Tiban M 20 /1000 Mg Tablet ( 15 Tab )

TIBAN M 20/1000 MG TABLET

TIBAN M 20/1000 MG TABLET (15 TAB) is an oral antidiabetic medication manufactured by Ajanta Pharma Limited, used for the management of type 2 diabetes mellitus.

• Name: Tiban M 20/1000 mg Tablet

• Composition: Each tablet contains Metformin Hydrochloride 1000 mg and Teneligliptin 20 mg.

• Uses: Tiban M 20/1000 mg Tablet is primarily prescribed to control high blood sugar levels in adults with type 2 diabetes mellitus. It works by decreasing glucose production in the liver, reducing glucose absorption from the intestines, and increasing insulin levels and sensitivity in the body. This helps improve glycemic control, especially when diet and exercise alone, or metformin monotherapy, are insufficient. Effective blood sugar control can help prevent long-term diabetic complications such as kidney damage, eye problems, nerve issues, and cardiovascular events.

• Dosage and Administration: This medicine should be taken orally, typically once daily or as advised by your doctor. It is generally recommended to take it with meals to help reduce stomach upset. The tablet should be swallowed whole with a glass of water and should not be crushed, chewed, or broken. The exact dosage and duration of treatment are determined by the physician based on the patient's condition and response to therapy.

• Side Effects: Common side effects may include nausea, vomiting, diarrhea, headache, stomach ache/upset, respiratory infection, weight gain, and sweating. Hypoglycemia (low blood sugar) is also a possible side effect, especially when used in combination with insulin or sulfonylureas. A serious, though rare, side effect is lactic acidosis, which requires immediate medical attention if symptoms like abdominal pain, muscle cramps, severe fatigue, or difficulty breathing occur. Long-term use may also lead to Vitamin B12 deficiency.

• Precautions: Tiban M 20/1000 mg Tablet is contraindicated in patients with severe kidney or liver impairment, severe heart problems (such as acute heart failure), type 1 diabetes, diabetic ketoacidosis, or known allergies to its components. Caution is advised for pregnant and breastfeeding women, and medical consultation is necessary. Alcohol consumption should be limited or avoided as it increases the risk of lactic acidosis. Regular monitoring of blood sugar levels and kidney function is crucial during treatment. Inform your doctor about all other medications and pre-existing medical conditions to prevent potential interactions.

• Storage: Store Tiban M 20/1000 mg Tablet in a cool and dry place, protected from direct sunlight, moisture, and heat. Keep it out of the sight and reach of children and pets.

Here are frequently asked questions about TIBAN M 20/1000 MG TABLET:

What is TIBAN M 20/1000 MG TABLET used for?

TIBAN M 20/1000 MG TABLET is a combination medication primarily used to manage high blood sugar levels in adults with Type 2 Diabetes Mellitus. It is often prescribed when diet, exercise, and other treatments, particularly Metformin alone, are not sufficient to control blood sugar. This medication helps improve glycemic control, which can prevent serious diabetes complications like kidney damage, blindness, heart attacks, and strokes.

How does TIBAN M 20/1000 MG TABLET work?

TIBAN M 20/1000 MG TABLET contains two active ingredients: Teneligliptin (20 mg) and Metformin (1000 mg).

• Metformin (a biguanide) works by decreasing the amount of glucose produced by the liver, reducing the absorption of glucose from the intestines, and increasing the body's sensitivity to insulin.
• Teneligliptin ( a dipeptidyl peptidase-4 (DPP-4) inhibitor) works by increasing the levels of incretin hormones (like GLP-1), which then stimulate the pancreas to release more insulin when blood sugar levels are high and reduce the production of glucagon (a hormone that raises blood sugar). Together, these actions help to lower both fasting and post-meal blood sugar levels.

What is the usual dosage for TIBAN M 20/1000 MG TABLET?

TIBAN M 20/1000 MG TABLET should be taken exactly as directed by your doctor. The dosage is individualized based on your condition, blood sugar levels, and other medications you may be taking. It is typically taken orally, usually once daily, and often with meals to help reduce stomach upset. The tablet should be swallowed whole with a glass of water and not crushed, chewed, or divided.

What are the possible side effects of TIBAN M 20/1000 MG TABLET?

Common side effects may include diarrhea, nausea, vomiting, stomach upset, headache, and low blood sugar (hypoglycemia). Hypoglycemia is more likely if taken with insulin or sulfonylurea. A serious but rare side effect is lactic acidosis, which is more common in patients with kidney or liver issues, or excessive alcohol intake. Symptoms of lactic acidosis can include muscle pain, weakness, dizziness, difficulty breathing, and stomach pain. If you experience any persistent or severe side effects, or symptoms of lactic acidosis, consult your doctor immediately. Long-term use may also lead to Vitamin B12 deficiency.

Is TIBAN M 20/1000 MG TABLET safe during pregnancy or breastfeeding?

TIBAN M 20/1000 MG TABLET is generally not recommended for use during pregnancy, and its safety has not been fully established. Your doctor will only prescribe it if the potential benefits outweigh the risks. It is also generally not recommended for use while breastfeeding, as it may pass into breast milk and potentially harm the infant. Always consult your doctor if you are pregnant, planning to conceive, or breastfeeding.

Can TIBAN M 20/1000 MG TABLET be taken with other medications?

It is crucial to inform your doctor about all other medications, herbal preparations, and supplements you are taking to avoid potential interactions. Some medications may interact with TIBAN M, including:

• Other anti-diabetic agents (e.g., sulfonylureas, insulin) which can increase the risk of low blood sugar.
• Cationic medicines like cimetidine, amiloride, ranitidine, and dolutegravir, which can increase metformin levels, raising the risk of lactic acidosis.
• Corticosteroids (e.g., prednisone), diuretics, and certain pain medications (NSAIDs like ibuprofen) may affect blood sugar levels or increase the risk of side effects.
• Medicines for high blood pressure (e.g., enalapril, captopril) may increase the risk of lactic acidosis when taken with Metformin.

What precautions should be taken while using TIBAN M 20/1000 MG TABLET?

• Kidney and Liver Conditions: Use with caution or avoid if you have severe kidney or liver disease, as these conditions increase the risk of lactic acidosis. Regular monitoring of kidney and liver function may be necessary.
• Alcohol Consumption: Avoid excessive alcohol consumption as it significantly increases the risk of lactic acidosis and can lower blood sugar.
• Dehydration: Inform your doctor if you have severe dehydration due to vomiting or diarrhea.
• Heart Problems: Caution is advised for patients with heart problems like irregular heartbeat, heart failure, or a recent heart attack.
• Surgery: Inform your doctor if you are undergoing surgery, as the medication may need to be temporarily discontinued.
• Monitoring: Regular monitoring of blood sugar levels and kidney function is essential during treatment.

What happens if a dose of TIBAN M 20/1000 MG TABLET is missed?

If you miss a dose, take it as soon as you remember. However, if it's almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should TIBAN M 20/1000 MG TABLET be stored?

Store TIBAN M 20/1000 MG TABLET in a cool and dry place, protected from direct sunlight, moisture, and heat. Keep it in its original container, tightly closed, and out of the sight and reach of children and pets.