Xiaten M 20/1000 MG Tablet 10

Vidakem Lifesciences Pvt. Ltd.

Pack of 10 Units

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Old MRP ₹108.92

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Composition

Metformin (1000 Mg) + Teneligliptin (20 Mg)

Xiaten M 20/1000 MG Tablet 10 is used to manage type 2 diabetes mellitus in adults when blood sugar levels are not adequately controlled with metformin alone. It is a combination medicine that belongs to the class of oral antidiabetic medications. This medicine helps improve glycaemic control as an adjunct to diet and exercise in adult patients with type 2 diabetes.

It works by reducing blood glucose levels both after meals and during fasting periods, which may help manage blood glucose levels throughout the day. The medicine should be taken orally as directed by your doctor, typically with meals.

Xiaten M 20/1000 MG Tablet 10 is used to manage type 2 diabetes by improving glycaemic control alongside diet and exercise. It helps control blood sugar when metformin alone isn’t sufficient, improves insulin sensitivity, and regulates blood sugar through multiple mechanisms.

Follow these instructions while taking Xiaten M 20/1000 MG Tablet 10:

Swallow the tablet whole with a glass of water.
Never split, crush or chew the tablet.
Take the medicine at the same times each day.
Do not stop taking this medicine without consulting your doctor.

Xiaten M 20/1000 MG Tablet 10 is taken orally.

Xiaten M 20/1000 MG Tablet 10 may cause an upper respiratory tract infection, nasopharyngitis (inflammation of the nasal passages and throat), diarrhea, headache, nausea, abdominal pain, dyspepsia (indigestion), decreased appetite, dizziness, and hypoglycemia (low blood sugar). If any of these symptoms persist or worsen, consult your healthcare provider.

Managing the Side Effects:

Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Xiaten M 20/1000 MG Tablet 10. 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:

Nausea and dyspepsia: Try taking Xiaten M 20/1000 MG Tablet 10 with meals to reduce stomach discomfort.
Hypoglycemia: Consider having a small snack when taking this medicine if you experience low blood sugar symptoms.

Xiaten M 20/1000 MG Tablet 10 contains two active ingredients:

Teneligliptin (20 mg): This is a dipeptidyl peptidase-4 (DPP-4) inhibitor that slows the inactivation of incretin hormones called GLP-1 and GIP. These hormones stimulate insulin secretion and suppress glucagon secretion in a glucose-dependent manner, enhancing the body's natural ability to regulate blood sugar in response to meals and reducing the amount of glucose produced by the liver.
Metformin (1000 mg): As a biguanide, metformin reduces liver glucose production in the liver and decreases intestinal glucose absorption. It also improves insulin sensitivity by increasing peripheral glucose uptake and utilisation, helping lower both basal and postprandial (after meal) plasma glucose levels.

Pregnancy

Caution is advised while taking Xiaten M 20/1000 MG Tablet 10 if you are pregnant. Poorly controlled diabetes during pregnancy can increase risks for both mother and baby, including complications like preeclampsia and birth defects. It is best to consult your doctor before taking this medicine.

Breastfeeding

Caution is advised while taking Xiaten M 20/1000 MG Tablet 10 during breastfeeding. Metformin passes into breast milk in small amounts. Your doctor can help weigh the benefits of breastfeeding against any potential risks to your baby.

Alcohol

Avoid alcohol while taking Xiaten M 20/1000 MG Tablet 10. Alcohol can increase your risk of developing lactic acidosis (a dangerous build-up of acid in your blood) when combined with metformin, which is a component of this medicine.

Liver

Caution is advised while taking Xiaten M 20/1000 MG Tablet 10 if you have liver problems. This medicine is not recommended for patients with evidence of liver disease as it may increase the risk of lactic acidosis, a rare but serious condition.

Kidney

Xiaten M 20/1000 MG Tablet 10 is contraindicated if you have severe kidney problems (with eGFR below 30 mL/min/1.73 m²). Both active ingredients in this medicine are removed from your body through the kidneys. Regular kidney function tests are important during treatment.

Using Machines & Driving

You may drive and use machines while taking Xiaten M 20/1000 MG Tablet 10. However, if you experience dizziness or low blood sugar (hypoglycaemia), avoid these activities until you feel better.

Allergy

Do not take Xiaten M 20/1000 MG Tablet 10 if you have had allergic reactions to metformin, teneligliptin, or any other ingredients in this medicine. Serious allergic reactions including skin rashes and swelling have been reported with similar medicines.

Children

Xiaten M 20/1000 MG Tablet 10 is not recommended for children under 18 years of age. The safety and effectiveness of this medicine have not been established in children and adolescents.

Older Patients

Older patients should take Xiaten M 20/1000 MG Tablet 10 under medical supervision. If you are over 80 years of age or have reduced kidney function, your doctor will check your kidney function before prescribing this medicine and may adjust the dosage accordingly.

Drug-Drug Interactions

Xiaten M 20/1000 MG Tablet 10 interacts with the following medicines:

Carbonic anhydrase inhibitors: Medicines like acetazolamide or topiramate may increase the risk of lactic acidosis when taken with metformin in this tablet.
Antifungals: Medicines like ketoconazole or itraconazole may increase teneligliptin levels in the blood, potentially enhancing both therapeutic and adverse effects.
Cationic medicines: Medications such as cimetidine, dolutegravir, or vandetanib can reduce metformin clearance, increasing the risk of metformin accumulation.

Drug-Disease Interactions

Xiaten M 20/1000 MG Tablet 10 interacts with the following diseases:

Pancreatitis: This medicine may worsen existing inflammation of the pancreas or increase risk in susceptible individuals.
Vitamin B12 deficiency: Long-term use of metformin may reduce vitamin B12 levels, potentially worsening existing deficiency.

Daily Dose

The daily dose of Xiaten M 20/1000 MG Tablet 10 should be taken as prescribed by your doctor. The dosage may change based on individual factors such as your response to treatment and kidney function. Follow the prescribed dosage without exceeding it.

Over Dose

Overdose of Xiaten M 20/1000 MG Tablet 10 may cause symptoms like nausea, vomiting, stomach pain, diarrhoea, dizziness, and low blood sugar (hypoglycaemia). Contact your doctor if you experience these symptoms after taking too much medicine.

Missed Dose

If you forget to take Xiaten M 20/1000 MG Tablet 10, take it as soon as you remember. If it's nearly time for your next dose, skip the missed one and continue your regular schedule. Never double your dose to make up for a missed one.

Store Xiaten M 20/1000 MG Tablet 10 in a cool, dry place at temperature below 25°C.
Keep away from direct sunlight and moisture.
Store in the original packaging to protect from environmental exposure.
Keep this medicine out of sight and reach of children.
Do not use after the expiry date printed on the package.

Monitor your carbohydrate intake and choose complex carbohydrates (whole grains, legumes) over simple sugars to help maintain steady blood glucose levels throughout the day.
Include regular physical activity (aim for at least 30 minutes of moderate exercise most days) to improve insulin sensitivity and help your body use glucose more effectively.

Fact Box

Available Dosage Types	Tablet
Habit Forming	No
Ailment	Type 2 diabetes
Drug Category	DPP-4 inhibitor, Biguanide
Therapeutic Category	Antidiabetic

What is Xiaten M 20/1000 MG Tablet 10 used for?

It's used to manage type 2 diabetes in adults when diet and exercise alone aren't enough. It helps control blood sugar levels when metformin alone doesn't work well.

How does Xiaten M 20/1000 MG Tablet 10 work in the body?

It contains two medicines: teneligliptin increases insulin release after meals, while metformin reduces glucose production in your liver. Together, they help lower blood sugar levels.

Can I take Xiaten M 20/1000 MG Tablet 10 with food?

Yes, you should take this medicine with meals. Taking it with food helps reduce stomach-related side effects that can occur with metformin.

What are the common side effects of this medicine?

Common side effects include upper respiratory infections, sore throat, diarrhoea, and headache. You might also experience nausea, vomiting, stomach pain, or reduced appetite.

Should I be concerned about lactic acidosis?

Lactic acidosis is a rare but serious condition where lactic acid builds up in your blood. Risk factors include kidney problems, excessive alcohol intake, and liver disease.

Is vitamin B12 deficiency a concern with long-term use?

Yes, metformin may lower vitamin B12 levels over time. Your doctor might recommend periodic blood tests and possibly vitamin B12 supplements during long-term treatment.

Can I drink alcohol while taking Xiaten M 20/1000 MG Tablet 10?

You should avoid excessive alcohol while taking this medicine. Alcohol can increase your risk of low blood sugar and lactic acidosis, a serious side effect.

Last Updated On 06 Feb. 2026 | 12:29PM (IST)

Certified Content

Written by

Ashmita Borgohain

Medical Content Writer | 13 years

MSc (Applied Genetics)

Reviewed by

Dr. Chhavi Rosha

Medical Content Writer | 9 years

BAMS, FMC, MD Resident

Check out Editorial Policy

Manufacturer details

Vidyanagar Society Part 2, PARAS,7, opp. Vidyanagar School, Part-III, Usmanpura, Ahmedabad, Gujarat 380013

Country of origin: INDIA

Expiry on or after: June 2026

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

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

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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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