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Like all medicines, ISTAMET D IR 5/50/500MG TABLET can cause side effects, although not everybody gets them. It's important to be aware of these. **Common Side Effects (May affect up to 1 in 10 people):** * Nausea, vomiting, diarrhea, stomach pain or upset, loss of appetite, metallic taste in mouth. * Headache, sore throat, runny nose, or other upper respiratory infections. * Genital yeast infections (e.g., vaginal yeast infection, penile yeast infection/balanitis). * Urinary tract infections (UTIs), increased need to urinate, or increased thirst. * Joint pain. **Less Common or Serious Side Effects (Seek immediate medical attention if you experience these):** * **Severe allergic reactions:** Rash, hives, swelling of your face, lips, tongue, or throat that may cause difficulty breathing or swallowing. * **Pancreatitis:** Severe and persistent stomach pain that might spread to your back, with or without vomiting. * **Lactic Acidosis:** A very rare but serious problem (mostly with metformin), symptoms include unusual muscle pain, weakness, severe tiredness, difficulty breathing, unusual sleepiness, stomach pain, nausea, vomiting, or slow heart rate. * **Diabetic Ketoacidosis (DKA):** A serious condition (rarely with SGLT2 inhibitors) even if blood sugar levels are not very high, symptoms include nausea, vomiting, stomach pain, unusual thirst, deep and rapid breathing, confusion, unusual sleepiness, or a fruity smell to your breath. * **Dehydration and Low Blood Pressure:** Dizziness, lightheadedness, or fainting, especially when standing up. * **Kidney problems:** Changes in the amount of urine, swelling in ankles or feet. * **Fournier's Gangrene:** A very rare but severe infection of the genital or perineal (area between genitals and rectum) area. Seek immediate medical attention if you develop fever, general discomfort, or pain, tenderness, redness, or swelling in the genital or perineal area. * **Bullous Pemphigoid:** A severe skin reaction with blisters or skin erosion. * **Vitamin B12 deficiency:** (Long-term use of metformin) symptoms like unusual tiredness, tingling, or numbness. If you notice any other side effects not listed here, please tell your doctor or pharmacist.
Allergies
UnsafeISTAMET D IR 5/50/500MG TABLET 7'S is unsafe if you have a known allergy to any of its ingredients.
ISTAMET D IR 5/50/500MG TABLET is primarily used to treat Type 2 Diabetes Mellitus in adults. It helps to lower high blood sugar levels when diet and exercise alone are not enough.
The tablet contains three active ingredients: Dapagliflozin (5mg), Sitagliptin (50mg), and Metformin Hydrochloride (500mg).
It works in three ways: Dapagliflozin helps remove excess glucose from the body through urine; Sitagliptin increases the amount of insulin released by the pancreas and decreases sugar production by the liver; and Metformin reduces glucose production in the liver and improves the body's sensitivity to insulin.
Take this medicine exactly as prescribed by your doctor, usually with meals to minimize stomach upset. Swallow the tablet whole with water; do not crush, chew, or break it.
Common side effects may include nausea, diarrhea, stomach upset, headache, urinary tract infections (UTIs), genital yeast infections, and sometimes symptoms of low blood sugar (hypoglycemia) if taken with other anti-diabetic medications.
Serious but rare side effects include lactic acidosis (a serious build-up of lactic acid in the blood, primarily associated with Metformin), severe allergic reactions, and pancreatitis (inflammation of the pancreas) with Sitagliptin. Seek immediate medical attention if you experience severe symptoms.
It is generally recommended to avoid or limit alcohol consumption while taking this medication. Alcohol can increase the risk of lactic acidosis, a serious side effect, and may also lower blood sugar levels.
If you miss a dose, take it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.
This medication is not suitable for individuals with Type 1 diabetes, diabetic ketoacidosis, severe kidney disease, severe liver disease, severe heart failure, or a history of serious allergic reaction to any of its ingredients. Always inform your doctor about your complete medical history.
ISTAMET D IR is generally not recommended during pregnancy or breastfeeding as its effects on the fetus or infant are not well established. Consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding.
Store the tablets at room temperature, away from moisture, heat, and direct light. Keep them out of reach of children and pets.
The Dapagliflozin component of ISTAMET D IR can lead to some weight loss as it helps the body excrete excess sugar. Metformin can also contribute to slight weight loss. Sitagliptin is generally considered weight-neutral.
ISTAMET D IR starts working to lower blood sugar levels relatively quickly. However, the full benefits in terms of long-term blood sugar control (measured by HbA1c) may take several weeks to become apparent.
Yes, regular monitoring of your blood sugar levels is crucial while taking ISTAMET D IR. Your doctor will advise you on how often you should check your blood sugar and what your target levels should be.
Yes, similar combinations of Dapagliflozin, Sitagliptin, and Metformin (or other SGLT2i/DPP-4i/Metformin combinations) are available under different brand names from various manufacturers. Your doctor will prescribe the most suitable option for you.
While Metformin and Dapagliflozin are generally used with caution or contraindicated in severe kidney impairment, Dapagliflozin also has a renal protective effect in certain patients. Your doctor will assess your kidney function before and during treatment with ISTAMET D IR.
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SUN PHARMACEUTICAL INDUSTRIES LTD
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India
MRP
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114.37
₹97.21
15 % OFF
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