Dynaglipt Tablet

Dynaglipt tablet contains teneligliptin which belongs to a class of anti-diabetic medicine. It is used to lower the high blood sugar levels in people with type 2 diabetes mellitus, along with lifestyle changes. It is an anti-diabetic medicine.

This medicine works best when used along with a healthy diet and regular exercise. This medicine will help you keep your sugar levels in control and reduce the risk of diabetes complications. Thus, always take Dynaglipt tablet as prescribed by your doctor, and at the same time to gain optimal benefit.

Do not stop taking this medicine abruptly, it may lead to serious health consequences. Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding and about all the medicines and supplements you take and all the conditions or diseases you suffer from, before starting this medicine.

Dosage

Overdose

• Overdose of Dynaglipt tablet will lead to low blood sugar levels and you may experience symptoms like dizziness, fainting, sweating and tremors
• If you have the blood glucometer with you, test immediately and confirm
• Whether you test your levels or not, it is important to take some glucose water/juice/eat sugar or chocolates immediately and then rush to your doctor

Missed a Dose

• Missing a dose is not advised as it will lead to fluctuations in your blood sugar
• If you missed any dose of Dynaglipt tablet, take it as soon as you remember
• If it's time for your next dose, skip the missed dose and continue with your regular dosing schedule
• Do not take a double dose of medicine to compensate for the missed one as taking double dose can cause a drastic fall in blood glucose which can be dangerous

Mode of Action

How Does It Work?

• When we eat, glucose increases in the body. The small intestine increases the release of certain chemicals called incretins. These play an important role in controlling blood glucose. But these are rapidly degraded by an enzyme called DPPP-4
• Teneligliptin inhibits this DPP-4. Thus, incretins don’t get degraded rapidly and can act to control blood glucose
• It increases insulin synthesis by the pancreas, thereby reducing glucose levels
• It also decreases glucagon levels which is a counter-hormone of insulin, thereby further decreasing blood sugar levels

Directions for Use

Dynaglipt tablet should be taken as directed by your doctor. Swallow it whole with a glass of water, do not cut, break or chew the medicine. It can be taken with or after food. It would be best if you took it at a fixed time for optimal results. You should not consume more than that prescribed by your doctor.

Precautions and Warnings

Pregnancy

Can I take Dynaglipt tablet during pregnancy?

You should not take this medicine during pregnancy. Limited information is available about its safety in pregnancy. This medicine should not be taken if you are pregnant.

Breast Feeding

Can I take Dynaglipt tablet while breastfeeding?

It is advised not to breastfeed when you are taking this medicine as limited information is available on how this medicine can affect your baby.

Driving

Can I drive if I have consumed Dynaglipt tablet?

• This medicine is known to cause low blood sugar levels which can impair your driving ability
• Always keep sugar, juice or a bar of chocolate in your car with you while driving
• In case you experience any of the symptoms of low blood glucose levels like dizziness, drowsiness, visual disturbances and sweating, stop driving immediately and have sugar/ juice
• Do not consume sugar-free items at such episodes

Alcohol

Can I consume alcohol with Dynaglipt tablet?

• It is unsafe to consume alcohol with this medicine as it affects the blood glucose levels
• It can decrease or increase the blood sugar level depending on the quantity and frequency of alcohol consumption
• It increases the appetite and you tend to consume more calories and it interferes the way this medicine works
• Alcohol can also increase the risk of developing the serious side effect of pancreatitis

Other General Warnings

Talk to your doctor if

• You have serious liver and kidney function problems
• You have known history of pancreatitis or develop sudden pain in the stomach or back, immediately stop the medicine and report to the hospital
• You have malnutrition, are dieting, taking irregular meal, doing vigorous muscle exercise and consuming too much of alcohol, then you may experience low blood sugar
• You have undergone any surgery of stomach or intestine
• You have heart problems like irregular heart rhythm and heart failure as it may increase the symptoms further
• You are taking other medicines to treat diabetes like Insulin and Glimepiride, drastic fall in blood glucose can occur

Contraindications

• If you are allergic to teneligliptin or any of the ingredients of Dynaglipt tablet
• If you have metabolism-related problem called ketosis (when your body utilizes fats for energy and not sugar)
• If you have type1 diabetes mellitus
• If you are suffering from serious infection and have experienced diabetic coma (an emergency condition in which blood sugar gets too high)
• If you have to undergo surgery or are suffering from a serious physical injury, as these may require insulin for controlling blood sugar
• You have known history of pancreatitis

Side effects

• Headache
• Fever
• Nausea
• Vomiting
• Constipation, gas
• Stomach pain
• Diarrhoea
• Itching, rashes
• Low blood sugar, be watchful for symptoms of low blood sugar like trembling, sweating, anxiety, blurred vision, tingling lips, paleness, irritability or confusion

Interactions

Interactions with other medicines

• Some medicines can affect the way Dynaglipt tablet works, or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
• Tell your doctor about all the medicines, supplements, or herbals you are currently taking or might take to avoid any possible interaction.
• You may have symptoms of low blood sugar if you are taking other medicines for diabetes like Metformin, Insulin, Canagliflozin, Liraglutide, medicines used to treat depression like Phenelzine, medicines for fever and pain (salicylates like aspirin) and medicines used to treat high blood pressure like Atenolol and Propranolol
• You may have high blood sugar if you are taking steroids, thyroxine
• Never take this medicine if you are taking medicines like Quinidine, Sotalol, Procainamide and Amiodarone as it may cause heart rhythm problems and cardiac arrest

Storage and disposal

• Store Dynaglipt tablets below 25°C protected from moisture, sun light and heat
• Keep the medicine out of the reach of children

Frequently Asked Questions (FAQs)

What are other lifestyle modifications I need to consider to manage diabetes?

• This disease cannot be cured completely. However, you can control it. Here are a few simple tips to control diabetes
• Plan your diet, consume a balanced diet
• Limit carbohydrate and sugar intake
• Exercise regularly
• Monitor your blood glucose regularly
• Take your anti-diabetic medication on time

What diet should I follow?

• A diet should be high in fibre, low in fat with adequate protein, carbohydrates, vitamins and minerals
• Maintain the regular meal timings and try to have 2-3 healthy snacks between meals like soups and salads
• Diet should include boiled, steamed or baked food
• Ensure moderate use of edible oils (groundnut oil, olive oil), less use of ghee and butter
• Drink at least 8-10 glass of water daily
• Carry fruit or low-calorie high fibre biscuits while traveling

What should I avoid being a diabetic patient?

• Do not shop when you are hungry
• You could be tempted to buy oily and fried food
• Avoid overeating
• Avoid maida, white bread, potato, noodles, corn flakes, poori, biryani, naan, fried rice, etc.
• Stop having daals with ghee and deep-fried pulses
• Avoid cream soups, carrot juice, deep-fried vegetables, vegetable curries with excess oil

When should I take Dynaglipt 20 mg tablet?

Dynaglipt can be taken at any time of the day as told by the doctor. But it's best to take metformin tablets with a meal to reduce the unwanted effects like an upset stomach.

What is the use of Dynaglipt tablet?

Dynaglipt is used for the treatment of type 2 diabetes mellitus in combination with diet and exercise.

What is the composition of tab Dynaglipt?

Dynaglipt composition consists of teneligliptin, which belongs to a class of anti-diabetic medicine.