
Adetral 400MG Tab
Lifeline Healthcare - Tablet - 400 mg - 10 S
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Sitagliptin 50 mg + Metformin 500 mg (as Metformin Hydrochloride)
Delivered across India in about 3–5 days, Chennai next day. ₹49 delivery, free above ₹999.
Cash on delivery available — pay when your order arrives
This medicine needs a prescription.
You can pay now and add the prescription afterwards. We pack your order only after a pharmacist verifies it.
A doctor decides whether a prescription can be issued. If it is not issued, the prescription items in your order are cancelled and refunded. You choose this at checkout.
Ziomet Life 50/500 Tablet is used for type 2 diabetes mellitus: to improve blood glucose control along with diet and exercise, when metformin alone is inadequate or as part of combination therapy.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
27 brands registered in Bangladesh with the same salt, strength and form.
Brand names differ between countries. Ask a pharmacist or your doctor in Bangladesh before switching. We don't sell or ship these brands. Source: Directorate General of Drug Administration, Bangladesh.
Medicines with the same active ingredient and strength as Ziomet Life 50/500 Tablet.
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Ziomet Life 50/500 Tablet
tablet - 50mg + 500mg - 15 S
₹157
₹10.45 per tablet
SAAN LAB LLP · tablet - 500mg + 50mg - 10 S · Rx
₹94
₹9.44 per tablet
Sun Pharmaceutical Industries Ltd · tablet - 15 Tablet · Rx
₹154
₹10.26 per tablet
IPCA LABORATORIES LTD` · tablet - 50mg + 500mg - 10 S · Rx
₹103
₹10.31 per tablet
A substitute contains the same active ingredient (salt), in the same strength, as Ziomet Life 50/500 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.
Ziomet Life 50/500 Tablet contains Sitagliptin 50 mg + Metformin 500 mg (as Metformin Hydrochloride). It belongs to the DPP-4 inhibitor + Biguanide class of medicines.
Sitagliptin is a DPP-4 inhibitor that increases incretin hormones (GLP-1, GIP), leading to increased insulin release and reduced glucagon in a glucose-dependent manner. Metformin decreases hepatic glucose production and improves peripheral insulin sensitivity, reducing blood glucose without usually causing hypoglycaemia when used alone.
Take orally as directed by a physician, usually with meals to reduce stomach upset. Swallow tablet whole with water; do not crush/chew unless advised. Take at the same time each day; dose is individualized based on glucose control and kidney function.
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 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 Ziomet Life 50/500 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 | Consult doctor |
|---|---|
| Breastfeeding | Consult your doctor before using this while breastfeeding. |
| Alcohol | Avoid |
| Driving | Not expected to affect your ability to drive. |
| Kidney | Consult your doctor if you have kidney disease. |
| Liver | Consult your doctor if you have liver disease. |
| Habit forming | No |
Prescription-only. Monitor kidney function before and during therapy; metformin is contraindicated in severe renal impairment and should be used with caution in reduced eGFR. Risk of lactic acidosis (rare but serious), higher with kidney disease, dehydration, severe infection, hypoxia, liver disease, heavy alcohol use; stop and seek urgent care if rapid breathing, severe weakness, abdominal pain occur. Temporarily stop metformin around iodinated contrast procedures and major surgery as advised. Sitagliptin may rarely cause pancreatitis and severe joint pain; discontinue and consult doctor if severe abdominal pain. Monitor for hypersensitivity reactions and signs of heart failure in susceptible patients.
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.
Alcohol (increases lactic acidosis risk), iodinated contrast media (temporary interruption), carbonic anhydrase inhibitors e.g. topiramate/acetazolamide (increases metabolic acidosis risk), cationic drugs affecting renal tubular secretion (e.g. cimetidine), insulin and sulfonylureas (increased hypoglycaemia risk; dose adjustment may be needed), diuretics/ACE inhibitors/NSAIDs (may affect renal function), digoxin (sitagliptin may slightly increase digoxin levels)
Store below 25°C in a cool, dry place. Protect from moisture and direct light. Keep out of reach of children.
It can be taken with or without food, at the same time each day. Keep up your diet and activity — this medicine supports them. 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.
Medicines with the same active ingredient (Sitagliptin 50 mg + Metformin 500 mg (as Metformin Hydrochloride)). Ask your doctor or pharmacist before switching brands.
| Medicine | Pack | Price | vs Ziomet Life 50/500 Tablet |
|---|---|---|---|
| Galitz M 500 TabletSAAN LAB LLP | tablet · 10`S | ₹94 | 40% cheaper |
| Suitglip -M XR 50/500 mg TabletIPCA LABORATORIES LTD` | tablet · 10`S | ₹103 | 34% cheaper |
| Sitamax M 50/500 mg TabletAJANTA PHARMA | tablet · 10`S | ₹106 | 33% cheaper |
| Sitavas M 50/500 mg TabletCRESHA LIFESCIENCES | tablet · 10S | ₹106 | 32% cheaper |
| Ziasit 100 mg TabletSTATURE LIFE SCIENCES PRIVATE | tablet · 10`S | ₹106 | 32% cheaper |
| Macsita M XR 50/500Macleods Pharmaceuticals Pvt Ltd | 10S | ₹113 | 28% cheaper |
| Sita OD Met 50/500 TabletMacleods Pharmaceuticals Pvt Ltd | tablet · 10`S | ₹114 | 27% cheaper |
| Alsita M 50 TabletALKEM LAB | tablet · 10`S | ₹115 | 27% cheaper |
| Sita OD Msr 100/500 TabletMacleods Pharmaceuticals Pvt Ltd | tablet · 10`S | ₹121 | 23% cheaper |
| Sitaearth M 500 TabletD EARTH PHARMACEUTICALS | tablet · 10`S | ₹127 | 19% cheaper |
| Istamet 50/500 TabletSun Pharmaceutical Industries Ltd | tablet · 15 Tablet | ₹154 | 2% cheaper |
| Sugaray - M 50/500 mg TabletLLOYD HEALTHCARE | tablet · 15`S | ₹160 | 2% more |

Lifeline Healthcare - Tablet - 400 mg - 10 S
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Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered medical practitioner. It does not replace your own doctor's advice.