Vylda DM 100/10/1000 Tablet

Vylda Dm tablet is an anti-diabetic combination medication containing dapagliflozin, metformin, and vildagliptin. It is used to manage type 2 diabetes (non-insulin-dependent) along with diet and exercise. The medication helps lower blood sugar by promoting excess glucose excretion through urine, reducing intestinal glucose absorption, and inhibiting enzymes that break down incretins, which regulate blood sugar levels.

Follow your doctor’s prescribed dosage and duration, avoid skipping meals, and opt for small, frequent meals. In addition to medication, adopt lifestyle changes such as regular exercise, a low-carb diet, weight management, and avoiding smoking and excessive alcohol. Regular blood sugar monitoring is essential.

Inform your doctor if you are pregnant, planning to conceive, breastfeeding, or taking other medications or supplements before starting Vylda Dm tablet.

Dosage

Overdose

In the event of an overdose, lactic acidosis may occur. Symptoms of lactic acidosis include vomiting, stomach pain, muscle cramps, and difficulty breathing. You should seek immediate emergency medical assistance if you suspect an overdose.If you believe you have taken too much of Vylda Dm tablet, please contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you have missed a dose of Vylda Dm tablet, take it as soon as you remember. If it is time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose of the medicine to make up for the missed one.

Mode of Action

How Does It Work?

Vylda Dm tablet helps in controlling high blood sugar levels in individuals with diabetes through several mechanisms. It functions by inhibiting the reabsorption of glucose in the kidneys, enabling excess sugar to be expelled via urine. The tablet also enhances the levels of hormones known as incretins, which aid in regulating blood sugar. Additionally, Vylda Dm tablet reduces the quantity of sugar absorbed from the intestine and diminishes sugar production in the liver. It facilitates the entry of glucose into the cells, where it can be utilised for energy. This combination effectively lowers blood sugar levels in individuals whose bodies either do not produce sufficient insulin or cannot utilise it properly.

Directions for Use

• Take Vylda Dm tablet exactly as prescribed by your doctor, with a glass of water, either with or after meals. It is important to take the medication at the same time each day for optimal results. Always swallow the tablet whole and do not crush it.
• Never change your dosage or stop taking the medication without consulting your doctor. You should not exceed the prescribed dosage. Taking Vylda Dm tablet with or after a meal can help reduce potential side effects. For the correct dosage, please consult your doctor.

Precautions and Warnings

Pregnancy

Can I take Vylda Dm tablet during pregnancy?

Limited information is available on the use of Vylda Dm tablet during pregnancy. If you become pregnant while on the treatment with this medicine, then immediately inform your doctor.

Breast Feeding

Can I take Vylda Dm tablet while breastfeeding?

Vylda Dm tablet is known to pass through breast feeding. Therefore, it should not be taken during breastfeeding without a doctor's advice.

Driving

Can I drive if I have consumed Vylda Dm tablet?

If you are using Vylda Dm tablet with other antidiabetic drugs, your blood sugar could decrease. This may cause faintness, confusion, or increased sweating. You need to be extra careful when driving. Keep juice or chocolate nearby; if you notice these symptoms, consume them immediately immediately.

Alcohol

Can I consume alcohol with Vylda Dm tablet?

Limit alcohol intake when using Vylda Dm tablet. Alcohol can lower blood sugar levels, which poses a risk, and it also increases the likelihood of a serious condition known as lactic acidosis.

Other General Warnings

Talk to your doctor if

• You have type 1 diabetes, a condition in which the body does not produce insulin.
• You have a known history of pancreatitis or experience sudden pain in the stomach or back, immediately stop the medicine and report to the hospital.
• You experience muscle pain, stomach pain, vomiting, breathing difficulty, or low body temperature, which could indicate lactic acidosis.
• You have liver or kidney disease.
• You have a fever, nausea, vomiting, or a urinary tract infection, and you are taking medication for high blood pressure with a history of low blood pressure.
• You have high blood sugar levels leading to dehydration.
• You notice symptoms like stomach pain, excessive thirst, rapid deep breathing, confusion, unusual tiredness, a sweet smell on your breath, a sweet or metallic taste in your mouth, unusual odour in urine or sweat, or rapid weight loss, inform your doctor immediately.
• You have pain, tenderness, redness, or swelling of the genitals or the area between the genitals and the anus.

Contraindications

• If you are allergic to dapagliflozin, vildagliptin, metformin, or any other ingredients of Vylda Dm tablet.
• If you have liver or severe kidney problems.
• If you are an alcoholic.
• If you have uncontrolled diabetes.
• If you have any heart problems, or if you recently had a heart attack.
• If you have a severe infection of the lung or kidney. Infections can increase the risk of lactic acidosis.

Side effects

• Low blood sugar (hypoglycaemia)
• Genital infections
• Increased urination
• Painful urination
• Back pain
• Dizziness
• Nausea
• Vomiting
• Fatigue
• Vitamin B12 deficiency
• Abnormal liver function
• Lactic acidosis or hepatitis

Interactions

Interactions with other medicines

• Inform your doctor about all current medications, supplements, or herbal products to avoid possible interactions.
• Taking diuretics like furosemide alongside Vylda Dm tablet can lead to excessive water loss.
• If you are using diabetes medications such as insulin or sulphonylureas, your doctor may adjust the dosage when prescribing Vylda Dm tablet.
• Asthma medications like salbutamol or terbutaline may interact with Vylda Dm tablet.
• If you require an iodine-based contrast medium for an X-ray or scan, stop taking Vylda Dm tablet as directed by your doctor.
• Long-term use of NSAIDs or COX-2 inhibitors (e.g. ibuprofen, celecoxib) can harm kidneys, especially in diabetics, and should be avoided.

Interactions with food items

• Absorption of vitamin B12 appears to be reduced during long-term Vylda Dm tablet therapy, and annual screening of serum vitamin B12 levels and red blood cell parameters has been recommended.
• Advisable to have a diabetic diet as advised by your doctor or dietician. Vylda Dm tablet works best along with a good diet and exercise. Exercise is known to decrease insulin resistance.

Storage and disposal

Store Vylda Dm tablet in a cool, dry location, shielding it from direct sunlight and moisture. Keep Vylda Dm tablet out of sight and reach of children and pets.

Frequently Asked Questions (FAQs)

Can I take Vylda Dm tablet along with insulin?

Yes, under medical supervision, the Vylda Dm tablet can be taken alongside insulin. The insulin dosage must be lowered to avoid extremely low blood sugar levels.

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

The disease cannot be fully cured, but it can be managed with certain lifestyle changes. Plan your diet to lower carbohydrates and sugar, engage in regular exercise, and monitor your blood glucose levels frequently. Take your anti-diabetic medication to ensure effective control of your blood sugar levels.

Does Vylda Dm tablet lead to weight loss?

No, Vylda Dm tablet does not lead to weight loss. Rapid weight loss may indicate a serious medical condition known as diabetic ketoacidosis. If you observe such weight loss, please consult your doctor immediately.