• If you are allergic to this medicine or any of the ingredient of this medicine
• If you have liver or severe kidney problems
• If you are an alcoholic
• If you are in a state of diabetic coma due to a sudden rise or drop in blood sugar level
• If you have type1 diabetes mellitus
• If you have a severe infection or you have gone through a surgery
• You have known history of pancreatitis

• Low blood sugar level
• Nausea
• Constipation
• Stomach pain
• Flatulence
• Diarrhoea
• Loss of appetite
• Rashes
• Tiredness

• You have a known history of pancreatitis or develop sudden pain in the stomach or back, immediately stop this medicine and report to the hospital.
• You have a liver or heart problem like irregular heartbeat and heart failure.
• You are suffering from persistent diarrhoea, vomiting and loss of body fluids.
• You have serious liver and kidney function problems.
• You have an irregular diet, a habit of excessive alcohol intake and intense exercise.
• You have a history of any abdomen surgery.
• You are using other medicines like Glimepiride because it can cause a drop in blood sugar levels.
• You experience muscle pain, stomach pain, vomiting, breathing difficulty and low body temperature. It could be a serious condition known as lactic acidosis.
• Teniva-M tablet should not be used in children below 18 years of age.

• Take this medicine as instructed by your doctor
• Take this medicine with or after a meal to reduce its side effects
• Consult your doctor for the appropriate dosage
• Take this tablet as a whole with a glass of water

Overdose

• In case of an overdose, lactic acidosis may occur
• Symptoms of lactic acidosis are vomiting, stomach and muscle cramps, difficulty in breathing
• You must seek immediate emergency medical care if you suspect an overdose

Missed a Dose

Interactions with other medicines

• If you need to take an injection of iodine-containing contrast medium into your bloodstream for an X-ray or scan, your doctor will ask you to stop taking this medicine before or at the time of injection.
• You may have symptoms of low blood sugar if you are taking other medicines for diabetes like Metformin, Insulin, Canagliflozin and Liraglutide.
• Medicines used to treat depression, like Phenelzine
• Medicines for fever and pain (salicylates like aspirin)
• Medicines used to treat high blood pressure, like Atenolol, Propranolol and Verapamil
• You may have high blood sugar if you are taking steroids, thyroxine
• Never take this medicine if you are taking medicines like Quinidine, Sotalol, Procainamide and Amiodarone, as it may cause heart rhythm problems and cardiac arrest

Interactions with food items

• Absorption of vitamin B12 appears to be reduced during long-term Metformin therapy and annual screening of serum vitamin B12 levels and red blood cell parameters has been recommended

  Frequently Asked Questions (FAQs)

  What kind of food should I include in my diet?

  • The diet should be high in fibre and low in fat with adequate protein, carbohydrates, vitamins and minerals.
  • Maintain regular 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 very less use of ghee and butter.
  • Drink at least 8-10 glasses of water daily.
  • Carry a fruit or low-calorie, high-fibre biscuits while travelling.

  What should I avoid doing, being a diabetic patient?

  • Do not shop when you are hungry; you could be tempted to buy oily and fried food.
  • Avoid overeating
  • Avoid maida, white bread, potato, noodles, cornflakes, poori, biryani, naan, fried rice, etc.
  • Stop having daals with ghee or deep-fried pulses.
  • Avoid cream soups, carrot juice, deep-fried vegetables and vegetable curries with excess oil.