Zomelis Dm 500 mg Tablet

Oral tablet. Take exactly as prescribed, preferably with meals to reduce stomach upset. Swallow whole; do not crush or chew (especially if modified/extended-release). Dose is individualized based on blood sugar and tolerability.

Metformin reduces glucose production in the liver and decreases intestinal glucose absorption. It also improves insulin sensitivity, helping the body use insulin more effectively and lowering blood sugar without usually causing hypoglycaemia when used alone.

Not for type 1 diabetes or diabetic ketoacidosis. Risk of lactic acidosis (rare but serious)—higher in severe kidney disease, severe liver disease, alcohol misuse, dehydration, severe infection, hypoxia/heart failure. Kidney function should be checked before and during therapy; dose adjustment/avoid in renal impairment as per doctor. Temporarily stop before iodinated contrast procedures and major surgery as advised. Monitor for vitamin B12 deficiency with long-term use. Seek care if you develop deep/rapid breathing, persistent vomiting, severe weakness, abdominal pain, or unusual sleepiness.

Alcohol, iodinated contrast media, carbonic anhydrase inhibitors (e.g., topiramate, acetazolamide), cimetidine, diuretics, corticosteroids, thyroid hormones, sympathomimetics, other antidiabetics/insulin (may increase risk of low blood sugar when combined)

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

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