medicine to a child.
In elderly patients, particularly those 65 years and above, caution is advised while taking Tendia M Forte Tablet. Metformin should not be initiated in geriatric patients 80 years and older unless renal function is normal. Conservative dosing and careful monitoring are recommended.
Tendia M Forte Tablet interacts with the following medicines:
Thiazides: Medicines such as hydrochlorothiazide and chlorthalidone may lead to a loss of glycemic control when taken with Tendia M Forte Tablet.
Corticosteroids: Medications like prednisone and dexamethasone can cause an increase in blood sugar levels, reducing the effectiveness of this medicine.
Certain foods may interact with Tendia M Forte Tablet. However, there's no specific food known to significantly alter the effects of this medication.
Tendia M Forte Tablet interacts with the following diseases:
Liver Disease: Individuals with liver disease should be cautious when taking this medication, as it could potentially worsen their condition.
Congestive Heart Failure: For those suffering from heart failure requiring pharmacologic treatment, caution is advised when using Tendia M Forte Tablet due to potential risks.
The daily dose of Tendia M Forte Tablet should be taken as directed by your doctor. The prescribed dosage may vary based on individual factors, such as the severity of the condition and response to the medicine. Always adhere to your doctor's instructions and avoid exceeding the prescribed dosage without a doctor’s consent.
In case you take more than the prescribed dose of Tendia M Forte Tablet, you might experience symptoms like nausea, diarrhoea or stomach pain. If you notice these or any other unusual symptoms, inform your doctor.
If you forget to take your regular dose of Tendia M Forte Tablet, take it as soon as you remember. However, if it's nearly time for your next dose, skip the missed one and continue with your regular schedule. Never adjust your dosage without consulting your doctor.
Store Tendia M Forte Tablet at a temperature between 10°C and 25°C.
Keep it in a dry and dark place to protect from light and moisture.
Always keep this medicine out of the reach of children.
Ensure you use it before the expiry date printed on the pack.
Since Tendia M Forte Tablet is used to manage type 2 diabetes, maintaining a balanced diet low in simple sugars is crucial. This helps control your blood sugar levels.
Regular exercise such as walking, swimming, or cycling can help improve your body's insulin sensitivity and help manage your condition better.
| Dosage Forms Available | Tablet |
| Habit Forming | No |
| Ailment | Type 2 Diabetes Mellitus |
| Drug Category | Biguanide, DPP-4 Inhibitor |
| Therapeutic Category | Antidiabetic |
Tendia M Forte Tablet is used to manage blood sugar levels in adults with type 2 diabetes mellitus when diet and exercise alone aren't sufficient.
The medicine combines metformin and teneligliptin. Metformin reduces sugar production in the liver and absorption in the gut, while teneligliptin increases insulin secretion, helping control blood sugar.
No, this medicine is not recommended for the management of type 1 diabetes or diabetic ketoacidosis.
Common side effects include gastrointestinal disturbances like diarrhoea, nausea, vomiting, and less commonly, headache, hypoglycemia and taste disturbance.
Yes, patients at risk for lactic acidosis such as those with liver problems or excessive alcohol intake should take precautions. Regular kidney function and Vitamin B12 monitoring is recommended.
The use of this medicine during pregnancy or breastfeeding should be discussed with your doctor to weigh potential benefits against risks.
Overdose may lead to serious conditions such as lactic acidosis or prolonged low blood sugar. Seek immediate medical attention if you suspect an overdose.
Check out Editorial Policy
Panacea Biotec Limited. (2019). PRODUCT MONOGRAPH. In Panacea Biotec Limited [Report]. https://media.panaceabiotec.com/documents/2019/7/27/ProductMonograph-TENEPAN-M-2016May05.pdf
TEN20 M. (n.d.). TEN20 M® Tablets. https://www.centaurpharma.com/downloads/TEN20M.pdf
Teneligliptin Tablets 20 mg and Metformin Hydrochloride 500/1000 mg Extended Release Tablets. (n.d.). [Pharmaceutical Information]. https://www.alkemlabs.com/pdf/adverse/Teneligliptin%20M.pdf
Goak, I. S., Lee, J. A., Jeong, M. H., Moon, S. J., & Kim, M. G. (2022). Pharmacokinetics of a Fixed-Dose combination of teneligliptin hydrochloride hydrate and Modified-Release metformin under fasting and fed conditions in healthy subjects. Drug Design, Development and Therapy, Volume 16, 4439–4448. https://doi.org/10.2147/dddt.s393675
Metformin: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB00331
Teneligliptin: Uses, interactions, mechanism of action | DrugBank Online. (n.d.). DrugBank. https://go.drugbank.com/drugs/DB11950
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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