Description
Vildagard M 850mg/50mg Tablet is an oral antidiabetic combination medicine used to manage type 2 diabetes mellitus. It combines:
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Metformin (850mg) – lowers blood glucose by reducing liver glucose production and improving insulin sensitivity.
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Vildagliptin (50mg) – a DPP-4 inhibitor that increases incretin activity, enhances insulin secretion, and decreases glucagon levels after meals.
Together, these two agents provide complementary actions for better blood sugar control and prevention of long-term complications.
Uses
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Treatment of type 2 diabetes mellitus when diet, exercise, and metformin alone are not sufficient
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Helps control fasting and post-meal (postprandial) blood sugar levels
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Reduces the risk of macrovascular and microvascular complications (heart disease, kidney disease, neuropathy, and retinopathy)
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Improves glycemic control without causing significant weight gain
Side Effects
Common side effects:
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Nausea, vomiting, abdominal pain, diarrhea
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Headache or dizziness
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Metallic taste in mouth
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Loss of appetite
Less common but serious side effects:
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Lactic acidosis (rare but serious with metformin – symptoms: muscle pain, excessive weakness, irregular heartbeat, difficulty breathing, severe stomach pain)
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Pancreatitis (possible with vildagliptin – severe abdominal pain radiating to back, nausea, vomiting)
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Liver function disturbances (jaundice, dark urine, yellowing of eyes/skin)
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Low blood sugar (hypoglycemia) – more likely if used with insulin or sulfonylureas
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Skin allergies or swelling (rare)
Precautions
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Not suitable for type 1 diabetes or diabetic ketoacidosis (DKA)
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Use with caution in kidney, liver, or heart impairment
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Should be taken with meals to minimize stomach discomfort
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Avoid alcohol consumption (increases lactic acidosis risk)
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Regular monitoring of blood sugar, liver enzymes, and kidney function is recommended
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Pregnant or breastfeeding women should take only if prescribed by a doctor
Storage
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Store in a cool, dry place, away from heat and moisture
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Keep in original packaging until use
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Keep out of reach of children







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