Jalra M 50/1000 mg 60 tablets

Jalra M 50/1000 mg 60 tablets:

• The active ingredients vildagliptin/metformin belong to a group of medicines called 'oral antidiabetics'.
• Vildagliptin/metformin is used to treat adult patients with type 2 diabetes.
• This type of diabetes is also known as non-insulin-dependent diabetes.
• Vildagliptin/metformin is used when diabetes cannot be controlled with diet and exercise alone and/or with other medications used to treat diabetes (insulin or sulfonylurea).
• Type 2 diabetes develops if the body does not produce enough insulin, or if the insulin the body produces does not work as it should.
• Diabetes can also develop if the body produces too much glucagon.
• Both insulin and glucagon are made in the pancreas.
• Insulin helps lower blood sugar levels, especially after meals.
• Glucagon stimulates the production of sugar in the liver, causing blood sugar levels to rise.

How does vildagliptin/metformin work?

• Both active ingredients, vildagliptin/metformin, help regulate blood sugar levels.
• The active ingredient vildagliptin works so that the pancreas produces more insulin and less glucagon.
• The active ingredient metformin works so that the body can use insulin better.
• This medication has been shown to reduce blood sugar, which helps prevent complications of diabetes.

Instructions for use:

• How much vildagliptin/metformin a person should take depends on his/her condition.
• Your doctor will tell you exactly how many tablets of vildagliptin/metformin to take.
• Always use this medication exactly as your doctor has told you to. Contact your doctor or pharmacist if you are not sure.

The recommended dose is:

• One film-coated tablet of 50 mg/850 mg or 50 mg/1000 mg twice daily.
• If you have impaired kidney function, your doctor may prescribe a lower dose.
• Your doctor may also prescribe a lower dose if you take a diabetes medication called a sulfonylurea.
• Your doctor may prescribe this medication alone or with some other medications that lower blood sugar.

When and how to take vildagliptin/metformin:

• Swallow the tablets whole with a glass of water.
• Take one tablet in the morning and one in the evening with or immediately after food.
• By taking the tablet immediately after a meal, the risk of stomach upset is reduced.
• Continue to follow the nutritional recommendations you received from your doctor.
• If you are on a diabetic weight control diet, it is especially important that you continue it while taking vildagliptin/metformin.

If you take too much vildagliptin/metformin:

• Contact a doctor or pharmacist immediately if you take too many vildagliptin/metformin tablets or if someone else takes your tablets.
• Medical supervision may be necessary.
• If you have to see a doctor or hospital, you should take the package and this enclosed package with you.

If you forget to take vildagliptin/metformin:

• If you forget to take a tablet, take it with your next meal unless you are going to take one anyway.
• You should not take a double dose (two pills) to replace a missed tablet.

If you stop treatment with vildagliptin/metformin:

• Continue to take this medication for as long as your doctor has prescribed it so that your doctor can control your blood sugar.
• You should not stop treatment with vildagliptin/metformin unless your doctor tells you to do so.
• If you have questions about how long you should use this medication, contact your doctor.
• Ask your doctor, pharmacist or nurse if you have any questions about using this medicine.

Warnings and precautions:

Do not use vildagliptin/metformin:

• If you are allergic to vildagliptin, metformin, or any of the other ingredients of this medication.
• Talk to your doctor before taking vildagliptin/metformin if you think you are allergic to any of these substances.
• If you have uncontrolled diabetes with, for example, severe hyperglycemia (high blood sugar), nausea, vomiting, diarrhoea, rapid weight loss, lactic acidosis (see 'Risk of developing lactic acidosis' below) or acidosis Ketosis.
• Ketoacidosis is a condition in which substances called ketone bodies accumulate in the blood, and this can lead to diabetic coma.
• Symptoms include stomach pain, rapid and deep breathing, drowsiness or breath with an unusual, fruity smell.
• If you have recently had a heart attack or have heart failure, serious circulation problems or breathing problems, which may be signs of heart problems.
• If you suffer from severely impaired kidney function.
• If you have a serious infection or are severely dehydrated (lost a lot of water from your body).
• If you are going to have a contrast X-ray (a special type of X-ray that involves an injectable dye).
• If you have liver problems.
• If you drink large amounts of alcohol (either every day or every now and then).
• If you are breastfeeding.

Possible side effects:

Risk of lactic acidosis:

Symptoms of lactic acidosis include:

• Stomach pain (abdominal pain).
• Muscle cramps.
• A general feeling of malaise with extreme fatigue.
• Difficulty breathing.
• Low body temperature and pulse.

the components:

• The active ingredients are vildagliptin/metformin.