Metformin and Vildagliptin are combined in this medicine.
This medicine is used on its own or together with other medicines to treat type 2 diabetes (gradual loss of capacity of the pancreas to produce enough insulin) by keeping your blood sugar in control.
Metformin + Vildagliptin is meant to be taken as part of a complete diabetes care programme that should include exercise, a healthy diet and regular monitoring of blood sugar levels.
Take Metformin + Vildagliptin exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
Take it together with food or immediately after a meal. Try to take it at the same time each day.
The dose of this medicine will be decided by your doctor. Your doctor will advise you on the course of the treatment depending on your condition and response to the medication.
Metformin + Vildagliptin must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstance.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you
have the following:
- severe kidney disease
- liver disease
- conditions that may affect the kidney function (e.g. excessive water loss from the body, severe infection)
- conditions that may cause inadequate oxygen supply (e.g. heart failure, recent heart attack)
- any type of metabolic acidosis (excessive acid production in the body, e.g. lactic acidosis, ketoacidosis caused by diabetes)
as Metformin + Vildagliptin may not be suitable for you.
Do not take this medicine if you are breastfeeding.
Inform your doctor if you
have the following conditions:
- current or history of pancreas inflammation
- mild to moderate kidney disease
- stress-related states (e.g. fever, trauma, infection, surgery)
- type 1 diabetes (a condition in which the pancreas produces little or no insulin)
Let your doctor know if you are pregnant.
Notify your doctor if you consume large amounts of alcohol or if you are a frequent drinker.
If you are going for an operation, including minor surgery, dental work, or certain diagnostic tests (e.g. x-ray procedures using an injectable dye), inform your doctor or dentist that you are taking Metformin + Vildagliptin.
If you are taking this medicine with other types of oral anti-diabetic medicines, you may have been warned about hypoglycaemia (low blood sugar). This medicine itself does not usually cause hypoglycaemia, but it may increase the hypoglycaemic effect of other oral anti-diabetic medicines.
It is important for you to recognise the symptoms of hypoglycaemia and correct the low blood sugar level. If you don't, you may faint. If affected by hypoglycaemia, do not drive or take part in any activity in which you need to be alert.
How do I know if I am experiencing hypoglycaemia?
Some of the symptoms of hypoglycaemia include dizziness, headache, shaky hands, feeling hungry, weak or confused, problems speaking. These symptoms are your body's way of warning you that your blood sugar is dangerously low.
What should I do if I am experiencing hypoglycaemia?
Always carry some glucose tablets (also known as dextrose tablets) with you. Take a tablet at the first sign of hypoglycaemia. If you don’t have glucose tablets, you can take a drink or food containing sugar (e.g. fruit juice, soda, candy) at the first sign of hypoglycaemia. If your symptoms do not improve, get medical help.
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.
- You may need to have routine tests (e.g. blood sugar, liver and kidney function). Your doctor will advise you about how often you need to have these tests.
- Complications due to diabetes (e.g. metabolic acidosis, pancreas or heart problems) must also be monitored while you are being treated with this medicine.
Metformin + Vildagliptin may cause any of the following side effects: tremors, headache, dizziness, nausea, metallic taste, swelling of the ankles, feet or hand.
Some side effects may be serious, although they are not common. Alert your doctor quickly if you experience:
- severe and persistent abdominal pain
- yellowing of skin or eyes, loss of appetite, dark-coloured urine
- swelling of the face, eyes, lips or mouth
- signs of lactic acidosis e.g. nausea, vomiting, stomach pain, muscle cramps, feeling sick, tiredness, difficulty breathing, slow or irregular heartbeat
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- other medicines for diabetes e.g. glyburide
- medicines for high blood pressure e.g. enalapril, furosemide
- cimetidine (medicine to relieve stomach discomfort)
- medicines for pain and inflammation e.g. ibuprofen, celecoxib
This list does not include all medicines that may interact with Metformin + Vildagliptin.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
It is important for you to maintain a healthy diet and weight to help keep your diabetes under control.
Store in a cool, dry place away from children.
Medicines must not be used past the expiry date.