Janomet 50/850 mg 56 tablets

Sitagliptin / Metformin 50 mg / 850 mg — Coated tablets Why is Sitagliptin / Metformin used? This medication contains a combination of two active substances that work together to control blood sugar in adults with type 2 diabetes: Sitagliptin: Belongs to DPP-4 inhibitors, helps increase insulin secretion after meals. Metformin: From the biguanide class, reduces sugar production in the liver and improves the body's use of sugar. This medication is used when diet and exercise are not enough or when a stronger therapeutic combination is needed. Do not use Sitagliptin / Metformin if: You are allergic to either of the active substances. You have severe kidney impairment. Your blood sugar is uncontrolled and accompanied by symptoms such as vomiting, nausea, rapid weight loss, lactic acidosis, or ketosis. You have had a severe infection or are dehydrated. You will undergo contrast dye imaging—stop the medication before the procedure and after according to the doctor’s instructions. You have heart failure, shock, difficulty breathing, or liver problems. 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—stop the medication. Metformin may cause lactic acidosis, a rare but serious condition. Tell your doctor if you have: Previous pancreatic diseases Gallstones Alcohol addiction Severe hypertriglyceridemia Type 1 diabetes A history of allergy to either of the two drugs The risk of hypoglycemia increases when used with insulin or sulfonylureas. Possible side effects: Seek immediate medical attention if you experience: Chest tightness Swelling of the face, lips, or tongue Difficulty breathing or feeling faint Severe rash or itching Other medications that may interact with this drug: Tell your doctor if you are using: Corticosteroids (for asthma or inflammation) Diuretics Anti-inflammatory drugs like ibuprofen and celecoxib Blood pressure medications (ACEI or ARBs) Some gout medications Iodine-containing drugs (contrast agents) Stomach medications like cimetidine, ranolazine, dolutegavir, vandetanib You may need kidney function monitoring or dose adjustment. How to use Sitagliptin / Metformin: Standard dose: One tablet twice daily with meals to reduce stomach upset. Your doctor may increase the dose based on blood sugar control. In case of kidney problems, the dose may be reduced. Storage instructions: Keep out of reach of children. Do not use after the expiration date. Store below 30°C. Product details: Type: Tablets Brand: Ganiometal Quantity: 56 tablets Category: Treatment of type 2 diabetes