Ziten 20mg Strip Of 15 Tablets

Ziten 20mg Tablet contains Teneligliptin as the active ingredient. It belongs to the class of anti-diabetic medicines. It helps to control the blood sugar levels under normal limits and prevent complications of diabetes.

It is recommended to take this medicine regularly for the best results. Inform the doctor regarding the medical conditions before taking this medicine. Follow a healthy diet and exercise regularly along with medication to achieve better blood sugar control.

Dosage

Overdose

• An overdose of this medicine leads 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 and confirm.
• Whether you test the levels or not, it is important to take glucose water/juice/eat sugar or chocolates and rush to the doctor.

Missed a Dose

• Missing a dose is not advised as it leads to fluctuations in blood sugar.
• If you have missed taking a dose of the medicine, take it as soon as you remember.
• If it's time for the next dose, skip the missed dose and continue with the regular dosing schedule.
• Avoid taking a double dose to compensate for the missed one as taking a double dose can cause a drastic fall in blood glucose which is 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 decreases glucagon levels which is a counter-hormone of insulin, thereby decreases blood sugar levels.

Directions for Use

Swallow it as a whole with a sufficient amount of water. Do not crush, chew or break the tablet. Avoid taking the medicine if it has expired.

Precautions and Warnings

Pregnancy

Can I take the Ziten 20 mg Tablet during pregnancy?

Avoid taking this medicine during pregnancy. Little information is available about its safety during pregnancy. This medicine must not be taken if you are pregnant.

Breast Feeding

Can I take the Ziten 20 mg Tablet while breastfeeding?

Avoid breastfeeding while taking this medicine as little information is available on how this medicine affects the baby.

Driving

Can I drive after consuming the Ziten 20 mg Tablet?

• This medicine is known to cause low blood sugar levels which can impair driving ability.
• Always keep sugar, juice or a bar of chocolate in the car while driving.
• In case you experience the symptoms of low blood glucose levels like dizziness, drowsiness, vision disturbances and sweating, stop driving and have sugar/ juice.
• Avoid consuming sugar-free items at such episodes.

Alcohol

Can I consume alcohol while taking this medicine?

• It is unsafe to consume alcohol with this medicine as it affects blood glucose levels.
• It decreases or increases 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 with the way this medicine works.
• Alcohol increases 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 a history of pancreatitis or develop sudden pain in the stomach or back, stop the medicine and report to the hospital.
• You have malnutrition, are dieting, taking irregular meals, doing vigorous muscle exercise and consuming too much alcohol, then you may experience low blood sugar.
• You have undergone surgery on the stomach or intestine.
• You have heart problems like irregular heart rhythm and heart failure as it may increase the symptoms.
• You are using other medicines to treat diabetes like Insulin and Glimepiride, a drastic fall in blood glucose occurs.

Contraindications

• If you are allergic to teneligliptin or other ingredients of this medicine.
• If you have metabolism-related problems called ketosis (when the body utilises fats for energy and not sugar).
• If you have type1 diabetes mellitus.
• If you suffer from infection and have experienced a diabetic coma (an emergency condition in which blood sugar gets too high).
• If you are undergoing surgery or suffering from a serious physical injury, these may require insulin for controlling blood sugar.
• If you have a history of pancreatitis.

Side effects

• Headache
• Fever
• Nausea
• Vomiting
• Constipation
• Bloating
• Passing gas (Flatulence)
• Stomach pain
• Diarrhoea
• Skin allergy
• Itching
• Rashes

Interactions

Interactions with other medicines

• Some medicines affect the way the Ziten 20mg tablet works or this medicine itself reduces the effectiveness of other medicines taken at the same time.
• Inform the doctor regarding the medicines, supplements or herbals you take or might take to avoid possible interaction.
• Avoid taking this medicine if you are taking medicines like quinidine, sotalol, procainamide and amiodarone as it may cause heart rhythm problems and cardiac arrest.
• You may have symptoms of low blood sugar if you are using 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 using steroids, thyroxine.

Storage and disposal

• Store at room temperature.
• Keep it away from children and pets.
• Dispose of if this medicine is expired.

Frequently Asked Questions (FAQs)

What are the other lifestyle modifications must I follow to manage diabetes?

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

What kind of diet must I follow?

• A diet high in fibre, low in fat with adequate protein, carbohydrates, vitamins and minerals.
• Maintain the mealtime and try to have 2-3 healthy snacks between meals like soups and salads.
• Diet must include boiled, steamed or baked food.
• Ensure moderate use of edible oils (groundnut oil, olive oil), less use of ghee and butter.
• Drink 8-10 glasses of water daily.
• Take fruit or low-calorie high fibre biscuits while travelling.

What precautions must I follow being a diabetic patient?

• Avoid shopping when you are hungry.
• You end up buying oily and fried food.
• Avoid overeating.
• Avoid using maida, white bread, potato, noodles, corn flakes, poori, biryani, naan, fried rice, etc.
• Stop having daals with ghee and deep-fried pulses.
• Avoid using cream soups, carrot juice, deep-fried vegetables, vegetable curries with excess oil.

Does this medicine cause weight gain?

There are no cases that reported weight gain as the side effect of this medicine. Consult the doctor in case you have experienced weight gain suddenly.

Can I stop this medicine once my sugar levels are normal?

No, this medicine must only be stopped on the advice of the doctor. As the blood sugar levels may spike up again once the medication is stopped. Do not abruptly stop the medicine as it may be life-threatening.