
Acuclav 375
Macleods Pharmaceuticals Pvt Ltd - 10 S
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Metformin (500mg) + Teneligliptin (20mg)
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This medicine needs a prescription.
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Tenlimac 20 Tablet is used for tenlimac M 500 Tablet SR is used in the treatment of type 2 diabetes.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Medicines with the same active ingredient and strength as Tenlimac 20 Tablet.
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Tenlimac 20 Tablet
tablet - 500mg + 20mg - 10 S
₹84
₹8.43 per tablet
SYSTOPIC LAB · tablet - 20 mg - 15 S · Rx
₹99
₹6.57 per tablet
A substitute contains the same active ingredient (salt), in the same strength, as Tenlimac 20 Tablet. The medicine inside is the same — the brand name, manufacturer and price are what differ.
All medicines sold in India, branded or generic, must meet the quality standards set by the national drug regulator (CDSCO). A lower price does not mean lower quality.
Please confirm with your doctor or pharmacist before switching brands — they will check that the strength and form match your prescription.
Tenlimac 20 Tablet contains Metformin (500mg) + Teneligliptin (20mg). It belongs to the Biguanide and DPP-4 inhibitor class of medicines.
Tenlimac M 500 Tablet SR is used in the treatment of type 2 diabetes.
Tenlimac M 500 Tablet SR is a combination of two antidiabetic medicines: Metformin and Teneligliptin. Metformin is an antidiabetic medication (biguanide). It works by lowering glucose production in the liver, delaying glucose absorption from intestines and increasing the body's sensitivity to insulin. Teneligliptin is a dipeptidyl peptidase-4 inhibitor which works by increasing the release of insulin from pancreas and decreasing the hormones that raise blood sugar levels. This reduces both fasting and postmeal sugar levels. Together, they provide better control of blood sugar.
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Tenlimac M 500 Tablet SR is to be taken with food.<br>Tenlimac M 500 Tablet SR may cause stomach upset if taken on empty stomach.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause a dangerous build-up of acid in the blood, with vomiting, severe weakness and laboured breathing. It may cause low blood sugar, particularly if you also take other diabetes medicines. 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 Tenlimac 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 | Unknown. Human and animal studies are not available. Please consult your doctor. |
|---|---|
| Breastfeeding | No information is available on the use of Tenlimac M 500 Tablet SR during lactation. Please consult your doctor. |
| Alcohol | Taking metformin with alcohol can cause lactic acidosis and you may experience malaise, respiratory distress, slow or irregular heartbeat, sleepiness, stomach upset, or other unusual symptoms. |
| Driving | Not expected to affect your ability to drive. |
| Kidney | Tenlimac M 500 Tablet SR should be used with caution in patients with kidney disease. Dose adjustment of Tenlimac M 500 Tablet SR may be needed. Please consult your doctor.<br>Use of Tenlimac M 500 Tablet SR is, however, not recommended in patients with severe kidney disease. Regular monitoring of kidney function test is advisable while you are taking this medicine. |
| Liver | Tenlimac M 500 Tablet SR should be used with caution in patients with liver disease. Dose adjustment of Tenlimac M 500 Tablet SR may be needed. Please consult your doctor.<br>Tenlimac M 500 Tablet SR is generally started with low dose in patients with mild to moderate liver disease and its use is not recommended in patients with severe liver disease. |
| Habit forming | No |
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. 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.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with severe kidney disease, severe liver disease, or an acute illness causing dehydration. Not for people who have had diabetic ketoacidosis. Not for type 1 diabetes or for diabetic ketoacidosis.
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. Low blood sugar is more likely when this is combined with a sulfonylurea or insulin; your doctor may lower that dose.
Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.
<div class="style__desktop-container___1hcBT"><div class="style__desktop-video___2GTR9"><div class="styles__video-img___1rCzR"><div class=""/><div class=""/></div></div><div><div><div><div><div class="ExpertAdviceItem__content___1Djk2"><ul><li>You have been prescribed this combination medicine as it can control blood sugar better than metformin alone.</li> <li>Take it in addition to regular exercise and healthy diet to lower levels of blood sugar.</li> <li>Chances of weight gain and low blood sugar are lesser as compared to other diabetes medicines. </li> <li>Take it with food to lower your chance of having an upset stomach.</li> <li>Monitor your blood sugar level regularly while you are taking this medicine. </li> <li>Inform your doctor about your diabetes treatment if you are due to have surgery under a general anaesthetic.</li> <li>Tell your doctor immediately if you experience any deep or rapid breathing, persistent nausea, vomiting, and stomach pain as Tagon-M Tablet may cause a rare but serious condition called lactic acidosis, which is an excess of lactic acid in the blood.</li></ul></div></div></div></div></div></div>
Medicines with the same active ingredient (Metformin (500mg) + Teneligliptin (20mg)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Tenlimac 20 Tablet |
|---|---|---|---|
| Tenistart M TabletSANZ PHARMACEUTICALS | tablet · 10`S | ₹97 | 15% more |
| Tenefit 20 mg TabletSYSTOPIC LAB | tablet · 15`S | ₹99 | 17% more |
| Nolgliptin-Mf 500 SR | 1X10 | ₹102 | 21% more |
| Terostil-MANTHEM BIOPHARMA | 10`S | ₹115 | 36% more |
| Tenlifil M TabletFourrts India Laboratories Pvt Ltd | tablet · 10`S | ₹128 | 52% more |
| Contenel M 500 mgEAST WEST PHARMA | 10`S | ₹141 | 67% more |
| Trendset-M TabletCAPITAL PHARMA | tablet · 10`S | ₹142 | 68% more |
| Tenedip M TabletHEAL (INDIA) PHARMACEUTICALS | tablet · 10`S | ₹142 | 68% more |
| Dynaglipt M TabletMANKIND (PHARMA) | tablet · 10`S | ₹142 | 69% more |
| Tenepla M 500 Tablet | 1X10 | ₹146 | 74% more |
| Tenali M 500 mg TabletCADILA PHARMA | tablet · 10`S | ₹150 | 78% more |
| Tendia TabletERIS LIFE SCIENCES PVT LTD | tablet · 15 Tablet | ₹160 | 90% more |

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The information on Tenlimac 20 Tablet 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.