• Vildamac M 50/500 Tablet is used together with diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.
• Vildamac M 50/500 Tablet is prescribed when metformin alone is insufficient, when a patient is already taking vildagliptin and metformin separately, and in combination with other diabetes treatments, including a sulfonylurea or insulin.

• If you are allergic to vildagliptin or metformin or other ingredients of Vildamac M 50/500 mg tablet.
• If you have uncontrolled diabetes along with nausea, vomiting, diarrhoea, rapid weight loss, lactic acidosis (symptoms include stomach pain, fast or rapid breathing, sleepiness).
• If you are in a diabetic coma due to a sudden rise or drop in blood sugar level.
• If you are an alcoholic or consume alcohol in excess regularly.
• If you have a pre-existing medical condition like kidney or liver disorder, heart disease, type 1 diabetes, etc.
• If you have infection or dehydration.
• If you are undergoing surgery or stress.
• If you are breastfeeding.

• Nausea and vomiting
• Diarrhoea
• Abdominal pain
• Metallic taste in the mouth
• Dizziness
• Headache
• Tremor
• Low blood sugar (when used with insulin or a sulfonylurea)
• Reduced vitamin B12 levels with long-term use

• You suffer from problems with the liver or kidneys.
• You have uncontrolled diabetes.
• You have some infections.
• You have a planned surgery.
• You suffer from heart problem like irregular heartbeat, heart failure.
• You develop symptoms of lactic acidosis like vomiting, stomach pain, muscle cramps, fatigue, difficulty breathing.
• You notice symptoms like dehydration, vomiting, diarrhoea, fever.
• You have an irregular diet, habit of excessive alcohol intake, intense muscular movement.
• Vildamac M 50/500 mg tablet is not recommended for patients below 18 years of age.

• Vildamac M 50/500 mg tablet must be taken as directed by the doctor.
• Swallow as a whole with a glass of water.
• Do not cut, break or chew the medicine.
• It must be taken with or after having the meal. It would be best if you take it at the same time every day for optimal results.
• Avoid consuming it more than prescribed by the doctor.

• Vildamac M 50/500 Tablet combines two medicines that lower blood sugar by entirely different mechanisms. Always take it with or immediately after food; this is the most effective way to reduce stomach upset.
• Stomach symptoms usually settle within the first few weeks.
• Ask your doctor what your personal HbA1c target is, and test every three to six months.
• Get written sick-day rules so you know when to pause the medicine during vomiting or fever.
• Attend your liver blood tests, especially during the first year.
• Report yellowing of the eyes or skin, dark urine or persistent nausea without delay.
• Tell your doctor before any CT scan with contrast dye or any surgery.
• Seek emergency care for muscle pain with rapid breathing, extreme tiredness or feeling very cold.
• Ask for a vitamin B12 check after several years, or if you develop tingling in the hands and feet.
• Avoid binge drinking and never drink on an empty stomach.
• Carry your medicines in hand baggage when travelling, with a doctor’s letter.

Overdose

Missed a Dose

Interactions with other medicines

• Some medicines affect the way Vildamac M 50/500 mg tablet works or the medicine itself reduce 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.
• If you are using other antidiabetic medicines, anti-hypertensive or heart medicine, painkillers, medicine for respiratory problems, etc.

Interactions with food items

• Take Vildamac M 50/500 Tablet with or immediately after food. This makes a substantial difference to the nausea, metallic taste, and diarrhoea from the metformin component.
• Keep meals regular and consistent in carbohydrate content. Skipped meals are a frequent cause of low readings if you also take a sulfonylurea or insulin.
• Avoid binge drinking and never drink on an empty stomach, given the combined risk of lactic acidosis, liver strain, and delayed low blood sugar.
• Drink enough fluid, especially in hot weather or during illness with vomiting or diarrhoea, as dehydration is the commonest trigger for metformin-related complications.
• Include milk, curd, paneer, eggs and fish for vitamin B12, since long-term metformin reduces its absorption.

• Build meals around whole grains, pulses, vegetables, and lean protein while limiting sugary drinks, sweets, refined flour, and fried food.

  Frequently Asked Questions (FAQs)

  What is the use of Vildamac M?

  Vildamac M 50/500 mg tablet is used for the treatment of type 2 diabetes mellitus when Vildagliptin or Metformin alone, along with diet and exercise, are ineffective in controlling blood sugar.

  How to take Vildamac M?

  Vildamac M 50/500 mg tablet must be taken as directed by the doctor. Swallow as a whole with a glass of water. Do not cut, break or chew the medicine. It must be taken with or after having the meal.

  What diet should I follow if I have diabetes?

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

  What must I avoid doing, being a diabetic patient?

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

  Can I stop taking Vildamac M on my own?

  No, you should never stop taking the Vildamac M 50/500 mg tablet without consulting your doctor. Abruptly stopping the medicine can result in a sudden rise in blood glucose levels and cause further harm to the kidney and other organs.

  What is the composition of Vildamac M?

  The composition of Vildamac M 50/500 mg tablet includes- vildagliptin and metformin as its active component.

  How long do I need to take Vildamac M?

  You have to take this medicine for as long as the doctor has prescribed you. Do not stop the treatment mid way even if you feel better, without consulting a doctor.

  What is the best time to take Vildamac M?

  You can take Vildamac M 50/500 mg tablet at any time of the day – during or after meals, as told by the doctor. But it’s necessary to take it at the usual time every day for the best results.