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This medicine is indicated in type 2 diabetes (a disorder characterized by high sugar levels in blood), in combination with pioglitazone or metformin or sulphonylureas.


This medicine is contraindicated in diabetic ketoacidosis (a life threatening condition in which liver breaks down fats into ketones for energy), hepatic (liver) impairment and congestive heart failure (a condition that progresses over a long time and affects the pumping of heart).

Side effects

Bullous (pus filled injury) and exfoliative (injury characterized with shedding of skin) lesions. When taken alone it can cause dizziness; when taken with metformin it can cause tremors (shaking movements), headache, nausea (an urge to vomit), hypoglycaemia (low sugar levels); when taken with sulphonylurea it can cause tremors (shaking movements), headache, nausea (an urge to vomit), asthenia (physical weakness), hypoglycaemia (low sugar levels); when taken with a glitazone it can cause weight gain and peripheral edema (swelling of hands and feet) and with insulin it can cause headache, hypoglycaemia (low sugar levels), GI upset, chills etc.

Expert Advice

  • Take with or without meals.

  • Take the prescribed diet, exercise regularly and control weight.

  • Check blood glucose periodically.

  • Report persistent dizziness, headache, hypoglycaemia (low sugar levels).


Can this drug be linked with pancreatitis?

If you experience signs of pancreatitis such as nausea, vomitting, or stomach cramps, consult your doctor immediately as this is a possible side effect.

Can this medicine cause low blood sugar?

This is a possible side effect, but can be avoided if meals are taken regularly. Try to carry sugar or a sugary drink in case you experience lightheadedness, or any other symptoms of low blood sugar. Take extra precautions during times of stress, or dehydration (fever, diarrhea etc.)

What do I do if I miss a dose?

You can take the missed dose as soon as you remember. If you remember when it is almost time for your next dose, then skip the missed dose entirely. Do not double your dose to catch up for missed doses.

Can this drug cause cough, or stomach problems?

It is possible for patients to develop a cough due to upper respiratory tract infection, and constipation is also a possible side effect.

Should this medicine be used beyond the date of expiry?

Kindly avoid taking any medication beyond the mentioned date of expiry.

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