Rybelsus 14 mg Tablet 10's belongs to the class of medications called 'anti-diabetic agents' used to improve glycaemic control in adult patients with type 2 diabetes mellitus when diet and exercise are not enough or when the other medicines are not enough to control your blood sugar levels. Type 2 diabetes is a condition in which your body does not produce enough insulin, and the insulin produced does not drop your blood sugar as effectively as it could.

Rybelsus 14 mg Tablet 10's comprises semaglutide. Semaglutide is a GLP-1 physiological hormone that promotes glycemic control via several mechanisms, including insulin secretion, slowing gastric emptying, and reducing postprandial glucagon secretion. Changes to diet and exercise are often combined with this medication.

Take Rybelsus 14 mg Tablet 10's as prescribed. You are advised to take Rybelsus 14 mg Tablet 10's for as long as your doctor has advised. In some cases, Rybelsus 14 mg Tablet 10's may cause diabetic eye disease (retinopathy), feeling sick (nausea) or being sick (vomiting), diarrhoea, low blood sugar (hypoglycaemia), upset stomach or indigestion and inflamed stomach ('gastritis'). Most of these side effects do not require medical attention and will resolve gradually over time. However, if the side effects persist or worsen, consult your doctor.

It is recommended not to take Rybelsus 14 mg Tablet 10's if you are allergic to any of its components. You should inform your doctor if you get eye problems. If you have significant and ongoing stomach pain, consult a doctor immediately, as this could be a sign of an inflamed pancreas (acute pancreatitis). Avoiding alcohol is recommended to rule out any risk of lactic acidosis or other complications. Rybelsus 14 mg Tablet 10's is not recommended to use in a pregnant woman or nursing mother, or children below 18 years of age. If you become pregnant while using this medication, contact your doctor immediately since your treatment will need to be modified. Caution should be exercised. If your blood sugar is too low or too high, your driving ability may be affected. Do not drive if these symptoms appear.

Rybelsus 14 mg Tablet 10's is used to treat type 2 diabetes in people 18 years and older. It is used when diet and exercise are not enough on their own or cannot use another diabetes medicine or when the other drugs are not enough to control or maintain your blood sugar levels. Rybelsus 14 mg Tablet 10's comprises semaglutide. Semaglutide is a GLP-1 physiological hormone that promotes glycemic control via several mechanisms, including insulin secretion, slowing gastric emptying, and reducing postprandial glucagon secretion. Changes to diet and exercise are often combined with this medication.

• Complications of diabetic eye disease (retinopathy)
• Feeling sick (nausea) or being sick (vomiting)
• Diarrhoea
• Low blood sugar (hypoglycaemia)
• Upset stomach or indigestion
• Inflamed stomach ('gastritis')
• Stomach ache
• Reflux or heartburn
• Stomach pain
• Bloating of the stomach
• Constipation
• Tiredness
• Less appetite
• Gas (flatulence)
• Increase of pancreatic enzymes (such as lipase and amylase)

It is recommended not to take Rybelsus 14 mg Tablet 10's if you are allergic to any of its components. You should inform your doctor if you get eye problems, such as changes in vision, during treatment with this medicine as the Rybelsus 14 mg Tablet 10's may lead to complications of diabetic eye disease (retinopathy). When taking this medication, you may feel nauseous (nausea), sick (vomiting), or have diarrhoea. These adverse effects may result in dehydration (loss of fluids). You must consume enough water to avoid dehydration, especially if you have kidney issues. If you have any questions or concerns, consult your doctor. If you have significant and ongoing stomach pain, consult a doctor immediately, as this could be a sign of an inflamed pancreas (acute pancreatitis). Avoiding alcohol is recommended to rule out any risk of lactic acidosis or other complications. Rybelsus 14 mg Tablet 10's is not recommended for pregnant women, nursing mothers, or people below 18 years of age. If you become pregnant while taking this medication, contact your doctor immediately since your treatment will need to be modified.

Drug-Drug Interactions: Rybelsus 14 mg Tablet 10's may have interaction with hormonal medications (e.g. levothyroxine), oral anticoagulants (warfarin), certain anti-diabetic medications (e.g. insulin), anti-cancer medications (e.g. bexarotene) and certain antibiotics (e.g. gatifloxacin).

Drug-Food Interactions: No interactions found/established. 

Drug-Disease Interactions: Rybelsus 14 mg Tablet 10's may interact with disease conditions, including suicidal behaviour and ideation, thyroid cancer, GI adverse events, hypoglycaemia, pancreatitis and retinopathy.

• LEVOTHYROXINE
• WARFARIN
• BEXAROTENE
• GATIFLOXACIN
• INSULIN

• Eat at regular intervals. Do not take a long gap between meals or snacks.
• Monitor your blood sugar level regularly, especially when there are a lot of fluctuations.
• Invest in at least 150 min of moderate-intensity physical activity and 15 minutes of exercise every week.
• Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
• Replace refined carbohydrate-containing foods with whole-grain foods. Increase fruits, vegetables and other fibre-enriched foods in your diet.
• Reduce saturated fat foods such as chips, crisps, pastries, biscuits, and samosas.
• Choose omega-3 fatty acid-containing oils for daily cooking. 
• Do not take stress as it may elevate your blood sugar level. You may adopt stress management techniques like mindfulness, yoga, or meditation to control stress-related blood sugar changes.
• Opt for low-fat dairy products (low-fat yoghurt, fat-free milk, cheese, etc.).
• Avoid drinking alcohol while on Rybelsus 14 mg Tablet 10's. It increases the risk of hypoglycaemia (a decrease in blood sugar which might be fatal in some cases) and lactic acidosis (when the lactic acid increases in the body, which impacts various organs).
• Try to quit smoking and reduce your intake of carbohydrate-rich food like potatoes, rice, mangoes, bread, sugar, etc.

• Keep taking Rybelsus 14 mg Tablet 10's even if your blood sugar levels are controlled until the doctor advises you to stop it.
• Recommend you monitor your blood sugar frequently.
• Monitoring of pancreatic enzymes (such as lipase and amylase) is recommended.
• Take short, frequent meals, and avoid prolonged fasting when taking Rybelsus 14 mg Tablet 10's. Beware of hypoglycaemia symptoms, including sweating, dizziness, palpitations, shivering, intense thirst, dry mouth, dry skin, frequent urination, etc. Whenever you experience the symptoms mentioned above, immediately consume 5-6 candies, three glucose biscuits, or three teaspoons of honey/sugar and get in touch with your physician. Make sure to carry these with you at all times, especially for long travels.

Type 2 diabetes: Type 2 diabetes is a medical condition in which your body does not produce enough insulin, and the insulin produced does not drop your blood sugar as effectively as it could. In some situations, your body may produce excessive blood sugar. If your blood sugar rises and stays high for an extended amount of time, it can cause problems such as heart disease, renal disease, eye abnormalities, and poor circulation in your limbs. Therefore it is critical to maintain your blood sugar levels balanced.