glyfloz-m 5mg/500mg tablet er - Dapagliflozin (5mg) + Metformin (500mg) medicine

Dapanova M 5mg/500mg Tablet: Comprehensive Guide

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🏭 Chemo Healthcare Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 24, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for type 2 diabetes mellitus.
Reviewed by
SaathiMed Expert Panel | Sep 24, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or rapid breathing
  • Severe abdominal pain or stomach discomfort
  • Unusual muscle pain or weakness
  • Dizziness or lightheadedness
  • Irregular heartbeat
  • Severe pain, redness, or swelling in the genital area
  • Decreased urine output
  • Yellowing of skin or eyes
  • Signs of hypoglycemia (shakiness, sweating, confusion)

If experiencing severe symptoms, call emergency services immediately.

What is glyfloz-m 5mg/500mg tablet er 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.

  • Generic Name: Dapagliflozin (5mg) + Metformin (500mg)
  • Manufacturer: Chemo Healthcare Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 glyfloz-m 5mg/500mg tablet er के बारे में (Hindi Summary)

उपयोग: यह दवा टाइप 2 डायबिटीज (मधुमेह) के इलाज के लिए इस्तेमाल की जाती है। यह शरीर में ब्लड शुगर को कंट्रोल करने में मदद करती है। इसमें डापाग्लिफ्लोज़िन और मेटफॉर्मिन दो दवाएं होती हैं। डापाग्लिफ्लोज़िन किडनी के जरिए शुगर को यूरिन से बाहर निकालता है, जबकि मेटफॉर्मिन लिवर में शुगर बनने को कम करता है और शरीर में इंसुलिन के असर को बढ़ाता है। यह दवा डॉक्टर की सलाह पर ही लेनी चाहिए। इसे खाने के साथ लेना चाहिए।

साइड इफेक्ट्स: इस दवा के आम साइड इफेक्ट्स में जननांग में फंगल इन्फेक्शन, यूरिन इन्फेक्शन, जी मिचलाना, दस्त, पेट में गड़बड़ी और सिरदर्द शामिल हैं। गंभीर साइड इफेक्ट्स में डायबिटिक कीटोएसिडोसिस, लैक्टिक एसिडोसिस और किडनी की समस्या हो सकती है। अगर आपको सांस लेने में तकलीफ, पेट में तेज दर्द, मांसपेशियों में दर्द, चक्कर आना या दिल की धड़कन अनियमित लगे तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे खाने के साथ लें ताकि पेट में गड़बड़ी न हो। दिनभर पर्याप्त पानी पिएं। शराब का सेवन न करें क्योंकि इससे लैक्टिक एसिडोसिस का खतरा बढ़ सकता है। अगर आपको किडनी या लिवर की समस्या है तो डॉक्टर को बताएं। ब्लड शुगर की नियमित जांच कराएं। किसी भी तरह के इन्फेक्शन के लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

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

💊 glyfloz-m 5mg/500mg tablet er 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.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Weight management","description":"Dapagliflozin component may promote modest weight loss, but this is not an approved indication.","evidence":"Limited"},{"condition":"Non-alcoholic fatty liver disease","description":"Some studies suggest potential benefit, but not an approved use.","evidence":"Investigational"}]

Primary treatment for: Type 2 Diabetes Mellitus

Also treats: Obesity, Hypertension, Dyslipidemia

📋 Drug Information

Generic Name(s)Dapagliflozin (5mg) + Metformin (500mg)
Brand Nameglyfloz-m 5mg/500mg tablet er
ManufacturerChemo Healthcare Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassANTI DIABETIC
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place. Protect from moisture and direct sunlight. Keep in the original container.
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 and improve absorption.
2
Stay well hydrated throughout the day to help prevent kidney problems.
3
Monitor your blood sugar levels regularly as advised by your doctor.
4
Avoid excessive alcohol consumption to reduce the risk of lactic acidosis.
5
Report any signs of urinary tract or genital infections promptly.
6
Do not stop taking this medicine without consulting your doctor.
7
Inform your doctor if you are scheduled for surgery or imaging tests with contrast dyes.

🔍 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
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 absorbed from the gastrointestinal tract, with peak plasma concentrations reached in about 2.5 hours. Food does not significantly affect the absorption of dapagliflozin but may reduce the rate and extent of metformin absorption.
DistributionDapagliflozin is approximately 91% bound to plasma proteins. Metformin is negligibly bound to plasma proteins and distributes into erythrocytes and various tissues.
Protein BindingDapagliflozin: ~91% protein bound. Metformin: negligible protein binding.
MetabolismDapagliflozin is primarily metabolized by UGT1A9 to inactive glucuronide metabolites. Metformin is not metabolized by the liver and is excreted unchanged.
Half-LifeDapagliflozin: approximately 12.9 hours. Metformin: approximately 6.2 hours.
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%.
Onset of ActionDapagliflozin: within 1-2 hours. Metformin: within 24-48 hours for full effect.
Peak Plasma TimeDapagliflozin: 1-2 hours. Metformin: 2.5 hours.
Duration of ActionDapagliflozin: 24 hours. Metformin: 24 hours with immediate-release formulation.

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 glucose reabsorption and increasing urinary glucose excretion. Metformin decreases hepatic glucose production, reduces intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization.

Mechanism Steps

1
SGLT2 inhibition by dapagliflozin: Dapagliflozin binds to and inhibits SGLT2 in the proximal tubule of the kidney, preventing glucose reabsorption and causing glucose to be excreted in urine.
2
Reduced hepatic glucose production by metformin: Metformin decreases gluconeogenesis in the liver by activating AMPK and inhibiting mitochondrial glycerophosphate dehydrogenase.
3
Improved insulin sensitivity: Metformin enhances peripheral glucose uptake and utilization in skeletal muscle and adipose tissue.
4
Combined glycemic control: The complementary actions of dapagliflozin and metformin lead to improved fasting and postprandial blood glucose levels.

💡 How to Take glyfloz-m 5mg/500mg tablet er

Strength: Tablet containing dapagliflozin 5 mg and metformin hydrochloride 500 mg.

1Take this medicine exactly as prescribed by your doctor.
2Swallow the tablet whole with a glass of water.
3Take it with meals to reduce stomach upset.
4Do not crush, chew, or break the tablet.
5Take it at the same time each day to maintain consistent blood levels.
6If you miss a dose, follow the missed dose instructions.
7Do not stop taking this medicine without consulting your doctor.

Dosage Information

Adult DosageThe usual starting dose is one tablet taken orally once daily with meals. The dose may be increased based on blood sugar levels and tolerability. The maximum recommended dose is one tablet twice daily. 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. Renal function should be monitored regularly. Dose adjustment may be needed based on renal function.
Renal ImpairmentNot recommended in patients with eGFR <30 mL/min/1.73 m2. Dose adjustment may be needed for eGFR 30-45 mL/min/1.73 m2. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Not recommended in severe hepatic impairment.
Maximum Daily DoseOne tablet twice daily (dapagliflozin 10 mg + metformin 1000 mg total daily dose).

Dosage Timeline

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

🍽️ Food Timing Guide

With meals
Take with meals
Reduces stomach upset and improves tolerability.
Alcohol
Avoid
Increases risk of lactic acidosis.

⏰ 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 glyfloz-m 5mg/500mg tablet er

✅ 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%))
Drink plenty of water. 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

Diabetic ketoacidosis (Rare (<0.1%))
Seek immediate medical attention if you experience nausea, vomiting, abdominal pain, fatigue, or difficulty breathing.
Lactic acidosis (Rare (<0.1%))
Seek emergency care if you have muscle pain, trouble breathing, stomach pain, dizziness, or irregular heartbeat.
Necrotizing fasciitis of the perineum (Very rare (<0.01%))
Seek immediate medical attention if you have severe pain, redness, or swelling in the genital area, along with fever.
Kidney impairment (Uncommon (0.1-1%))
Regular monitoring of kidney function is advised. Report decreased urine output.

⚠️ Rare Side Effects

Angioedema
Seek emergency care if you experience swelling of face, lips, or throat.
Hypersensitivity reactions
Discontinue and seek medical help if rash, itching, or difficulty breathing occurs.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Contrast media Major
Alcohol Major
Diuretics Moderate
Insulin Moderate
Sulfonylureas Moderate
Cationic drugs Moderate
Nifedipine Minor

🚨 Major Interactions

  • Contrast media (iodinated)
  • Alcohol

⚡ Moderate Interactions

  • Diuretics
  • Insulin or sulfonylureas
  • 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 because it can increase the risk of lactic acidosis, a rare but serious complication of metformin. Alcohol can also cause unpredictable changes in blood sugar levels.

🔎 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 medical help if suspected.","Diabetic ketoacidosis: May occur even with normal blood sugar. Monitor for symptoms.","Renal impairment: Dose adjustment may be needed. Monitor renal function.","Hypotension: May occur due to volume depletion. Monitor blood pressure.","Genital mycotic infections: Maintain hygiene. Report symptoms.","Vitamin B12 deficiency: Long-term metformin use may cause deficiency. Monitor levels.","Hypoglycemia: Risk increases when used with insulin or sulfonylureas.","Surgery: Discontinue temporarily before surgery and restart after 48 hours."]

🤱 Lactation Safety

Not established from the available information. Consult your doctor before breastfeeding.

💊 Overdose Management

Overdose may cause hypoglycemia, lactic acidosis, or renal impairment. Seek immediate medical attention. 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 healthcare provider. Swallow the tablet whole with a glass of water. Take it with meals to reduce stomach upset. Stay well hydrated throughout the day to help prevent kidney problems. Avoid excessive alcohol consumption while taking this medicine, as it can increase the risk of lactic acidosis. Inform your doctor if you have kidney or liver problems, or if you are scheduled for surgery or imaging tests with contrast dyes. Check your blood sugar regularly as advised. Report any signs of infection, especially in the genital or urinary area, promptly. Do not share this medicine with others, even if they have similar symptoms. Keep this medicine out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, especially regarding kidney function. Regular monitoring of renal function is recommended. Dose adjustment may be needed.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. It is not recommended during pregnancy unless clearly needed. Your doctor may switch you to a safer alternative.

🏥 Post-Surgery Considerations

Discontinue this medicine temporarily before surgery and restart after 48 hours, as advised by your doctor. Monitor blood sugar closely during this period.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. No specific precautions are usually needed, but maintain good oral hygiene.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to improve blood sugar control.
🥗
Engage in regular physical activity, such as brisk walking or swimming.
😴
Follow a balanced diet rich in fiber, lean proteins, and healthy fats.
💧
Limit intake of sugary and processed foods.
🧘
Monitor your blood sugar levels regularly.
🌞
Get adequate sleep to support overall health.
🚭
Manage stress through relaxation techniques like yoga or meditation.

🏋️ Exercise Considerations

Exercise is beneficial for diabetes management, but monitor your blood sugar before and after exercise. Carry a source of fast-acting sugar in case of hypoglycemia. Stay hydrated during exercise.

🥗 Diet Recommendations

Include fiber-rich foods like whole grains, vegetables, and legumes.
Choose lean proteins such as fish, chicken, and tofu.
Limit saturated and trans fats.
Avoid sugary drinks and snacks.
Stay well hydrated with water.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or lightheadedness in some people. Avoid driving or operating heavy machinery if you feel dizzy. Otherwise, it should not significantly impact your daily activities.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects, contact your doctor immediately. Your doctor may adjust the dose or switch to another medicine.

📅 Long-Term Use Effects

Long-term use of this medicine may require regular monitoring of kidney function, blood sugar, and vitamin B12 levels. Metformin can cause vitamin B12 deficiency over time. Dapagliflozin may increase the risk of genital infections. Regular follow-up with your doctor is essential to adjust the dose and monitor for complications.

🌿 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 medicine.

Evidence: Well-established
Other oral antidiabetic agents

Other classes like DPP-4 inhibitors, sulfonylureas, or insulin may be considered based on individual needs.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are established. However, maintain routine vaccinations as advised by your doctor.

📦 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 it at room temperature and protect it from moisture. If traveling across time zones, consult your doctor about adjusting the timing of doses. 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 and obesity
He was prescribed this medicine after metformin alone did not control his blood sugar. Within three months, his HbA1c dropped significantly, and he lost about 3 kg. He experienced mild nausea initially, which resolved after taking the medicine with food.
💡 Lesson: Taking this medicine with meals improves tolerability and helps achieve better glycemic control.
👤 A 60-year-old woman with type 2 diabetes and hypertension
She started this medicine and noticed a mild reduction in blood pressure. She was advised to monitor her kidney function regularly. She maintained good hydration and did not experience any serious side effects.
💡 Lesson: Regular monitoring of kidney function and blood pressure is important while taking this medicine.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts lowering blood sugar within a few days, but full effects on HbA1c may take 2-3 months.

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

A: It is not recommended if you have severe kidney impairment. Consult your doctor for dose adjustment.

Q: What should I do if I experience side effects?

A: Mild side effects often improve with time. If you experience severe or persistent symptoms, contact your doctor.

🤔 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 glyfloz-m 5mg/500mg tablet er

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 treatment are essential.
  • Myth: This medicine can be taken without food.
    Fact: It should be taken with meals to reduce stomach upset and improve tolerability.
  • Myth: This medicine causes weight gain.
    Fact: Dapagliflozin may cause modest weight loss, while metformin is weight-neutral or may cause slight weight loss.

🔄 Alternative Options

Generic Alternatives

  • Dapagliflozin + Metformin generic tablets

Brand Alternatives

  • Dapanova M 5mg/500mg Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Dapagliflozin + Metformin","class":"SGLT2 inhibitor + Biguanide","key_benefit":"Effective glycemic control, weight loss, blood pressure reduction"},{"medicine":"Empagliflozin + Metformin","class":"SGLT2 inhibitor + Biguanide","key_benefit":"Similar benefits, cardiovascular risk reduction"},{"medicine":"Sitagliptin + Metformin","class":"DPP-4 inhibitor + Biguanide","key_benefit":"Weight neutral, low hypoglycemia risk"}]

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