? Product Description

The active ingredients, Vildagliptin / Metformin, belong to a class of medications called oral anti-diabetic agents.
It is used for treating adults with type 2 diabetes, also known as non-insulin-dependent diabetes.
This medication is prescribed when diabetes cannot be controlled through diet and exercise alone, and/or with other anti-diabetic medications (insulin or sulfonylureas).
Type 2 diabetes occurs when the body either doesn't produce enough insulin or when the insulin produced doesn't work effectively.
Diabetes can also develop if the body produces too much glucagon, which raises blood sugar levels.
Both insulin and glucagon are produced in the pancreas. Insulin helps lower blood sugar levels, especially after meals, while glucagon encourages the liver to produce sugar, raising blood sugar levels.

? How Vildagliptin / Metformin Works

Both active ingredients, Vildagliptin / Metformin, help regulate blood sugar levels.
Vildagliptin helps the pancreas produce more insulin and reduces glucagon production.
Metformin improves the body's ability to use insulin.
This medication has been proven to lower blood sugar levels, helping to prevent the complications of diabetes.

? Dosage Instructions

The dosage of Vildagliptin / Metformin depends on the individual's condition.
Your doctor will specify the exact number of tablets to take.
Always use this medication exactly as your doctor has instructed. If unsure, consult your doctor or pharmacist.

• Recommended dosage:
  Take 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.
• Your doctor may also prescribe a lower dose if you're taking a diabetes medication called sulfonylurea.
• This medication may be prescribed alone or with other blood-sugar-lowering drugs.

? How and When to Take Vildagliptin / Metformin

• Swallow the tablet whole with a glass of water.
• Take one tablet in the morning and another in the evening, with or immediately after food.
• Taking the tablet after meals reduces the risk of stomach upset.
• Continue following any dietary recommendations provided by your doctor.
• If you're on a weight-control diet for diabetes, it’s particularly important to continue that while taking Vildagliptin / Metformin.

? Overdose

If you accidentally take too many tablets, contact your doctor or pharmacist immediately.
Medical supervision may be necessary.
If you need to see a doctor or visit a hospital, bring the medicine packaging with you.

? Missed Dose

If you miss a dose, take it with your next meal unless you are due for your next dose.
Do not take a double dose (two tablets) to make up for a missed one.

? Stopping Treatment

Continue taking this medication as long as your doctor has prescribed it, to control blood sugar levels.
Do not stop taking Vildagliptin / Metformin without consulting your doctor.
If you have any questions about the duration of your treatment, contact your doctor.

⚠ Warnings and Precautions

Do not use Vildagliptin / Metformin if:

• You are allergic to Vildagliptin, Metformin, or any other ingredients of this medication.
• You have uncontrolled diabetes with severe hyperglycemia (high blood sugar), nausea, vomiting, diarrhea, rapid weight loss, lactic acidosis, or diabetic ketoacidosis.
• You have had a recent heart attack, heart failure, or severe circulatory or respiratory problems, which may indicate heart issues.
• You have severe kidney failure.
• You are dehydrated or have a severe infection.
• You are going to have a contrast X-ray (specific type of X-ray with injectable dye).
• You have liver problems.
• You drink large amounts of alcohol, either daily or occasionally.
• You are breastfeeding.

⚠ Risk of Lactic Acidosis

Lactic acidosis is a very rare but serious side effect that can occur with Vildagliptin / Metformin, especially if the kidneys are not functioning properly.
The risk of lactic acidosis increases with uncontrolled diabetes, severe infections, prolonged fasting, alcohol consumption, dehydration, liver problems, and any condition causing low oxygen levels in the body (such as heart disease).
Consult your doctor for more information if any of these conditions apply to you.
If you experience any symptoms of lactic acidosis, stop treatment with Vildagliptin / Metformin immediately and contact your doctor or nearest hospital.

Symptoms of lactic acidosis include:

• Abdominal pain.
• Muscle cramps.
• General discomfort with extreme fatigue.
• Difficulty breathing.
• Low body temperature and pulse.

? Ingredients

The active ingredients are Vildagliptin / Metformin.

Available in two formulations:

• 50 mg / 850 mg film-coated tablets contain 50 mg of Vildagliptin and 850 mg of Metformin Hydrochloride (equivalent to 660 mg of Metformin).
• 50 mg / 1000 mg film-coated tablets contain 50 mg of Vildagliptin and 1000 mg of Metformin Hydrochloride (equivalent to 780 mg of Metformin).