EVOGLIPTIN+METFORMIN

Do not take EVOGLIPTIN+METFORMIN if you are allergic to any of its contents. Do not use this medicine if you have heart failure, bladder cancer, or diabetic ketoacidosis (a complication of diabetes). EVOGLIPTIN+METFORMIN may cause lactic acidosis (accumulation of lactic acid in the blood), which requires immediate medical attention. The risk increases if you are previously diagnosed with kidney or liver diseases. Do not consume alcohol with EVOGLIPTIN+METFORMIN as it may increase the risk of lactic acidosis or fast for prolonged periods as it might increase the risk of hypoglycaemia. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Drug-Drug Interactions: EVOGLIPTIN+METFORMIN may have interaction with antibiotic medicines (e.g. clarithromycin), steroid medicines ( e.g. prednisolone), diuretics medicines (e.g. furosemide), medicines to treat heart problems and high blood pressure (e.g. enalapril, perindopril), hormones (e.g. testosterone, oestrogen and progesterone) and other diabetes medicines.

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: EVOGLIPTIN+METFORMIN may interact with uncontrolled diabetes, liver/kidney/heart problems, severe infection, severe circulation problems or breathing difficulties.

• Eat at regular intervals. Do not take a long gap between a meal or snack.
• Monitor your blood sugar level regularly, especially when there are a lot of fluctuations.
• Invest in at least 150 minutes of moderate-intensity physical activity and 15 minutes of high-intensity exercise weekly.
• Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
• Replace refined carbohydrates-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 EVOGLIPTIN+METFORMIN. 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 EVOGLIPTIN+METFORMIN even if your blood sugar levels are controlled.
• Take short, frequent meals, and avoid prolonged fasting when taking EVOGLIPTIN+METFORMIN. 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.