Carzibo-M Tablet is primarily used for the management and treatment of type 2 diabetes, especially in people whose sugar levels are too high and cannot be controlled by dieting and exercising alone. Type 2 diabetes is a condition which occurs when there is either less insulin or available insulin is not properly utilized by our body cells for lowering raised blood glucose. It is the most common type of diabetes, accounting for around 90% of total diabetes cases found commonly in middle-aged people. So it is also called adult-onset diabetes or non-insulin-dependent diabetes mellitus (NIDDM).

Carzibo-M Tablet contains two medicines namely: 'Metformin' and 'Acarbose'. Metformin is a 'biguanides' that works by reducing the amount of blood sugar released in the bloodstream by the liver, thereby making the body respond in a better way to insulin. On the other hand, 'Acarbose; is an ‘alpha glucosidase inhibitor’ which works by slowing down the action of intestinal enzymes responsible for the digestion of complex sugars/glucose thereby slowing and reducing the absorption of sugar into the blood after every meal.

Take Carzibo-M Tablet as prescribed. Your doctor will recommend how often you need to take Carzibo-M Tablet based on your medical condition. Some people may experience some unpleasant effects at the beginning of the treatment with Carzibo-M Tablet such as increased wind, rumbling in the stomach and abdominal cramps, which happen as the body adjusts to the new medicine. However, if these unpleasant effects continue for more than days or become severe or you experience diarrhoea, then seek medical attention immediately.

If you are hypersensitive to any of the components present in these medicines, then please tell your doctor before taking this drug. Carzibo-M Tablet is not recommended for use in children. If you are pregnant, breastfeeding, or planning to be pregnant, then tell your doctor before they prescribe this medicine to you. Limit your alcohol consumption with Carzibo-M Tablet, as alcohol may cause a rapid increase or decrease in blood sugar levels.

Carzibo-M Tablet is an anti-diabetic drug indicated in the treatment of type 2 diabetes or non-insulin-dependent diabetes (NIDDM). This medicine is primarily prescribed to persons whose blood sugar levels are high and are not even controlled by diet and exercise alone. Carzibo-M Tablet consists of Acarbose and Metformin, used for controlling raised blood sugar in type 2 diabetes patients. Acarbose is an ‘alpha-glucosidase inhibitor’ responsible for the inhibition of intestinal enzymes that delay the digestion of carbohydrates taken through the meal. Metformin belongs to a group of medications called 'biguanides' that works by improving glucose tolerance in patients dealing with type 2 diabetes. It also reduces the intestinal absorption of glucose and thus increases the utilization of glucose. Together, they avoid the additional risk of disease associated with diabetes, such as eye problems (diabetes retinopathy), kidney damage (diabetic nephropathy), nerve damage (diabetic neuropathy), diabetic foot ulcers, delayed wound healing and other diabetic complications.

• Flatulence (gas)
• Abdominal discomfort
• Stomach pain
• Diarrhea

Tell your doctor if you have kidney disease, high ketone levels in blood or urine,  heart disease, congestive heart failure, liver disease or you are using insulin, or other oral diabetes medications. A person should keep taking Carzibo-M Tablet even if they are feeling that their blood sugar levels are under control as it may again spike the level of sugar in the blood. Try to take a dose at the right time so that you did not forget to take a dose, ask your doctor for advice. It may be possible that a person may develop lactic acidosis, which happens due to the overproduction of lactic acid in the blood so tell your doctor if you are noticing any symptoms of it. You should take small frequent meals and don't fast while being treated with Carzibo-M Tablet. Try to notice if you are developing the symptoms of hypoglycemia (low blood sugar) like sweating, dizziness,  dry mouth, dry skin, palpitations, shivering, intense thirst, frequent urination, etc. If you notice any of the mentioned symptoms, then immediately take 5-6 candies or honey/sugar and consult with a physician. 
 

Drug-Drug Interaction: Carzibo-M Tablet needs not to be used with other antibiotics (neomycin), heart-related medicines (digoxin), antidiabetic drugs (metformin), drugs used to treat high cholesterol (cholestyramine), and medications for digestive enzymes (lipase, pancreatin, amylase), and intestinal absorbents (charcoal).

Drug- Food Interaction: Carzibo-M Tablet may interact with household sugar and cause abdominal discomfort and stomach upset. Therefore one should avoid consuming foods rich in sugar. Additionally, avoid alcohol consumption while taking Carzibo-M Tablet as it may spike the levels of sugar in blood or cause low blood sugar levels.

Drug-Disease Interaction: Persons dealing with ulcerative colitis or Crohn’s disease (conditions causing swelling of the bowel, severe kidney or liver disorders, diarrhea, bowel pain, vomiting, and weight loss) and large hernia (bulging of a tissue or organ through an unusual opening) in intestine should discuss with a doctor before using Carzibo-M Tablet.

• METFORMIN
• DIGOXIN
• NEOMYCIN
• CHOLESTYRAMINE
• LIPASE
• AMYLASE+PAPAIN
• CHARCOAL
• PANCREATIN

• A person should engage themself in regular exercise like cycling, running, walking, jogging, dancing, or swimming for at least 30 minutes. Try to invest at least 150 minutes weekly in exercise.

• A person should also maintain healthy body weight to avoid obesity or high blood sugar it can increase the risk of the onset of diabetes.

• A person should take low fat and a low sugar diet. For that replace carbohydrates with whole grains, fruits, and vegetables as carbohydrates changed into sugars leading to high blood sugar levels.

• Try to avoid potatoes as they are high glycemic foods that increase the risk of high sugar in the blood.

• A person should limit the consumption of alcohol and quit smoking.

You should have Glycated hemoglobin (HbA1C) test every 3 months to check your blood glucose level control.

Type 2 diabetes: It is a chronic or life-long condition in which cells of the body fail to respond to insulin, and in later stages, the body even fails to produce enough amount of insulin. It comprises around 90% of total diabetes cases. This condition makes the body rely on different energy sources in muscles, tissues, and organs. This disease develops gradually, and the early symptoms include constant hunger, lack of energy, fatigue, weight loss, excessive thirst, frequent urination, dry mouth, itchy skin, and blurry vision. Persons who are middle-aged or older are most possibly have type 2 diabetes, so it is also called adult-onset diabetes. The risks of uncontrolled type 2 diabetes include damaged retina of the eyes or blindness, loss of limbs, nerve problems, kidney problems, sexual dysfunction, and increased possibility of heart attack or stroke.