Zita Met Plus 20/500 Strip Of 15 Tablets

Zita-Met Plus 20mg/500mg tablet is a combination of Teneligliptin and Metformin as an anti-diabetic medication. 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. Take Zita-Met Plus 20mg/500mg tablet as recommended by your doctor. Taking more than the recommended medicine may lead to a serious complication of too low blood sugar levels that may be characterised by dizziness, blurred vision, trembling, sweating, paleness and confusion.

Inform your doctor if you have low levels of vitamin B12. To achieve better sugar control, it is advised that you follow a healthy diet and exercise regularly, along with taking Zita Met Plus. Dynaglipt-M tablet , Tendia M tablets , Ziten M 20/500mg tablets and Teniva M tablets are a few other medicines with the combination of Teneligliptin and Metformin.

Do not stop taking this medicine abruptly, as it may lead to serious health consequences. You may experience the most common side effects such as diarrhoea, nausea, vomiting, upset stomach, headache and low blood sugar level (hypoglycemia). If these side effects worsen, reach out to the nearest clinic.

This medicine should not be used in patients with liver or kidney disease. Thus, it is important to inform your doctor about medical conditions and lifestyle.

Dosage

Overdose

• In case of an overdose, lactic acidosis may occur.
• Symptoms of lactic acidosis are vomiting, stomach and muscle cramps, difficulty in breathing.
• You must seek immediate emergency medical care if you suspect an overdose.

Missed a Dose

If you missed a dose of this 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 this medicine to compensate for the missed one.

Mode of Action

How Does It Work?

Teneligliptin in this medicine works by increasing insulin secretion from the pancreas by inhibiting the enzyme dipeptidyl peptidase 4 (DPP4), whereas Metformin decreases the production of glucose from the liver, the amount of glucose absorbed from the intestine and increases insulin sensitivity.

Directions for Use

• Take this medicine as instructed by your doctor
• Take this medicine with or after a meal to reduce its side effects
• Consult your doctor for the appropriate dosage
• Take this tablet as a whole with a glass of water

Precautions and Warnings

Pregnancy

Can I take Zita-Met Plus 20mg/500mg tablet during pregnancy?

Generally, in pregnancy-related diabetes, insulin is preferred over any oral medicines. Your doctor will mostly not prescribe this medicine to you in pregnancy. Do not use this medicine in pregnancy without a doctor’s advice.

Breast Feeding

Can I take Zita-Met Plus 20mg/500mg tablet while breastfeeding?

It is not advised to breastfeed during the treatment. It can harm the newborn baby.

Driving

Can I drive if I have consumed Zita-Met Plus 20mg/500mg tablet?

After taking this, there are chances your blood sugar can fall. You may experience faintness, confusion and increased sweating. So, it would be best if you take extra care when driving. Keep a juice or chocolate handy while driving and in case you start experiencing any of these symptoms, immediately have it.

Alcohol

Can I consume alcohol with Zita-Met Plus 20mg/500mg tablet?

• Alcohol lowers blood sugar which can be dangerous and also increases the risk of a serious condition called lactic acidosis.
• Alcohol can also increase the risk of developing the serious side effect of pancreatitis.

Other General Warnings

Talk to your doctor if

• You are pregnant or breastfeeding.
• You are allergic to the active ingredients- Metformin and/or Teneligliptin of the medicine.
• You have a known history of pancreatitis or develop sudden pain in the stomach or back, immediately stop this medicine and report to the hospital.
• You have a liver or heart problem like irregular heartbeat and heart failure.
• You are suffering from continuous diarrhoea, vomiting and loss of body fluids.
• You have serious liver and kidney function problems.
• You have an irregular diet, habit of excessive alcohol intake and intense exercise.
• You have a history of any abdomen surgery.
• You are using other medicines like Glimepiride because it can cause a drop in blood sugar level.
• You have Vitamin B12 deficiency.
• You experience muscle pain, stomach pain, vomiting, breathing difficulty and low body temperature. It could be a serious condition known as lactic acidosis.

Contraindications

• If you are allergic to this medicine or any of the ingredients of Zita met plus.
• If you have liver or severe kidney problems.
• If you are an alcoholic.
• If you are in a state of diabetic coma due to a sudden rise or drop in blood sugar level.
• If you have type1 diabetes mellitus.
• If you have a severe infection or you have gone through surgery.
• You have a known history of pancreatitis.

Side effects

• Low blood sugar level
• Nausea
• Constipation
• Stomach pain
• Flatulence
• Diarrhoea
• Loss of appetite
• Rashes
• Tiredness

Interactions

Interactions with other medicines

• If you need to take an injection of iodine-containing contrast medium into your bloodstream, for an X-ray or scan, your doctor will ask you to stop taking this medicine before or at the time of injection.
• You may have symptoms of low blood sugar if you are taking other medicines for diabetes like Metformin, Insulin, Canagliflozin and Liraglutide.
• Medicines used to treat depression like Phenelzine.
• Medicines for fever and pain (salicylates like aspirin).
• Medicines used to treat high blood pressure like Atenolol, Propranolol and Verapamil.
• 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.
• Discuss with your doctor about any other medicines, herbal preparations and supplements you are taking currently to avoid any possible interactions.

Interactions with food items

Absorption of vitamin B12 appears to be reduced during long-term Metformin therapy and annual screening of serum vitamin B12 levels and red blood cell parameters has been recommended.

Storage and disposal

Store this medicine below 25°C away from heat and light. Keep it away from children and pets.

Frequently Asked Questions (FAQs)

What kind of food should I include in my diet?

• The diet should be high in fibre and low in fat with adequate protein, carbohydrates, vitamins and minerals.
• Maintain regular meal timings and try to have 2-3 healthy snacks between meals, like soups and salads.
• Include boiled, steamed or baked food.
• Ensure moderate use of edible oils (groundnut oil, olive oil) and very little use of ghee and butter.
• Drink at least 8-10 glasses of water daily.
• Carry fruits or low-calorie high-fibre biscuits while travelling.

What should I avoid doing, being a diabetic patient?

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

Who should not take Zita Met Plus 20/500 tablets?

Zita Met Plus 20/500 tablets should not be taken if you are pregnant or breastfeeding, allergic to the ingredients Teneligliptin and/or Metformin, suffering from liver or kidney disorders or if you are suffering from a state of diabetic coma (a condition that arises due to sudden rise or fall of blood sugar levels if you are suffering from inflammation of the pancreas/pancreatitis).

Is this tablet habit-forming?

No, this tablet is not habit-forming. Please take the medicine as recommended by your doctor.

What are the side-effects of Zita met plus?

The side effects that you may experience are nausea, headache, constipation, stomach pain and low blood sugar levels (dizziness, sweat, trembling, blurred vision, tiredness). It is recommended that you visit your doctor or nearest hospital if you are experiencing side effects, especially symptoms that indicate low blood sugar levels.

What is the composition of Zita met plus 20/500?

The composition of Zita met plus 20/500 consists of metformin and teneligliptin, as its active component.

Is there any substitute for Zita met plus 20/500?

There are various brands containing the same composition as Zita met plus 20/500 has. The doctor will prescribe the medicine on the basis of medical history. Hence, it is advised to take the same brand recommended by the doctor.

What is the dose of Zita Met Plus?

The dose and duration of treatment with Zita met plus depends on the underlying condition and the patient's response to the treatment. Do not stop or modify the dose on your own.