
Actigut Caps
Alembic Pharma - Capsule - 10 S
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Sitagliptin (100mg) + Metformin (500mg)
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Same composition, in stock now. Check with your doctor or pharmacist before you switch.
Sitalembic-M 100/500 SR is used for treatment of Type 2 diabetes mellitus.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Sitalembic-M 100/500 SR contains Sitagliptin (100mg) + Metformin (500mg). It belongs to the DPP-4 inhibitor and Biguanide class of medicines.
Treatment of Type 2 diabetes mellitus
SiTALEMbic M 100/500 SR Tablet is a combination of two medicines: sitagliptin and metformin. Sitagliptin helps your pancreas produce more insulin, facilitates effective use of insulin by the body, and reduces excess sugar that your liver makes. Metformin is a biguanide that lowers glucose production in the liver, delays glucose absorption from the intestines, and increases the body's sensitivity to insulin. Together, they provide better control of blood sugar.
Use it as advised by your doctor or check the label for directions before use. SiTALEMbic M 100/500 SR Tablet should be taken with or after food.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
If you miss a dose of SiTALEMbic M 100/500 SR Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
An overdose of this medicine may cause low blood sugar, particularly if you also take other diabetes medicines. It can cause a dangerous build-up of acid in the blood, with vomiting, severe weakness and laboured breathing. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Sitalembic-M 100/500 SR are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Pregnancy UNSAFE |
|---|---|
| Breastfeeding | Breast feeding UNSAFE |
| Alcohol | Alcohol UNSAFE |
| Driving | Driving CONSULT YOUR DOCTOR |
| Kidney | Kidney CAUTION |
| Liver | Liver UNSAFE |
| Habit forming | No |
Stop and see a doctor urgently if you get severe, persistent abdominal pain that spreads to your back, with or without vomiting. Tell your doctor if you develop severe or disabling joint pain. Blisters or peeling of the skin should be reported promptly. Stomach upset is common in the first two weeks and usually settles; taking it with food helps. Tell your doctor before any surgery or a scan that uses contrast dye — this medicine is usually stopped for a short time around them. Stop and seek urgent care if you develop deep rapid breathing, severe weakness, muscle pain or vomiting with cold clammy skin. This is rare but serious. Long-term use can lower vitamin B12, so your doctor may check it from time to time.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for type 1 diabetes or for diabetic ketoacidosis. Not for people with severe kidney disease, severe liver disease, or an acute illness causing dehydration. Not for people who have had diabetic ketoacidosis.
Low blood sugar is more likely when this is combined with a sulfonylurea or insulin; your doctor may lower that dose. Tell your doctor about water tablets, steroids, and any contrast dye scan. Alcohol increases the risk of the rare acid build-up and should be limited.
Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.
Take SiTALEMbic M 100/500 SR Tablet with food to lower your chance of having an upset stomach. Take it in addition to regular exercise and a healthy diet to lower blood sugar levels. The chances of weight gain and low blood sugar are lower than with other diabetes medicines. Monitor your blood sugar level regularly while you are taking this medicine. Inform your doctor about your diabetes treatment if you are due to have surgery under a general anesthetic. Tell your doctor immediately if you experience any deep or rapid breathing, persistent nausea, vomiting, and stomach pain, as SiTALEMbic M 100/500 SR Tablet may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood.
Medicines with the same active ingredient (Sitagliptin (100mg) + Metformin (500mg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Sitalembic-M 100/500 SR |
|---|---|---|---|
| Ctasorin M 100 TabletFUSION HEALTH CARE | tablet · 10`S | ₹161 | 8% cheaper |
| Alsita M 100 TabletALKEM LAB | tablet · 10`S | ₹167 | 4% cheaper |
| Ignalis M 100/500 TabletIntas Pharmaceuticals Ltd | tablet · 10`S | ₹171 | 1% cheaper |

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The information on Sitalembic-M 100/500 SR is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.