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Teniva M Tablet ER 20s
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Create ABHAIntroduction to Teniva M Tablet ER 20s
- This combination medication is used to manage type 2 diabetes.
- Metformin is an oral antidiabetic drug that helps control blood sugar levels, while Teneligliptin is a DPP-4 inhibitor that also helps regulate blood glucose.
How Teniva M Tablet ER 20s works
Metformin: Works by decreasing glucose production in the liver, improving insulin sensitivity, and enhancing glucose uptake and utilization in muscles. Teneligliptin: Works by inhibiting the enzyme DPP-4, which increases the levels of incretin hormones, leading to increased insulin release and decreased glucagon levels, thus lowering blood glucose.
How To Use Teniva M Tablet ER 20s
- Take this combination medication as prescribed by your doctor. It is usually taken with meals to reduce gastrointestinal side effects. Swallow the tablet whole with water, and do not crush or chew it.
Special Precautions for Teniva M Tablet ER 20s
- Not recommended for patients with severe kidney or liver disease.
- Use with caution in patients with heart failure.
- Avoid excessive alcohol consumption, which increases the risk of lactic acidosis
- Monitor blood sugar levels regularly to avoid hypoglycemia.
Benefits Of Teniva M Tablet ER 20s
- Provides better blood sugar control in type 2 diabetes. Reduces the risk of diabetes-related complications. Can help manage blood sugar levels more effectively than either drug alone.
Side Effects Of Teniva M Tablet ER 20s
- Nausea
- Vomiting
- Diarrhea
- Headache
What If I Missed A Dose Of Teniva M Tablet ER 20s
- If you miss a dose, take it as soon as you remember with food.
- If it is almost time for the next dose, skip the missed dose and resume your regular schedule.
- Do not take a double dose to make up for the missed one.
Health And Lifestyle
Follow a balanced diet rich in fiber and low in sugar and refined carbs. Engage in regular physical activity. Monitor your blood sugar levels as directed by your healthcare provider.
Drug Interaction
- Prednisone
- Amlodipine
- Ciprofloxacin
- Furosemide
Drug Food Interaction
- Alcohol
Disease Explanation
Type 2 Diabetes is a chronic condition characterized by high blood sugar levels due to insulin resistance and relative insulin deficiency.
Safety Advice for Teniva M Tablet ER 20s
- High risk
- Moderate risk
- Safe
Avoid as it increases the risk of lactic acidosis and affects blood sugar levels.
Not recommended for severe kidney disease; use with caution in mild to moderate kidney disease.
Use with caution if you have liver disease.
Consult your doctor before use.
Consult your doctor before use.
Generally does not affect driving ability, but monitor for symptoms of low blood sugar
FAQ's on Teniva M Tablet ER 20s
Is it safe to use Teniva-M?
Yes, it is safe to use Teniva-M if you take it for the prescribed duration and according to the dosage advised by the doctor. However, despite taking the prescribed dosage you might experience common side effects like nausea, diarrhea, vomiting, stomach upset, headache, nasal congestion, sore throat, respiratory tract infection and hypoglycemia (low blood sugar level). Hypoglycemia is relatively common in patients who are taking Teniva-M in combination with insulin or Sulfonylurea. Inform your doctor if you experience any persistent problem while taking this medicine.
Are there any specific contraindications associated with the use of Teniva-M?
The use of Teniva-M should be avoided in patients with known allergy to any of the components or excipients of this medicine. The use of this medicine is also considered to be harmful for patients with severe kidney impairment, liver impairment, congestive heart failure, lactic acidosis or diabetic ketoacidosis.
Can the use of Teniva-M lead to hypoglycemia?
The use of Teniva-M does not usually cause hypoglycemia (low blood sugar level) on its own. But, it could occur if there is insufficient supplementation of calories while taking this medicine. Symptoms of hypoglycemia include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate, and feeling anxious or shaky. The symptoms are more likely to be noticed if you miss or delay your food, drink alcohol, over-exercise or take any other antidiabetic medicine along with it. Hence, regular monitoring of blood sugar level is important. It is recommended to always carry glucose tablets, honey or fruit juice with you.
Can the use of Teniva-M lead to Vitamin B12 deficiency?
Yes, the use of Teniva-M can cause Vitamin B12 deficiency on long-term use. It interferes with the absorption of Vitamin B12 in the stomach. Deficiency of B12 may cause anemia and nerve problems. These may further cause a tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in maintaining balance (ataxia). Consult your doctor if you experience these symptoms. Your doctor may advise monitoring of B12 levels and prescribe a vitamin B12 supplement if required.
Can the use of Teniva-M cause lactic acidosis?
Yes, the use of Teniva-M can lead to lactic acidosis which is also known as MALA (Metformin-associated lactic acidosis). It is caused by increased levels of lactic acid in the blood. It is a very rare side effect associated with the use of metformin and therefore it is avoided in patients with underlying kidney disease, old age patients or who take large amounts of alcohol. Symptoms of lactic acidosis may include muscle pain or weakness, dizziness, tiredness, feeling of cold in arms and legs, difficulty in breathing, nausea, vomiting, stomach pain or slow heart rate. If you have these symptoms, stop taking Teniva-M and immediately consult your doctor.
What is the storage condition for the Teniva-M?
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
Can the use of Teniva-M cause nausea and vomiting?
Yes, the use of Teniva-M can cause nausea and vomiting. In case of vomiting, drink plenty of water or other fluids by taking small frequent sips. Talk to your doctor if vomiting persists and you notice signs of dehydration, like dark colored and strong-smelling urine and a low frequency of urination. Do not take any other medicine without consulting a doctor.
Written By
Pranav ayush
MBA in Pharmaceutical
Content Updated on
Tuesday, 11 August, 2026
