Galvus Met is indicated as an adjunct to diet and exercise to improve glycaemic control in adults with type 2 diabetes mellitus: as initial therapy when diabetes is not adequately controlled by diet and exercise alone; in patients who are inadequately controlled with metformin hydrochloride alone; in patients who are already being treated with the combination of vildagliptin and metformin hydrochloride, as separate tablets; in combination with other medicinal products for the treatment of diabetes, including insulin a when these do not provide adequate glycaemic control (see Precautions, Interactions and Pharmacology: Pharmacodynamics under Actions for available data on different combinations).