Jalra 50/850 mg 60 tablets

Product description: The active ingredients Vildagliptin/Metformin belong to a group of medicines called "oral antidiabetics." Vildagliptin/Metformin is used to treat adult patients with type 2 diabetes. This type of diabetes is also known as non-insulin-dependent diabetes. Vildagliptin/Metformin is used when diabetes cannot be controlled through diet and exercise alone and/or with other medicines used to treat diabetes (insulin or sulfonylureas). Type 2 diabetes develops if the body does not produce enough insulin, or if the insulin produced does not work properly. Diabetes can also develop if the body produces too much glucagon. Both insulin and glucagon are produced in the pancreas. Insulin helps lower blood sugar levels, especially after meals. Glucagon stimulates sugar production in the liver, leading to increased blood sugar levels. How Vildagliptin/Metformin works: Both active ingredients, Vildagliptin/Metformin, help regulate blood sugar levels. The active ingredient Vildagliptin causes the pancreas to produce more insulin and less glucagon. The active ingredient Metformin helps the body use insulin more effectively. It has been proven that this medicine reduces blood sugar levels, helping to prevent diabetes complications. Usage instructions: The amount of Vildagliptin/Metformin a person should take depends on their condition. Your doctor will tell you exactly how many tablets of Vildagliptin/Metformin to take. Always use this medicine exactly as your doctor has told you. Contact a doctor or pharmacist if you are unsure. The recommended dose is: one film-coated tablet of 50 mg / 850 mg or 50 mg / 1000 mg twice daily. If you have kidney impairment, your doctor may prescribe a lower dose. The doctor may also prescribe a lower dose if you are taking a diabetes medicine called sulfonylurea. The doctor may prescribe this medicine alone or with other blood sugar-lowering medicines. When and how to take Vildagliptin/Metformin: Swallow the tablets whole with a glass of water. Take one tablet in the morning and the other in the evening with or immediately after food. Taking the tablet immediately after a meal reduces the risk of stomach upset. Continue following the dietary recommendations given by your doctor. If you are following a weight control diet for diabetes, it is especially important to continue doing so while taking Vildagliptin/Metformin. If you take too much Vildagliptin/Metformin: Contact a doctor or pharmacist immediately if you take too many Vildagliptin/Metformin tablets or if someone else takes your tablets. Medical supervision may be necessary. If you need to see a doctor or go to a hospital, bring the packaging and this leaflet with you. If you forget to take Vildagliptin/Metformin: If you forget to take a tablet, take it with your next meal unless you are going to take one anyway. Do not take a double dose (two tablets) to make up for the missed one. If you stop treatment with Vildagliptin/Metformin: Continue taking this medicine as prescribed by your doctor until blood sugar is controlled. Do not stop taking Vildagliptin/Metformin unless your doctor tells you to. If you have questions about how long to use this medicine, contact your doctor. Ask your doctor, pharmacist, or nurse if you have any questions about using this medicine. Warnings and precautions: Do not use Vildagliptin/Metformin: if you are allergic to Vildagliptin or Metformin or any other ingredients of this medicine. Talk to your doctor before taking Vildagliptin/Metformin if you think you are allergic to any of these substances. if your diabetes is uncontrolled, for example, with severe hyperglycemia (high blood sugar), nausea, vomiting, diarrhea, rapid weight loss, lactic acidosis (see "Risk of lactic acidosis" below), or diabetic ketoacidosis. Diabetic ketoacidosis is a condition where substances called ketone bodies accumulate in the blood, which can lead to diabetic coma. Symptoms include stomach pain, rapid deep breathing, drowsiness, or breathing with an unusual fruity smell. if you recently had a heart attack or have heart failure, severe circulatory problems, or breathing problems, which may be signs of heart issues. if you have severe kidney impairment. if you have a serious infection or are severely dehydrated (lost a lot of water from the body). if you are going to undergo contrast X-ray (a special type of X-ray involving an injectable dye). if you have liver problems. if you consume large amounts of alcohol (daily or occasionally). if you are breastfeeding. Risk of lactic acidosis: Vildagliptin/Metformin can cause a very rare but very serious side effect called lactic acidosis, especially if the kidneys do not work properly. The risk of lactic acidosis increases with uncontrolled diabetes, severe infections, fasting for long periods, alcohol intake, dehydration, liver problems, and any medical condition that reduces oxygen supply to parts of the body (such as acute heart disease). Consult your doctor for more information if any of the above applies to you. Stop taking Vildagliptin/Metformin temporarily if you have a condition that may be related to dehydration (severe fluid loss), such as severe vomiting, diarrhea, fever, heat exposure, or if you are drinking less fluids than usual. Talk to your doctor for more information.