Dapagliflozin + Metformin + Vildagliptin

Dosage Forms Available

• The combination of Dapagliflozin + Metformin + Vildagliptin can be taken orally (tablet).

Age and Dose Restrictions

• This medication is intended for use in adults.

Contraindications

• Dapagliflozin + Metformin + Vildagliptin is contraindicated in patients with severe renal impairment, end-stage renal disease, patients on dialysis, and acute or chronic metabolic acidosis, including diabetic ketoacidosis, with or without coma. This medication should not be used by individuals who have had a serious hypersensitivity reaction to vildagliptin, such as anaphylaxis or angioedema.

Other Medications to Avoid

• Dapagliflozin + Metformin + Vildagliptin combination may interact with carbonic anhydrase inhibitors (e.g., acetazolamide), loop diuretics (e.g., furosemide), medicines that reduce metformin clearance (e.g., ranolazine, vandetanib), and insulin secretagogues (e.g., sulfonylureas).

Overdose and Missed Dose

• An overdose of the combination medicine may cause dizziness, electrolyte imbalances, lactic acidosis (symptoms include rapid breathing, muscle pain, unusual tiredness, or stomach discomfort) and low blood sugar. Consult your doctor immediately as clinical monitoring and supportive treatment may be necessary depending on the patient's clinical status.

• If a dose is missed, take it as soon as you remember. However, if it is near the time for the next dose, skip the missed dose and continue with your regular schedule. Do not double up on doses.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• To manage frequent urination or increased thirst caused by dapagliflozin, try drinking plenty of water throughout the day.

• To manage gastrointestinal side effects caused by metformin such as diarrhoea or nausea, take this medicine with a meal.

Use in Driving and Operating Machinery

• Dapagliflozin + Metformin + Vildagliptin may cause side effects like dizziness, light-headedness or tiredness. If you experience these, avoid driving or operating heavy machinery.

Use in Pregnancy and Lactation

• This medication should be used during pregnancy or lactation only if the potential benefit justifies the potential risk to the fetus or infant. It is important to consult your doctor before taking this medication during pregnancy or while breastfeeding.

Caution in Other Conditions

• This medication should be used with caution in patients with liver impairment, as metformin dosage may require adjustment for these patients.

Special Dietary and Lifestyle Recommendations

• Regular monitoring of blood glucose levels is recommended to ensure the medication is working effectively.

• Be cautious with carbohydrate-rich foods, as they can affect blood glucose levels.

• Increase water consumption to support the action of Dapagliflozin, which works by increasing glucose excretion in urine, and to prevent dehydration.