dapatrend m 10mg/500mg tablet - Dapagliflozin (10mg) + Metformin (500mg) medicine

Cididap M 10mg/500mg Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 Anthem Biopharma 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Nephrotoxicity Risk 🤰 Pregnancy Category Not recommended during pregnancy. Dapagliflozin and metformin should be discontinued when pregnancy is detected, and insulin therapy should be considered. Consult your doctor for appropriate management. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
Reviewed by
SaathiMed Expert Panel | Oct 22, 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

  • Difficulty breathing, muscle pain, or extreme fatigue (possible lactic acidosis)
  • Nausea, vomiting, abdominal pain, or rapid breathing (possible ketoacidosis)
  • Severe dizziness or fainting (possible dehydration or low blood pressure)
  • Decreased urine output or swelling in legs (possible kidney problems)
  • Blood in urine or painful urination (possible urinary tract infection or bladder cancer)
  • Swelling of face, lips, or throat (possible allergic reaction)
  • Yellowing of skin or eyes (possible liver problems)

If experiencing severe symptoms, call emergency services immediately.

What is dapatrend m 10mg/500mg tablet used for?

This medicine is a combination of dapagliflozin and metformin used to treat type 2 diabetes. It helps lower blood sugar by increasing glucose excretion in urine and reducing glucose production in the liver. It is taken orally with meals, usually once daily.

  • Generic Name: Dapagliflozin + Metformin
  • Manufacturer: Anthem Biopharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 dapatrend m 10mg/500mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा टाइप 2 डायबिटीज के इलाज के लिए इस्तेमाल की जाती है। यह शरीर में ब्लड शुगर को कंट्रोल करने में मदद करती है। इसमें डैपाग्लिफ्लोज़िन और मेटफॉर्मिन दो दवाएं होती हैं जो अलग-अलग तरीकों से शुगर को कम करती हैं। यह दवा खाने के साथ लेनी चाहिए और डॉक्टर की सलाह के बिना बंद नहीं करनी चाहिए।

साइड इफेक्ट्स: इस दवा के आम साइड इफेक्ट्स में जननांगों में फंगल इन्फेक्शन, यूरिन इन्फेक्शन, जी मिचलाना, दस्त, सिरदर्द और चक्कर आना शामिल हैं। गंभीर साइड इफेक्ट्स में लैक्टिक एसिडोसिस, कीटोएसिडोसिस, डिहाइड्रेशन और किडनी की समस्या हो सकती है। अगर आपको कोई भी असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे खाने के साथ लें ताकि पेट में जलन न हो। दिनभर पर्याप्त पानी पिएं। शराब का सेवन न करें क्योंकि इससे लैक्टिक एसिडोसिस का खतरा बढ़ सकता है। अपने ब्लड शुगर की नियमित जांच कराएं। अगर आप गर्भवती हैं या स्तनपान करा रही हैं तो इस दवा का इस्तेमाल न करें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 dapatrend m 10mg/500mg tablet Uses & Benefits

[{"condition":"Type 2 Diabetes Mellitus","description":"Used as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus when metformin alone or dapagliflozin alone does not provide adequate control.","evidence":"Well-established"},{"condition":"Type 2 Diabetes Mellitus with Cardiovascular Risk","description":"May reduce the risk of cardiovascular death, hospitalization for heart failure, and kidney disease progression in patients with type 2 diabetes and established cardiovascular disease or multiple risk factors.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Heart Failure with Reduced Ejection Fraction (HFrEF)","description":"Dapagliflozin, a component of this medicine, is approved for HFrEF irrespective of diabetes status, but the combination with metformin is not indicated for this use.","evidence":"Well-established for dapagliflozin alone"},{"condition":"Chronic Kidney Disease","description":"Dapagliflozin alone is approved for chronic kidney disease, but the combination product is not indicated for this purpose.","evidence":"Well-established for dapagliflozin alone"}]

Primary treatment for: Type 2 Diabetes Mellitus

Also treats: Cardiovascular disease, Chronic kidney disease, Heart failure

📋 Drug Information

Generic Name(s)Dapagliflozin + Metformin
Brand NameCididap M 10mg/500mg Tablet
ManufacturerAnthem Biopharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI DIABETIC
Action ClassSGLT2 Inhibitor + Biguanide
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineThe World Health Organization recommends metformin as a first-line treatment for type 2 diabetes. SGLT2 inhibitors, including dapagliflozin, are recommended as second-line or add-on therapy in patients with cardiovascular or renal disease.
ICMR GuidelineThe Indian Council of Medical Research guidelines recommend metformin as initial therapy for type 2 diabetes. Dapagliflozin may be added for additional glycemic control and cardiovascular/renal benefits.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with meals to reduce stomach upset and improve absorption.
2
Stay well hydrated throughout the day to prevent dehydration and kidney problems.
3
Avoid excessive alcohol consumption as it increases the risk of lactic acidosis.
4
Monitor your blood sugar levels regularly and keep a record to share with your doctor.
5
Report any signs of genital infection, such as itching or discharge, to your doctor promptly.
6
Do not stop taking this medicine without consulting your doctor, even if you feel better.
7
Inform your doctor if you are scheduled for surgery or imaging tests with contrast dye.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
High blood sugar
This medicine is commonly prescribed for this.
Likely Use
✅
Frequent urination
This medicine helps reduce this symptom by lowering blood sugar.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDapagliflozin is rapidly absorbed after oral administration, with peak plasma concentrations typically achieved within 2 hours. Metformin is slowly and incompletely absorbed from the gastrointestinal tract, with peak plasma concentrations reached in about 2.5 hours. Food may reduce the rate and extent of metformin absorption but does not significantly affect dapagliflozin absorption.
DistributionDapagliflozin is approximately 91% bound to plasma proteins. Metformin is negligibly bound to plasma proteins and distributes into erythrocytes and various tissues. Both drugs have large volumes of distribution.
Protein BindingDapagliflozin: approximately 91% protein bound. Metformin: negligible protein binding.
MetabolismDapagliflozin is extensively metabolized, primarily by glucuronidation via UGT1A9, to an inactive metabolite. Metformin is not metabolized by the liver and is excreted unchanged in urine.
Half-LifeDapagliflozin: approximately 12.9 hours. Metformin: approximately 6.2 hours (plasma) and 17.6 hours (blood).
ExcretionDapagliflozin and its metabolites are primarily excreted in urine (75%) and feces (21%). Metformin is excreted unchanged in urine via active tubular secretion.
BioavailabilityDapagliflozin: approximately 78%. Metformin: approximately 50-60% under fasting conditions.
Onset of ActionDapagliflozin: within 1-2 hours. Metformin: within 1-2 hours for immediate-release. Full glycemic effect may take several weeks.
Peak Plasma TimeDapagliflozin: 2 hours. Metformin: 2.5 hours.
Duration of ActionDapagliflozin: approximately 24 hours. Metformin: approximately 6-12 hours for immediate-release.

How It Works

This medicine combines two antidiabetic agents with complementary mechanisms. Dapagliflozin inhibits sodium-glucose co-transporter 2 (SGLT2) in the proximal renal tubules, reducing renal glucose reabsorption and increasing urinary glucose excretion, thereby lowering blood glucose levels independently of insulin. Metformin decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization. Together, they improve glycemic control through different pathways.

Mechanism Steps

1
SGLT2 inhibition by dapagliflozin: Dapagliflozin binds to and inhibits SGLT2 in the proximal tubule of the kidney, blocking glucose reabsorption and promoting its excretion in urine.
2
Reduced hepatic glucose production by metformin: Metformin decreases gluconeogenesis and glycogenolysis in the liver, reducing the amount of glucose released into the bloodstream.
3
Improved insulin sensitivity by metformin: Metformin enhances peripheral glucose uptake and utilization in skeletal muscle and adipose tissue, improving insulin sensitivity.
4
Additive glucose lowering: The combined effects of increased urinary glucose excretion and reduced hepatic glucose output lead to improved glycemic control.

💡 How to Take dapatrend m 10mg/500mg tablet

Strength: Tablet containing Dapagliflozin 10 mg and Metformin 500 mg (immediate-release).

1Take the tablet with a full 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 instructions regarding timing and frequency.
5Do not change the dose without consulting your doctor.

Dosage Information

Adult DosageThe usual recommended dose is one tablet taken orally once daily with meals. The dose may be adjusted by your doctor based on your blood sugar levels, kidney function, and overall health. 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 be more sensitive to the effects of this medicine, especially regarding kidney function and dehydration. Dose should be adjusted based on renal function. Regular monitoring is advised.
Renal ImpairmentDapagliflozin: not recommended if eGFR <45 mL/min/1.73 m2 for glycemic control; may be continued for other benefits. Metformin: contraindicated if eGFR <30 mL/min/1.73 m2; dose adjustment needed for eGFR 30-45. Consult your doctor for specific guidance.
Hepatic ImpairmentDapagliflozin: no dose adjustment needed for mild to moderate hepatic impairment; not recommended for severe impairment. Metformin: use with caution in hepatic impairment due to risk of lactic acidosis. Consult your doctor.
Maximum Daily DoseDapagliflozin: 10 mg. Metformin: 2000 mg (immediate-release). The maximum daily dose of this combination is one tablet of 10 mg/500 mg, but your doctor may prescribe additional metformin separately if needed.

Dosage Timeline

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

🍽️ Food Timing Guide

With meals
Take with food
Reduces stomach upset and improves metformin tolerance.
Grapefruit
No restriction
No significant interaction with dapagliflozin or metformin.
High-fiber foods
May reduce metformin absorption
Fiber can bind to metformin; separate intake if needed.

⏰ 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 dapatrend m 10mg/500mg tablet

✅ Common Side Effects

Genital fungal infections (Common (5-10%))
Maintain good hygiene. Consult doctor if symptoms persist or worsen.
Urinary tract infections (Common (5-10%))
Stay hydrated. Consult doctor if symptoms like burning urination occur.
Nausea (Common (5-10%))
Take with food. Usually resolves over time.
Diarrhea (Common (5-10%))
Stay hydrated. Consult doctor if persistent.
Headache (Common (5-10%))
Usually resolves on its own. Consult doctor if severe.

🚨 Serious Side Effects

Lactic acidosis (Rare (<0.1%))
Seek immediate medical attention if you experience muscle pain, difficulty breathing, stomach pain, or extreme fatigue.
Ketoacidosis (Rare (<0.1%))
Seek immediate medical attention if you have nausea, vomiting, abdominal pain, or difficulty breathing, even if blood sugar is normal.
Dehydration and hypotension (Uncommon (0.1-1%))
Drink plenty of fluids. Consult doctor if you feel dizzy or faint.
Kidney impairment (Uncommon (0.1-1%))
Regular monitoring of kidney function is advised. Report decreased urine output.

⚠️ Rare Side Effects

Angioedema
Seek emergency medical help if you experience swelling of face, lips, or throat.
Bladder cancer
Report blood in urine or painful urination to your doctor immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Alcohol Major
Iodinated contrast media Major
Diuretics Major
Insulin Moderate
Cationic drugs Moderate
Nifedipine Minor
Furosemide Minor

🚨 Major Interactions

  • Alcohol
  • Iodinated contrast media
  • Diuretics

⚡ Moderate Interactions

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

🍷 Alcohol Interaction

Alcohol should be avoided or limited while taking this medicine due to an increased risk of lactic acidosis, a rare but serious complication associated with metformin. Alcohol can also cause hypoglycemia and worsen dehydration.

🔎 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.","Ketoacidosis: may occur even with normal blood sugar; report symptoms immediately.","Volume depletion: may cause hypotension; monitor and maintain hydration.","Genital mycotic infections: monitor and treat as needed.","Vitamin B12 deficiency: long-term metformin use may cause; monitor levels.","Hypoglycemia: risk increases when used with insulin or secretagogues.","Surgery: temporarily discontinue before surgery as advised by doctor."]

🤱 Lactation Safety

Not recommended during breastfeeding. It is not known if dapagliflozin is excreted in human milk. Metformin is excreted in human milk in small amounts. Consult your doctor for alternative treatments.

💊 Overdose Management

In case of overdose, seek immediate medical attention. Symptoms may include severe hypoglycemia, lactic acidosis, or dehydration. Treatment is supportive and symptomatic. Hemodialysis may be considered for metformin overdose.

⏰ 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 take two doses at the same time.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not change the dose or stop taking it without consulting your doctor. Swallow the tablet whole with a glass of water. Take it with meals to reduce stomach upset. Stay well hydrated throughout the day. Avoid excessive alcohol consumption while taking this medicine, as it increases the risk of lactic acidosis. Monitor your blood sugar levels regularly as advised. Inform your doctor if you have kidney or liver problems, or if you are scheduled for surgery or imaging tests. Do not use this medicine if you are pregnant or breastfeeding. Keep this medicine out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to dehydration, hypotension, and kidney impairment. Regular monitoring of kidney function and blood pressure is advised. Dose adjustments may be necessary based on renal function.

🤰 Pregnancy Planning (TTC)

This medicine is not recommended during pregnancy. If you are planning to become pregnant, consult your doctor to switch to a safer alternative, such as insulin, before conception.

🏥 Post-Surgery Considerations

This medicine may need to be temporarily discontinued before surgery due to the risk of lactic acidosis and dehydration. Consult your surgeon and doctor for specific instructions.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. No specific precautions are usually needed for routine dental procedures, but maintain good oral hygiene and stay hydrated.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight through diet and exercise.
🥗
Engage in regular physical activity, such as brisk walking or swimming.
😴
Monitor your blood sugar levels regularly as advised.
💧
Follow a balanced diet rich in fiber, lean proteins, and healthy fats.
🧘
Stay hydrated by drinking plenty of water throughout the day.
🌞
Get adequate sleep to help regulate blood sugar.
🚭
Manage stress through relaxation techniques like yoga or meditation.

🏋️ Exercise Considerations

Exercise is encouraged while taking this medicine, but be cautious about dehydration, especially if you sweat heavily. Drink plenty of water before, during, and after exercise. If you experience dizziness or weakness, stop and consult your doctor.

🥗 Diet Recommendations

Include fiber-rich foods like whole grains, vegetables, and legumes.
Choose lean proteins such as fish, chicken, and tofu.
Limit intake of refined sugars and processed foods.
Incorporate healthy fats from nuts, seeds, and olive oil.
Eat regular meals and avoid skipping breakfast.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people, especially during the initial days. Avoid driving or operating heavy machinery if you feel dizzy. Otherwise, it should not significantly impact your daily work life. Maintain regular meal times and take the medicine with food.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as lactic acidosis, ketoacidosis, or severe allergic reactions, seek immediate medical attention and follow your doctor's advice regarding discontinuation.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to vitamin B12 deficiency due to metformin, requiring periodic monitoring. It may also increase the risk of genital infections and, rarely, bladder cancer. Regular monitoring of kidney function, blood sugar, and vitamin B12 levels is recommended. The cardiovascular and renal benefits of dapagliflozin may persist with long-term use.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Diet and exercise are essential for managing type 2 diabetes and can complement medication.

Evidence: Well-established
Other antidiabetic medications

Depending on your condition, your doctor may prescribe alternative medications such as sulfonylureas, DPP-4 inhibitors, or insulin.

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 vaccinations, 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. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If traveling across time zones, consult your doctor about adjusting the timing of your dose. Carry enough supply for the entire trip plus extra in case of delays.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 52-year-old man with type 2 diabetes and obesity
He was prescribed this medicine after metformin alone failed to control his blood sugar. Within three months, his HbA1c dropped from 8.5% to 7.2%, and he lost 3 kg. He experienced mild genital itching initially, which resolved with good hygiene. He emphasizes taking the tablet with breakfast and staying hydrated.
💡 Lesson: This medicine can effectively lower blood sugar and promote modest weight loss when taken consistently with lifestyle modifications.
👤 A 60-year-old woman with type 2 diabetes and mild kidney disease
She started this medicine and initially felt dizzy due to dehydration. Her doctor adjusted her diuretic dose and advised increased water intake. Her blood sugar improved, and her kidney function remained stable. She now monitors her blood pressure regularly.
💡 Lesson: Close monitoring and dose adjustments of other medications are important when starting this medicine, especially in patients with kidney disease.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within a few hours, but it may take several weeks to see the full effect on blood sugar levels. Regular monitoring is important.

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

A: It depends on the severity of kidney disease. This medicine is not recommended if your eGFR is below 30 mL/min/1.73 m2. Consult your doctor for personalized advice.

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

A: 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 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?

🔄 Substitutes for dapatrend m 10mg/500mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure diabetes.
    Fact: This medicine helps manage blood sugar levels but does not cure diabetes. Lifestyle changes and ongoing medical care are essential.
  • Myth: This medicine causes kidney damage.
    Fact: When used appropriately, this medicine can actually protect kidney function in some patients. However, it is not recommended in severe kidney impairment.
  • Myth: You can stop taking this medicine once your sugar levels are normal.
    Fact: Diabetes is a chronic condition. Stopping medication without consulting your doctor can lead to serious complications.

🔄 Alternative Options

Generic Alternatives

  • Dapagliflozin + Metformin (generic)

Brand Alternatives

  • Cididap M 10mg/500mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Dapagliflozin + Metformin","class":"SGLT2 inhibitor + Biguanide","key_benefit":"Cardiovascular and renal benefits","common_side_effects":"Genital infections, GI upset"},{"medicine":"Empagliflozin + Metformin","class":"SGLT2 inhibitor + Biguanide","key_benefit":"Cardiovascular benefits","common_side_effects":"Genital infections, GI upset"},{"medicine":"Sitagliptin + Metformin","class":"DPP-4 inhibitor + Biguanide","key_benefit":"Weight neutral, low hypoglycemia risk","common_side_effects":"Headache, GI upset"}]

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