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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Istamet 50 mg/1000 mg Tablet is used to treat Type 2 diabetes. It contains Sitagliptin and Metformin, which work by increasing the amounts of certain natural substances that lower blood sugar when it is high. Also, it lowers glucose production in the liver, delays glucose absorption from the intestines, and increases the body's sensitivity to insulin. Thus, it controls blood glucose levels from rising to very high after meals. The most common side effect is hypoglycemia (low blood glucose levels), characterised by dizziness, sweating, palpitations, hunger pangs, dry mouth and skin etc. So, to avoid hypoglycemia, you should not miss meals and should also carry some form of sugar with you. Other side effects include taste change, nausea, diarrhoea, stomach pain, headache, and upper respiratory symptoms.

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Manufacturer/Marketer :

Sun Pharmaceutical Industries Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Istamet 50 mg/1000 mg Tablet

Istamet 50 mg/1000 mg Tablet belongs to the anti-diabetic agents used to treat type II diabetes. Type 2 diabetes is a condition in which either the body stops producing enough insulin (the hormone which helps to decrease sugar levels in the blood) or there is resistance to the action of insulin. As a result, insulin is produced in large amounts, but it cannot act on the body's organs.

Istamet 50 mg/1000 mg Tablet is a combination drug of Sitagliptin and Metformin. Metformin slows down the release of stored sugar from the liver, decreases the amount of sugar absorbed from the stomach, and improves how your body uses sugar. Sitagliptin increases the body's production of chemicals that cause the pancreas to release more insulin, which helps regulate blood sugar levels. Thus, Istamet 50 mg/1000 mg Tablet controls blood glucose levels from rising to very high after meals.

Istamet 50 mg/1000 mg Tablet should be taken with food to avoid an upset stomach. Istamet 50 mg/1000 mg Tablet should be taken at the same time of the day each time for best results. For better advice, your doctor will decide what dose should be taken, and it can change in time depending on your condition. The most common side effect of Istamet 50 mg/1000 mg Tablet is hypoglycemia (low blood glucose levels), characterized by dizziness, sweating, palpitations, hunger pangs, dry mouth and skin etc. So, to avoid hypoglycemia, you should not miss meals and should also carry some form of sugar with you. Other side effects include taste change, nausea, diarrhoea, stomach pain, headache, and upper respiratory symptoms.

Istamet 50 mg/1000 mg Tablet should not be stopped even if you feel better, without consulting the doctor as your sugar level keeps changing. If you stop taking Istamet 50 mg/1000 mg Tablet abruptly, it may increase your sugar levels, which could further increase the risk of eyesight loss (retinopathy), kidney (nephropathy) and nerve damage (neuropathy). Istamet 50 mg/1000 mg Tablet should not be taken if you have type 1 diabetes mellitus or severe kidney or liver disease. Please inform your doctor if you have any heart disease, are planning to get pregnant or are breastfeeding.

Uses of Istamet 50 mg/1000 mg Tablet

Treatment of Type 2 Diabetes Mellitus

Directions for Use

Take Istamet 50 mg/1000 mg Tablet as prescribed by your doctor. Swallow it as a whole with water; do not crush, break or chew it.

Medicinal Benefits

Istamet 50 mg/1000 mg Tablet helps the pancreas produce more insulin, effectively utilise insulin, and decrease the excess sugar the liver makes. It helps control the rise of blood sugar levels after a meal. Besides this, it does not cause weight gain in prolonged use. Istamet 50 mg/1000 mg Tablet plays a vital role in controlling blood sugar levels. It prevents serious complications of diabetes like eyesight loss (retinopathy), kidney (nephropathy), nerve damage (neuropathy), diabetic foot ulcer and delayed wound healing.

How Istamet 50 mg/1000 mg Tablet Works

Istamet 50 mg/1000 mg Tablet is a combination drug of Sitagliptin and Metformin. Metformin slows down the release of stored sugar from the liver, decreases the amount of sugar absorbed from the stomach, and improves how your body uses sugar. Sitagliptin increases the body's production of chemicals that cause the pancreas to release more insulin, which helps regulate blood sugar levels. Thus, Istamet 50 mg/1000 mg Tablet controls blood glucose levels from rising to very high after meals.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Istamet 50 mg/1000 mg Tablet

  • Low blood sugar
  • Runny nose
  • Sore throat
  • Upper lung infection
  • Diarrhoea
  • Nausea
  • Vomiting
  • Gas
  • Stomach upset
  • Indigestion
  • General weakness
  • Headache

What if I have taken an overdose of Istamet 50 mg/1000 mg Tablet

Do not take more than the prescribed dose of Istamet 50 mg/1000 mg Tablet as it may cause overdose. If you suspect you have taken overdose, please consult a doctor immediately.

Drug Warnings

Istamet 50 mg/1000 mg Tablet should not be used in patients with type 1 diabetes or with diabetic ketoacidosis. Some diabetic patients, while taking Istamet 50 mg/1000 mg Tablet , might develop a rare but serious condition called lactic acidosis. In this condition, too much lactic acid accumulates in the blood, which can damage the workings of your liver and kidneys, which are required to eliminate excess lactic acid from the blood. Before you start taking Istamet 50 mg/1000 mg Tablet , tell your doctor if you’ve ever had pancreatitis (inflammation of the pancreas), kidney disease, and low vitamin B12 levels. Istamet 50 mg/1000 mg Tablet , when used with insulin, Istamet 50 mg/1000 mg Tablet may lower the blood sugar level, leading to hypoglycaemia, which can be fatal. In this case, your doctor may adjust the dose by lowering the insulin dose or Istamet 50 mg/1000 mg Tablet . Prolonged intake of Istamet 50 mg/1000 mg Tablet may lower your thyroid-stimulating hormone (TSH); hence, an annual check-up of TSH is recommended. In rare cases, you may also develop a serious skin reaction known as bullous pemphigoid that requires immediate medical attention. Tell your doctor if you will have a diagnostic test with an injection of dye or X-ray contrast agent. You should stop using Istamet 50 mg/1000 mg Tablet briefly before an X-ray procedure.

Drug-Drug Interactions

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SitagliptinGatifloxacin
Critical
MetforminIotroxic acid
Critical

Drug-Drug Interactions

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SitagliptinGatifloxacin
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Istamet 50 mg/1000 mg Tablet 15's with Gatifloxacin may sometimes affect blood glucose levels. Both high blood glucose and, less frequently, low blood glucose have been reported.

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Gatifloxacin is not recommended as it can lead to a possible interaction, However, it can be taken if advised by the doctor. Consult the prescriber if you experience symptoms such as nervousness, confusion, headache, dizziness, drowsiness, tremors, nausea, hunger, weakness, perspiration, palpitation, rapid heartbeat, increased urination, increased thirst, and increased hunger. Maintaining blood glucose levels is advised. Do not stop using any medications without a doctor's advice.
MetforminIotroxic acid
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Iotroxic acid with Istamet 50 mg/1000 mg Tablet 15's can increase the risk of side effects.

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Iotroxic acid is not recommended, please consult your doctor before taking it.
MetforminIopanoic acid
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Iopanoic acid with Istamet 50 mg/1000 mg Tablet 15's can increase the risk of side effects.

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Iopanoic acid is not recommended, please consult your doctor before taking it.
MetforminIoglycamic acid
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Ioglycamic acid with Istamet 50 mg/1000 mg Tablet 15's can increase the risk of side effects.

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Ioglycamic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIoglicic acid
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Ioglicic acid with Istamet 50 mg/1000 mg Tablet 15's can increase the risk of side effects.

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Ioglicic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIopentol
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Iopentol with Istamet 50 mg/1000 mg Tablet 15's can increase the risk of side effects.

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Iopentol is not recommended, please consult your doctor before taking it.
MetforminIomeprol
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Iomeprol with Istamet 50 mg/1000 mg Tablet 15's can increase the risk of side effects.

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Iomeprol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
MetforminIocetamic acid
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Istamet 50 mg/1000 mg Tablet 15's and Iocetamic acid can increase the risk of lactic acidosis (when the body produces too much lactic acid).

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Iocetamic acid is generally avoided as it can result in an interaction, please consult your doctor before taking it.
MetforminIopamidol
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Iopamidol with Istamet 50 mg/1000 mg Tablet 15's can increase the risk of side effects.

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Iopamidol is not recommended, please consult a doctor before taking it. Do not discontinue the medications without consulting a doctor.
MetforminIocarmic acid
Critical
How does the drug interact with Istamet 50 mg/1000 mg Tablet 15's:
Co-administration of Istamet 50 mg/1000 mg Tablet 15's and Iocarmic acid can increase the risk of lactic acidosis (when the body produces too much lactic acid).

How to manage the interaction:
Taking Istamet 50 mg/1000 mg Tablet 15's with Iocarmic acid is generally avoided as it can result in an interaction. please consult your doctor before taking it.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Include starchy veggies, proteins, and whole grains in your diet.
  • Eat at regular intervals. Do not take a long gap between a meal or snack.
  • Monitor your blood sugar level regularly.
  • If you feel that your blood sugar level is going down and you are feeling weak, immediately eat sugar candies or drink sugary beverages. It will help to balance the blood sugar level in your body. So, it is advisable to keep sugar candies with you.
  • Invest in at least 150 min of moderate-intensity physical activity or one hour and 15 minutes of high-intensity exercise every week.
  • Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
  • Replace refined carbohydrate-containing foods with whole grain foods and increase the intake of fruits, veggies, and other fibre-enriched foods.
  • Reduce intake of saturated fat (or hidden fats) in food like chips, crisps, pastries, biscuits, and samosas. Choose omega-3 fatty acid-containing oils for daily cooking. For frying, you can use palm oil, mustard oil, groundnut oil, rice bran oil, and safflower oil.
  • Do not take stress as it may elevate your blood sugar level. You can adopt stress management techniques like mindfulness to control stress-related blood sugar changes.
  • Opt for low-fat dairy products (low-fat yoghurt, fat-free milk, cheese, etc.).
  • Keep your blood pressure as normal (140/90) as possible. As it reduces the risk of cardiovascular diseases in diabetes patients.

Habit Forming

No

Therapeutic Class

ANTIDIABETICS

Istamet 50 mg/1000 mg Tablet Substitute

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  • Lupisit-M 1000 Tablet 10's

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Alcohol

Caution

Avoid consumption of alcohol while on treatment with Istamet 50 mg/1000 mg Tablet .

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Pregnancy

Caution

Istamet 50 mg/1000 mg Tablet is only recommended during pregnancy when the benefit outweighs the risk. Please consult your doctor before starting Istamet 50 mg/1000 mg Tablet if you are pregnant or planning to conceive.

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Breast Feeding

Caution

Consult your doctor; Istamet 50 mg/1000 mg Tablet should be used in breastfeeding mothers only if the benefits outweigh the risks.

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Driving

Caution

Drive only if you are physically stable and mentally focussed, If you experience drowsiness after taking these medications you should not drive or operate any machinery or vehicles.

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Liver

Caution

If you have or have a history or evidence of any liver-related diseases, please consult the doctor before taking medicine.

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Kidney

Caution

If you have or had a history or evidence of any kidney-related diseases, please consult the doctor before taking medicine.

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Children

Caution

It is advisable to consult a doctor before using it.

FAQs

Istamet 50 mg/1000 mg Tablet is used to treat Type 2 Diabetes Mellitus.
Istamet 50 mg/1000 mg Tablet is a combination drug of Sitagliptin and Metformin. Metformin slows down the release of stored sugar from the liver, decreases the amount of sugar absorbed from the stomach, and improves how your body uses sugar. Sitagliptin increases the body's production of chemicals that cause the pancreas to release more insulin, which helps regulate blood sugar levels. Thus, Istamet 50 mg/1000 mg Tablet controls blood glucose levels from rising to very high after meals.
Increased hunger, increased thirst, frequent urination (usually at night), unexplained weight loss, fatigue, blurred vision, slow wound/sores healing, and frequent infections are the signs of type 2 diabetes. Please consult your doctor if you notice such symptoms.
No. Istamet 50 mg/1000 mg Tablet is only prescribed for the treatment of type 2 diabetes, also called non-insulin-dependent diabetes.
Istamet 50 mg/1000 mg Tablet needs be taken with food to avoid stomach upset. Take it as prescribed by your doctor.
Do not crush or chew Istamet 50 mg/1000 mg Tablet as it may release all of the medicine at once and cause side effects. It should be taken as whole with food or as advised by the doctor.
Generally, Istamet 50 mg/1000 mg Tablet does not cause low blood sugar. It can cause low blood sugar if taken along with other antidiabetic medicines, if you are doing heavy exercise or taking low-calorie food. Symptoms of low blood sugar include sudden sweating, blurring of vision, shaking, hunger, increased heartbeat, dizziness, or tingling sensation in your hands or feet. If you experience low blood sugar while taking Istamet 50 mg/1000 mg Tablet , consult your doctor.
To increase your blood sugar quickly, eat sugar, candy, honey, or drink fruit juice or non-diet soda. If you have sudden sweating, blurry vision, shaking, dizziness, increased heartbeat, or hunger.
Long-term use of Istamet 50 mg/1000 mg Tablet can lead to Vitamin B12 deficiency. It interferes with the absorption of Vitamin B12 in the stomach. If left untreated, it may lead to anemia and nerve problems, which can cause the patient to feel tingling sensation and numbness in hands and feet, urinary problems, weakness, change in mental status and difficulty in maintaining balance (ataxia). Some researchers recommend intake of vitamin B12 from external sources at least once a year, to avoid such problems.
Istamet 50 mg/1000 mg Tablet may cause side effects such as headache, nausea, vomiting, diarrhoea, low blood sugar, or upper respiratory tract infection. If these side effects persist or worsen, please consult your doctor.
Istamet 50 mg/1000 mg Tablet should be avoided in patients with known allergy to any of the components or excipients in it and in patients with severe liver impairment, kidney impairment, congestive heart failure, diabetic ketoacidosis or lactic acidosis.
No, it is not safe to take alcohol while using Istamet 50 mg/1000 mg Tablet as it may increase the chance of a life-threatening condition known as lactic acidosis.
Store Istamet 50 mg/1000 mg Tablet at room temperature. Protect from light and moisture. Keep it out of reach of children.
Yes, the use of Istamet 50 mg/1000 mg Tablet can lead to lactic acidosis. It is a life threatening condition caused by the increased levels of lactic acid in the blood. It is also known as MALA (Metformin associated lactic acidosis). It is a rare side effect of metformin and thus, it is avoided in patients with underlying kidney disease, elderly patients or who take large amounts of alcohol. Symptoms of lactic acidosis may include muscle pain or weakness, tiredness, dizziness, difficulty in breathing, feeling of cold in arms and legs, stomach pain, nausea, vomiting, or slow heart rate. If you have these symptoms, stop taking Istamet 50 mg/1000 mg Tablet and consult your doctor immediately.
Istamet 50 mg/1000 mg Tablet can lower the chance of severe complications such as nerve problems, kidney damage, blindness, limb amputations, and heart diseases by controlling high blood sugar.
You are recommended to consult your doctor before taking other medications with Istamet 50 mg/1000 mg Tablet to avoid drug interactions.
Avoid alcohol consumption while taking Istamet 50 mg/1000 mg Tablet and ensure regular monitoring of kidney function. Always take Istamet 50 mg/1000 mg Tablet as prescribed by your doctor.

Country of origin

India

Manufacturer/Marketer address

Sun Pharmaceutical Industries Ltd., SUN HOUSE, CTS No. 201 B/1, Western Express Highway, Goregaon (E), Mumbai 400063
Other Info - IST0009

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