Volga M 0.3/500 mg

Composition of Volga M 0.3/500 mg

Volga M 0.3/500 mg contains Voglibose 0.3 mg + Metformin 500 mg (typically as Metformin Hydrochloride). It belongs to the Alpha-glucosidase inhibitor + Biguanide class of medicines.

Uses of Volga M 0.3/500 mg

Type 2 diabetes mellitus; used to improve blood sugar control (especially post-meal glucose) along with diet and exercise

Key benefits

• Reduces post-meal blood sugar spikes
• Improves overall glycaemic control (HbA1c)
• Decreases hepatic glucose production
• Improves insulin sensitivity
• Helps diabetes control when diet/exercise alone are insufficient

How Volga M 0.3/500 mg works

Voglibose inhibits intestinal alpha-glucosidase enzymes, delaying carbohydrate digestion and reducing post-meal blood glucose spikes. Metformin decreases hepatic glucose production and improves insulin sensitivity, increasing peripheral glucose uptake.

How to take Volga M 0.3/500 mg

Tablet for oral use. Take as advised by doctor, usually with meals; voglibose-containing combinations are commonly taken just before the main meals to control post-meal sugar. Swallow whole with water; do not skip meals. Dose is individualized based on blood glucose, kidney function and tolerance.

Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.

Missed dose and overdose

If you miss a dose

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.

If you take too much

An overdose of this medicine may cause low blood sugar and marked stomach upset. 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.

Side effects of Volga M 0.3/500 mg

Most side effects of Volga M 0.3/500 mg are mild and settle as the body adjusts. Reported side effects include:

• Diarrhoea
• nausea
• vomiting
• abdominal pain
• flatulence
• bloating
• loss of appetite
• headache
• dizziness
• metallic taste

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.

Safety advice for Volga M 0.3/500 mg

Warnings and precautions

Not for type 1 diabetes or diabetic ketoacidosis. Metformin can rarely cause lactic acidosis—risk increases with kidney impairment, severe dehydration, sepsis, heavy alcohol use, liver disease, or hypoxia; monitor renal function before and during therapy. Use caution in elderly and in patients with heart failure. Temporarily stop metformin before/after iodinated contrast procedures or major surgery as advised. Voglibose may cause gastrointestinal discomfort; start/uptitrate gradually if needed. Monitor blood glucose and HbA1c regularly; hypoglycaemia risk increases if used with insulin or sulfonylureas.

Do not take Volga M 0.3/500 mg if

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 heart failure, active bladder cancer or unexplained blood in the urine. Not for people with severe kidney disease, severe liver disease, or an acute illness causing dehydration. Not for people who have had diabetic ketoacidosis.

Interactions with other medicines

Alcohol (increases lactic acidosis risk), iodinated contrast media, carbonic anhydrase inhibitors (e.g., topiramate/acetazolamide), cimetidine, ranolazine, dolutegravir, diuretics, corticosteroids, thyroid hormones, sympathomimetics, antipsychotics, insulin and sulfonylureas (increased hypoglycaemia risk when combined)

How to store Volga M 0.3/500 mg

Store below 25°C in a cool, dry place. Protect from moisture and light. Keep out of reach of children.

Expert advice for Volga M 0.3/500 mg

Take it with the first mouthful of your meal so it can act on that meal. Expect some wind in the first weeks; it usually settles. Take it with or just after food to reduce stomach upset. Keep taking it even when your sugar readings look normal — that is the medicine working. Continue your diet and physical activity; this medicine works alongside them, not instead of them.

Manufacturer and class

Manufacturer:

AJANTA PHARMA

Therapeutic class:

Antidiabetic

Drug class:

Alpha-glucosidase inhibitor + Biguanide