astroglip m 500mg/50mg tablet - Metformin (500mg) + Vildagliptin (50mg) medicine

Abvida-m 50mg/500mg Eazy Glide Tablet: Complete Information

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🏭 Astorion Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 27, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for type 2 diabetes.
Reviewed by
SaathiMed Expert Panel | Oct 27, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Rapid breathing or shortness of breath
  • Severe muscle pain or cramps
  • Persistent stomach pain with nausea or vomiting
  • Signs of allergic reaction: rash, itching, swelling of face/lips/tongue
  • Yellowing of skin or eyes
  • Dark urine or decreased urine output
  • Severe abdominal pain radiating to the back

If experiencing severe symptoms, call emergency services immediately.

What is astroglip m 500mg/50mg tablet used for?

This medicine is a combination of Metformin and Vildagliptin used to treat type 2 diabetes. It helps control blood sugar by improving insulin sensitivity and increasing insulin release after meals. It is taken orally twice daily with food.

  • Generic Name: Metformin + Vildagliptin
  • Manufacturer: Astorion Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 astroglip m 500mg/50mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा टाइप 2 डायबिटीज (मधुमेह) के इलाज के लिए इस्तेमाल की जाती है। यह मेटफॉर्मिन और विल्डाग्लिप्टिन का संयोजन है, जो रक्त शर्करा को नियंत्रित करने में मदद करता है। यह इंसुलिन की कार्यक्षमता को बढ़ाता है और भोजन के बाद इंसुलिन के स्राव को बढ़ाता है। इसे भोजन के साथ दिन में दो बार लिया जाता है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, पेट में परेशानी, सिरदर्द और चक्कर आना शामिल हैं। गंभीर दुष्प्रभावों में लैक्टिक एसिडोसिस, अग्नाशयशोथ, और एलर्जी प्रतिक्रियाएं हो सकती हैं। यदि आपको तेजी से सांस लेने, मांसपेशियों में दर्द, या पेट में तेज दर्द हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक न बढ़ाएं और न ही छोड़ें। शराब का सेवन न करें क्योंकि इससे लैक्टिक एसिडोसिस का खतरा बढ़ सकता है। नियमित रूप से ब्लड शुगर की जांच करें। संतुलित आहार और व्यायाम करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 astroglip m 500mg/50mg tablet Uses & Benefits

[{"condition":"Type 2 Diabetes Mellitus","description":"Improves glycemic control in adults when Metformin alone or Vildagliptin alone does not achieve target HbA1c levels.","evidence":"Well-established"}]

Off-label uses: []

Primary treatment for: Type 2 Diabetes Mellitus

Also treats: Obesity, Metabolic syndrome, Polycystic ovary syndrome (off-label)

📋 Drug Information

Generic Name(s)Metformin + Vildagliptin
Brand NameAbvida-M 50mg/500mg Eazy Glide Tablet
ManufacturerAstorion Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI DIABETIC
Action ClassANTI DIABETIC
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with meals to reduce stomach upset.
2
Monitor your blood sugar regularly as advised by your doctor.
3
Stay well hydrated throughout the day.
4
Avoid excessive alcohol consumption while taking this medicine.
5
Inform your doctor if you are scheduled for surgery or contrast imaging.
6
Report any unusual muscle pain, breathing difficulty, or persistent stomach pain immediately.
7
Do not stop taking this medicine without consulting your doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High blood sugar
This medicine is prescribed for type 2 diabetes.
Likely Use
✅
Frequent urination
A common symptom of diabetes that this medicine helps manage.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionMetformin: slowly and incompletely absorbed from the gastrointestinal tract, bioavailability approximately 50-60%. Vildagliptin: rapidly absorbed, absolute bioavailability approximately 85%.
DistributionMetformin: distributed widely into body tissues, minimal protein binding. Vildagliptin: distributes into extravascular space, plasma protein binding low (9.3%).
Protein BindingMetformin: negligible; Vildagliptin: 9.3%
MetabolismMetformin is not metabolized in humans. Vildagliptin is metabolized primarily by hydrolysis to inactive metabolites (LAY151 and LAY152) and glucuronidation.
Half-LifeMetformin: approximately 6.2 hours; Vildagliptin: approximately 3 hours.
ExcretionMetformin is excreted unchanged in urine (renal tubular secretion and glomerular filtration). Vildagliptin metabolites are excreted mainly in urine (85%) and feces (15%).
BioavailabilityMetformin: 50-60%; Vildagliptin: 85%
Onset of ActionMetformin: within days to weeks; Vildagliptin: within 1-2 weeks for HbA1c reduction.
Peak Plasma TimeMetformin: 2-3 hours; Vildagliptin: 1-2 hours.
Duration of ActionMetformin: 24 hours with immediate-release; Vildagliptin: 24 hours.

How It Works

This medicine combines two antidiabetic agents with complementary mechanisms. Metformin decreases hepatic glucose production, reduces intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization. Vildagliptin inhibits dipeptidyl peptidase-4 (DPP-4), thereby increasing the levels of active incretin hormones (GLP-1 and GIP), which stimulate insulin release from pancreatic beta cells and reduce glucagon secretion from alpha cells. The combined effect leads to better postprandial and fasting glucose control.

Mechanism Steps

1
Metformin action: Metformin activates AMPK, leading to inhibition of hepatic gluconeogenesis and increased insulin-mediated glucose uptake in skeletal muscle and adipose tissue.
2
Vildagliptin action: Vildagliptin binds to and inhibits DPP-4, preventing the degradation of GLP-1 and GIP.
3
Incretin effect: Elevated GLP-1 and GIP levels stimulate pancreatic beta cells to release insulin in a glucose-dependent manner and inhibit alpha cell glucagon secretion.
4
Combined glycemic control: The dual mechanism addresses both insulin resistance and beta-cell dysfunction, resulting in improved fasting and postprandial blood glucose levels.

💡 How to Take astroglip m 500mg/50mg tablet

Strength: Immediate-release tablet containing Metformin 500 mg and Vildagliptin 50 mg.

1Take the tablet orally with a glass of water.
2Swallow it whole; do not crush, chew, or break the tablet.
3Take it with meals to reduce stomach upset.
4Follow your doctor's prescribed schedule exactly.
5Do not take an extra dose if you miss one.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally twice daily with meals. The dose may be adjusted by your doctor based on your blood sugar levels and kidney function. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may require dose adjustment based on renal function. Monitor renal function regularly. Start with a lower dose if renal impairment is present.
Renal ImpairmentAssess renal function before initiating and at least annually. If eGFR is 30-45 mL/min/1.73 m², start with caution and monitor closely. Contraindicated if eGFR <30 mL/min/1.73 m².
Hepatic ImpairmentNot recommended in patients with severe hepatic impairment. In mild to moderate impairment, use with caution and monitor liver function.
Maximum Daily DoseThe maximum recommended daily dose is Metformin 2000 mg and Vildagliptin 100 mg. However, the exact dose depends on the individual patient's condition and should be determined by a doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With meals
Take with breakfast and dinner
Reduces gastrointestinal side effects and improves absorption.
Grapefruit
No known interaction
No significant interaction reported.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of astroglip m 500mg/50mg tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce nausea. If persistent, consult your doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If severe or persistent, contact your doctor.
Headache (Common (2-5%))
Usually resolves on its own. Consult doctor if severe.
Dizziness (Uncommon (1-2%))
Avoid driving if affected. Report to doctor if persistent.

🚨 Serious Side Effects

Lactic acidosis (Rare (<0.1%))
Seek immediate medical attention if you experience rapid breathing, muscle pain, extreme fatigue, or stomach discomfort.
Pancreatitis (Rare (<0.1%))
Stop the medicine and seek immediate care if you have severe abdominal pain radiating to the back.
Severe allergic reaction (Rare (<0.1%))
Seek emergency help if you develop rash, itching, swelling of face/lips/tongue, or difficulty breathing.

⚠️ Rare Side Effects

Hepatitis
Report yellowing of skin or eyes, dark urine, or right upper abdominal pain to your doctor immediately.
Bullous pemphigoid
Consult a dermatologist if you develop blisters or skin peeling.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Iodinated contrast media Major
Alcohol Major
Diuretics Moderate
Cationic drugs Moderate
Insulin Moderate
Sulfonylureas Moderate
ACE inhibitors Minor

🚨 Major Interactions

  • Iodinated contrast media
  • Alcohol

⚡ Moderate Interactions

  • Diuretics (e.g., furosemide)
  • Cationic drugs (e.g., amiloride, digoxin, morphine, procainamide, quinidine, quinine, ranitidine, triamterene, trimethoprim, vancomycin)
  • Insulin or sulfonylureas

🍷 Alcohol Interaction

Avoid excessive alcohol consumption. Alcohol increases the risk of lactic acidosis and hypoglycemia. If you drink alcohol, do so in moderation and only with your doctor's approval.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe renal impairment (eGFR

⚠️ Warnings & Precautions

["Lactic acidosis: Rare but serious. Discontinue and seek immediate medical help if suspected.","Pancreatitis: Has been reported with vildagliptin. Monitor for severe abdominal pain.","Hypoglycemia: Risk increases when used with insulin or sulfonylureas. Monitor blood glucose.","Renal impairment: Dose adjustment required based on eGFR. Contraindicated if eGFR

🤱 Lactation Safety

Metformin is excreted in human breast milk in small amounts. Vildagliptin is also excreted in rat milk. Consult your doctor before breastfeeding while taking this medicine.

💊 Overdose Management

Overdose may cause lactic acidosis, hypoglycemia, or pancreatitis. Seek immediate medical attention. Treatment is supportive and symptomatic. Hemodialysis may be considered for metformin removal in severe cases.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not skip doses or take extra doses. Inform your doctor about all other medicines, especially those for blood pressure, diuretics, and other diabetes drugs. Avoid excessive alcohol consumption as it increases the risk of lactic acidosis. Monitor your blood sugar regularly as advised. Maintain a healthy diet and exercise routine. If you are scheduled for surgery or imaging with contrast dye, inform your doctor as this medicine may need to be temporarily stopped. Do not use this medicine if you are pregnant or planning pregnancy without consulting your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of renal impairment and lactic acidosis. Renal function should be assessed before and during treatment. Dose adjustment may be necessary. Monitor for signs of hypoglycemia and other side effects.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. Insulin is generally preferred for managing diabetes during pregnancy. This medicine should be used during pregnancy only if clearly needed and prescribed by a doctor.

🏥 Post-Surgery Considerations

This medicine may need to be temporarily discontinued before surgery due to the risk of lactic acidosis and kidney problems. Inform your surgeon and anesthesiologist about all medicines you take. Resume only after your doctor approves.

🦷 Dental Procedures

Inform your dentist about this medicine before any dental procedure. No specific precautions are usually needed, but maintain good oral hygiene as diabetes can affect gum health.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to improve insulin sensitivity.
🥗
Engage in regular physical activity like walking, swimming, or cycling.
😴
Follow a balanced diet rich in fiber, lean proteins, and healthy fats.
💧
Monitor your blood sugar regularly as advised.
🧘
Get adequate sleep and manage stress.
🌞
Avoid smoking and limit alcohol consumption.

🏋️ Exercise Considerations

Exercise is encouraged as part of diabetes management. However, if you experience dizziness or weakness, avoid strenuous exercise and consult your doctor. Stay hydrated during exercise.

🥗 Diet Recommendations

Include high-fiber foods like whole grains, vegetables, and legumes.
Choose lean proteins such as fish, chicken, and tofu.
Limit refined carbohydrates and sugary drinks.
Eat small, frequent meals to maintain stable blood sugar.
Stay well hydrated with water.

💼 Impact on Daily Work & Life

This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery if you feel dizzy. Otherwise, it should not significantly impact your daily activities. Maintain regular meal times for best effect.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience serious side effects like lactic acidosis, pancreatitis, or severe allergic reactions, stop immediately and seek medical help. Your doctor may adjust or change the medicine based on your condition.

📅 Long-Term Use Effects

Long-term use may lead to vitamin B12 deficiency due to metformin. Regular monitoring of B12 levels is advised. Kidney function should be monitored at least annually. Vildagliptin may rarely cause pancreatitis or liver enzyme elevation. Overall, the combination is well-tolerated and effective for long-term diabetes management.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet and exercise are cornerstone for managing type 2 diabetes and can reduce medication needs.

Evidence: Well-established
Other oral antidiabetic combinations

Alternatives include Metformin with sulfonylureas, SGLT2 inhibitors, or GLP-1 receptor agonists.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, patients with diabetes should stay up to date with recommended vaccines, including influenza and pneumococcal vaccines, as they are at higher risk of infections.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Keep enough supply for the entire trip. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old man with type 2 diabetes not controlled on Metformin alone.
He was prescribed this medicine twice daily with meals. After 3 months, his HbA1c dropped from 8.5% to 7.2%. He experienced mild nausea initially, which subsided after a few weeks. He emphasized taking the medicine with food to avoid stomach upset.
💡 Lesson: Consistent use with meals improves tolerability and glycemic control.
👤 A 60-year-old woman with type 2 diabetes and mild renal impairment.
Her doctor adjusted the dose based on her kidney function. She was monitored regularly with blood tests. She maintained good sugar control without any serious side effects. She advises others to get regular kidney function tests.
💡 Lesson: Regular monitoring of renal function is crucial for safe use of this medicine.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within days, but full effects on blood sugar may take 1-2 weeks. HbA1c reduction is typically seen after 3 months.

Q: Can I take this medicine if I have kidney problems?

A: Your doctor will assess your kidney function. Dose adjustment is needed for mild to moderate impairment. It is contraindicated in severe kidney impairment.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🛑 Myths vs. Facts

  • Myth: This medicine can cure diabetes.
    Fact: This medicine helps manage blood sugar but does not cure diabetes. Lifestyle changes and medication are needed for long-term control.
  • Myth: This medicine causes weight gain.
    Fact: Unlike some other diabetes medicines, this combination is weight-neutral or may cause slight weight loss.
  • Myth: You can stop taking this medicine once your sugar is normal.
    Fact: Diabetes is a chronic condition. Stopping medication without doctor's advice can lead to serious complications.

🔄 Alternative Options

Generic Alternatives

  • Metformin 500 mg + Vildagliptin 50 mg generic tablets

Brand Alternatives

  • Zomelis Met 50/500
  • Jalra M 50/500
  • Galvus Met 50/500

📊 Comparison with Similar Medicines

[{"medicine":"Metformin + Vildagliptin","class":"Biguanide + DPP-4 inhibitor","pros":"Low risk of hypoglycemia, weight neutral","cons":"Twice daily dosing, GI side effects"},{"medicine":"Metformin + Sitagliptin","class":"Biguanide + DPP-4 inhibitor","pros":"Once daily dosing, low hypoglycemia risk","cons":"GI side effects, cost"},{"medicine":"Metformin + Glimepiride","class":"Biguanide + Sulfonylurea","pros":"Effective, inexpensive","cons":"Weight gain, hypoglycemia risk"}]

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