accteneg-m tablet sr - Uses, Price, Side Effects & Substitutes
What is accteneg-m tablet sr used for?
Afoglip M 500 Tablet ER (Metformin + Teneligliptin) is used to treat ANTI DIABETIC. It contains Metformin (1000mg) + Teneligliptin (20mg), which Metformin: Decreases hepatic glucose production, increases insulin sensitivity; . Always consult your doctor before use. Take as prescribed.
- Generic Name: Metformin + Teneligliptin
- Manufacturer: Accilex Diacardo
- Form: Allopathy
- Pregnancy Category: A
- Prescription Required: Yes
๐ accteneg-m tablet sr Uses & Benefits
Type 2 diabetes mellitus as an adjunct to diet and exercise, when monotherapy with metformin or teneligliptin is inadequate.
Off-label uses: Polycystic ovary syndrome (metformin), gestational diabetes (metformin), prevention of type 2 diabetes (metformin).
๐ Drug Information
| Generic Name(s) | Metformin + Teneligliptin |
| Brand Name | Afoglip M 500 Tablet ER |
| Manufacturer | Accilex Diacardo |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | ANTI DIABETIC |
| Action Class | Antidiabetic (Biguanide + DPP-4 inhibitor) |
| Route of Administration | Oral |
| Storage | Store at room temperature (20-25ยฐC), protect from light and moisture. |
| Shelf Life | As per manufacturer |
๐ฌ Pharmacology (PK/PD)
Pharmacokinetics
How It Works
Metformin: Decreases hepatic glucose production, increases insulin sensitivity; Teneligliptin: Inhibits DPP-4, increasing incretin levels (GLP-1, GIP), enhancing insulin secretion and decreasing glucagon.
Mechanism Steps
๐ก How to Take accteneg-m tablet sr
Follow your doctor's prescription exactly.
โ ๏ธ Side Effects of accteneg-m tablet sr
โ Common Side Effects
- Nausea
- Diarrhea
- Abdominal discomfort
- Headache
- Nasopharyngitis
- Hypoglycemia (when combined with other agents)
๐จ Serious Side Effects
- Lactic acidosis
- Pancreatitis
- Severe hypersensitivity reactions
- Acute renal failure
- Hepatic injury
โ ๏ธ Rare Side Effects
- Vitamin B12 deficiency
- Metallic taste
- Urticaria
- Angioedema
- Stevens-Johnson syndrome
Consult your doctor if you experience any unusual symptoms.
๐ฌ Drug Interactions
| โ ๏ธ Drug | Severity | Effect |
|---|---|---|
| Iodinated contrast agents | Major | Increased risk of lactic acidosis; discontinue metformin temporarily |
| Cimetidine | Major | Reduced renal clearance of metformin |
| Cationic drugs (e.g., amiloride, digoxin, procainamide) | Major | Competitive renal tubular secretion |
| Insulin | Moderate | Increased risk of hypoglycemia |
| Sulfonylureas | Moderate | Increased risk of hypoglycemia |
| Alcohol | Moderate | Increased risk of lactic acidosis |
| Furosemide | Minor | Increased metformin plasma concentration |
| Nifedipine | Minor | Increased metformin absorption |
| Topiramate | Minor | Possible decreased metformin efficacy |
๐จ Major Interactions
- Contrast agents (iodinated)
- Cimetidine
- Cationic drugs eliminated by renal tubular secretion
โก Moderate Interactions
- Insulin
- Sulfonylureas
- Thiazolidinediones
- Alcohol
โน๏ธ Minor Interactions
- Furosemide
- Nifedipine
- Topiramate
๐ฝ๏ธ Food Interactions
Alcohol, High-fat meals may affect absorption
๐ท Alcohol Interaction
Increased risk of lactic acidosis with metformin
๐ก๏ธ Safety & Warnings
๐ซ Contraindications
Severe renal impairment (eGFR <30 mL/min), metabolic acidosis, acute or chronic metabolic acidosis, diabetic ketoacidosis, hypersensitivity, hepatic impairment, acute myocardial infarction, sepsis.
๐ Monitoring Parameters
Blood glucose, HbA1c, renal function (eGFR), liver function, vitamin B12 levels (long-term metformin), signs of lactic acidosis.
๐คฑ Lactation Safety
Metformin excreted in milk; Teneligliptin unknown; avoid breastfeeding.
๐ Overdose Management
Supportive care; monitor blood glucose and lactate; hemodialysis may remove metformin.
โฐ Missed Dose
Take as soon as remembered unless near next dose; skip missed dose if next dose is due.