Megagliptin 20mg Strip Of 10 Tablets

Megagliptin tablet is an anti-diabetic medicine used for the treatment of type 2 diabetes mellitus. It contains Teneligliptin as an active ingredient. Individuals with high blood sugar or diabetes are at risk of getting health complications like eye, kidney and nerve problems, heart diseases and stroke if not controlled well.

It is advisable to take this along with the diabetes medications. If prescribed by the doctor, you must make certain lifestyle modifications. Before initiating the treatment with the medicine, you must let the doctor know about your complete medical history.

Patients are advised to maintain a strict exercise and diet regimen along with this medicine to get the best possible effect. Also, keep a check on your blood sugar levels. Do not stop taking this medicine unless you are asked to do so by the doctor.

Before using this medicine, inform the doctor about your detailed medical history.

Dosage

Overdose

• Overdose of this medicine 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 medicine, 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

It should be taken as a whole with a sufficient amount of water, every day at the same time. It can be taken with or after food.

Precautions and Warnings

Pregnancy

Can I take Megagliptin tablet during pregnancy?

There is limited information is available about the safety of the medicine in pregnancy. If pregnancy is detected while on treatment with the medicine consult the doctor.

Breast Feeding

Can I take Megagliptin 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 Megagliptin 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 Megagliptin 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 other ingredients of the medicine.
• If the diabetes is uncontrolled and complications like ketosis (serious metabolism-related problem), diabetic coma or pre-coma develops.
• If you are undergoing surgery or suffer from a serious physical injury and insulin injection is used to control blood sugar.

Side effects

• Low blood sugar, be watchful for symptoms of low blood sugar like trembling, sweating, anxiety, blurred vision, tingling lips, paleness, irritability or confusion
• Diarrhea
• Headache
• Increased body temperature

Interactions

Interactions with other medicines

• Certain medicines can interfere with the action of Megagliptin tablet if, taken at the same time. Inform the doctor about the medicines, herbals, supplements you are taking or might take to avoid possible interaction. You may have symptoms of low blood sugar if you are taking other medicines for diabetes, medicines used to treat psychiatric illness, medicines for fever and pain (salicylates like aspirin) and other medicines used to treat high blood pressure.
• Medicines like steroids, adrenaline and medicines used for thyroid disorders like thyroxine if are taken along, will increase the blood sugar. Medicines used for the treatment of heart rhythm disorder must be used carefully while taking the Megagliptin Tablet.

Storage and disposal

• Store 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 is hypoglycemia?

Hypoglycemia causes blood sugar levels to drop. It is 70 milligrams per deciliter (mg/dL) or less. This might be different for an individual, check with the doctor to know more about it.

What are the signs and symptoms of hypoglycemia?

Common signs and symptoms of hypoglycemia includes headache, dizziness, blurred vision, feeling shaky, hungry, thirsty and sweaty. You may also feel irritated, trouble concentrating, confused or disoriented.