Janomyt 50/1000 mg 56 tablets

Sitagliptin / Metformin 50 mg / 1000 mg — Coated tablets Why is Sitagliptin / Metformin used? It contains two active ingredients: Sitagliptin (DPP-4 inhibitor) and Metformin (from the biguanide class). They work together to control blood sugar levels in patients with type 2 diabetes. It helps increase insulin secretion after meals and reduce sugar production in the liver. Do not use Sitagliptin / Metformin if: You are allergic to any of the ingredients. You have severe kidney impairment. Your blood sugar is uncontrolled with symptoms such as nausea, vomiting, diarrhea, rapid weight loss, ketoacidosis, or lactic acidosis. You have a severe infection or dehydration. You are undergoing dye-based imaging (the medication should be temporarily stopped). You have severe heart problems or liver issues. You consume alcohol heavily. You are breastfeeding. Warnings and precautions: Cases of pancreatitis have been reported in some patients. The appearance of skin ulcers may indicate bullous pemphigoid—treatment should be discontinued. Risk of lactic acidosis (associated with metformin). Tell your doctor if you have: A history of pancreatic disease Gallstones Alcohol dependence Severe hypertriglyceridemia Type 1 diabetes A previous allergic reaction to the medication Concurrent use of sulfonylureas or insulin (increases the risk of hypoglycemia) Possible side effects: Seek immediate medical attention if: Shortness of breath Swelling of the face, lips, or tongue Difficulty breathing Feeling faint Severe rash or itching Drug interactions: Inform your doctor if you are using any of the following: Corticosteroids Diuretics Non-steroidal anti-inflammatory drugs (like ibuprofen) Certain blood pressure medications (ACEI — ARBs) Certain asthma medications Iodine-containing drugs (used in imaging) Stomach medications such as cimetidine Ranolazine, dolutegrafir, vandetanib The doctor may need to adjust the dose or increase monitoring. How to use Sitagliptin / Metformin: Take one tablet twice daily with food to reduce stomach upset. The doctor may increase the dose as needed to control blood sugar. If you have kidney problems, the dose may be reduced. Storage instructions: Keep out of reach of children. Do not use after the expiration date. Store at a temperature not exceeding 30°C. Product details: Brand: Ganiometal Quantity: 56 tablets Product form: Tablets Model: Coated tablets