Teneligliptin is used on its own or together with other medicines to treat type 2 diabetes (long-term condition in which the body gradually becomes resistant to the effects of insulin, or the pancreas does not produce enough insulin).
This medicine helps treat your diabetes by keeping your blood sugar under control.
Teneligliptin is meant to be taken as part of a complete diabetes care programme that should include exercise, a healthy diet and regular monitoring of blood sugar levels.
Take Teneligliptin exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food. Try to take it at the same time each day.
Teneligliptin must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- type 1 diabetes (long-term condition in which the pancreas produces little or no insulin)
- severe ketosis (a condition wherein your body burns stored fat for energy instead of blood sugar)
- diabetic coma (a life-threatening diabetes complication wherein blood sugar goes too high or too low, causing unconsciousness) or precoma
- severe infections
- severe traumatic injury
as Teneligliptin may not be suitable for you.
Do not take this medicine if you are going to have an operation, including minor surgery and dental work.
Inform your doctor if you have the following conditions:
- heart disease
- severe liver disease
- disorders of the adrenal and pituitary gland
- history of bowel obstruction
- malnutrition
- have had stomach surgery
Inform your doctor if you change your exercise routine or start on a new exercise program.
Notify your doctor if you consume large amounts of alcohol, if you are a frequent drinker, or if you have problems related to alcohol withdrawal.
Let your doctor know if you are pregnant or breastfeeding.
Be sure to check with your doctor or pharmacist before giving Teneligliptin to a debilitated patient (physically or mentally weak, usually due to illness or old age). Debilitated patients may be more sensitive to the side effects.
Why is it important to keep my appointments with the doctor?
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.
- Routine tests (e.g. blood sugar levels, liver function) may be done while you are being treated with this medicine. Your doctor will advise you about how often you need to have these tests.
- Regular monitoring of signs of acute pancreatitis (inflammation of the pancreas) may also be needed.
If you are taking this medicine with other types of oral anti-diabetic medicines, you may have been warned about hypoglycaemia (low blood sugar). This medicine itself does not usually cause hypoglycaemia, but it may increase the hypoglycaemic effect of other oral anti-diabetic medicines.
How do I know if I am experiencing hypoglycaemia?
Hypoglycaemia is the medical term for low blood sugar. Symptoms of hypoglycaemia include dizziness, tremor, shaky hands, feeling hungry, weak or confused, sweating. These signs are your body’s way of warning you that your blood sugar level is low.
It is important to recognise these symptoms and get relief for hypoglycaemia quickly, as the hypoglycaemia may worsen.
What should I do if I am experiencing hypoglycaemia?
Always carry some glucose tablets (also known as dextrose tablets) with you. Take 15 grams of glucose tablet at first sign of hypoglycaemia, wait for 15 minutes and re-check your blood sugar level. If you are not feeling better or if your blood sugar level is still low (less than 4 mmol/L or 70 mg/dL), take another 15 grams of glucose tablet.
If you don't have glucose tablets, you may take any of the following:
- 1/2 cup (120 mL) of juice or regular soda (not diet)
- 1 tablespoon of sugar, honey, or corn syrup
- hard candies, jellybeans, or gumdrops (not sugar-free)
Get medical help should symptoms did not improve after second serving.
Teneligliptin may cause dizziness or weakness due to lowering blood sugar. If affected, do not drive, or take part in any activity in which you need to be alert.
Other side effects include any of the following: stomach pain or discomfort, stomach wind, constipation, diarrhoea, heartburn, rash, and itch.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- severe stomach pain, loss of appetite, nausea, and vomiting
- yellowing of the skin or eyes, abdominal pain, dark coloured urine, tiredness, swelling in the legs and ankles
- cough, shortness of breath, fever, and abnormal breath sounds
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking or using any of these medicines:
- other medicines for diabetes e.g. glimepiride, metformin, insulins
- certain medicines for high blood pressure e.g. atenolol, metoprolol
- medicines to treat depression known as a monoamine oxidase inhibitor (MAOI) e.g. isocarboxazid, phenelzine, tranylcypromine
- salicylic acid (medicine to treat acne and other skin conditions)
- epinephrine (medicine used in emergencies to treat very serious allergic reactions)
- medicines for irregular heartbeat e.g. procainamide, quinidine, amiodarone
This list does not include all medicines that may interact with Teneligliptin.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements, and medicines that you buy without a prescription.
Avoid alcohol.
It is important for you to maintain a healthy diet and weight in order to help keep your diabetes under control.
It may be helpful to discuss your diet plan with your doctor or dietitian to manage your weight and blood sugar levels.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.
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