Nixha-M Tablet is a combination medicine used to treat polycystic ovary syndrome (PCOS). Polycystic ovary/ovarian syndrome is a hormonal disorder that causes enlarged ovaries with numerous small follicles. Symptoms include irregular periods, excess hair growth, acne, and obesity.

Nixha-M Tablet is composed of two medicines, namely: Myo-inositol and Metformin. Myo-inositol reduces blood glucose levels and improves the ovulation process in women with PCOS. Metformin is an antidiabetic medicine that belongs to the class of biguanides. The majority of women with PCOS have higher insulin levels. Metformin is an insulin sensitizer that improves insulin sensitivity (body cells utilize insulin effectively to produce glucose) and thus increases the effects of insulin.

Your doctor will decide the dose and duration based on your medical condition. The common side effects of Nixha-M Tablet include nausea, taste changes, diarrhoea, dizziness, stomach pain, and loss of appetite. Although not everyone experiences these side effects, if they occur, please seek medical attention. 

Before starting Nixha-M Tablet , let your doctor know if you have any medical history of heart, kidney and liver diseases. Pregnant and breastfeeding women should consult their doctor before starting Nixha-M Tablet . Nixha-M Tablet may affect your blood sugar levels, which can alter your driving ability; hence, do not drive or operate machinery until you feel better. It is not recommended to consume alcohol along with Nixha-M Tablet . Nixha-M Tablet is not recommended in children younger than 10 years of age.

Nixha-M Tablet is used to treat polycystic ovary/ovarian syndrome. It consists of Myo-inositol and Metformin. Myo-inositol is a vitamin-like substance. It reduces blood glucose levels and improves the ovulation process in women with PCOS. Metformin is an antidiabetic medicine that belongs to the class of biguanides. The majority of women with PCOS have higher insulin levels. Metformin is an insulin sensitizer that improves insulin sensitivity (body cells utilize insulin effectively to produce glucose) and thus increases the effects of insulin. This further decreases the inflammation in PCOS conditions and regularizes the ovulation process.

• Nausea
• Changes in taste
• Diarrhoea
• Dizziness
• Stomach pain
• Loss of appetite 

Before starting Nixha-M Tablet , let your doctor know if you have any medical history of mental disorders, thyroid diseases, hypervitaminosis D (high levels of vitamin D), hypercalcaemia (high levels of calcium in the blood), ketoacidosis (excess blood acids), tumours, and pernicious anaemia (decrease in red blood cells due to low vitamin B12). Metformin in Nixha-M Tablet has an increased risk of lactic acidosis (a rare but serious metabolic complication of excess lactic acid in the blood caused by metformin accumulation). The risk of lactic acidosis is high in older people with kidney, liver and heart diseases. Pregnant and breastfeeding women should consult their doctor before starting Nixha-M Tablet . Nixha-M Tablet may affect your blood sugar levels that can alter your driving ability, hence so not drive or operate machinery until you feel better. Avoid consuming excessive alcohol as it can potentiate lactic acidosis.

Drug-Drug Interaction: Nixha-M Tablet may interact with medicines used to treat high blood pressure (propranolol, metoprolol), pain killers, anti-depressants (fluoxetine, amitryptiline), cholesterol-lowering agents (cholestyramine), chemotherapy drugs (fluorouracil), anti-ulcers (sulfasalazine), anti-inflammatory drugs (ibuprofen, celecoxib), heart-related drugs (digoxin, digitalis), and corticosteroids (prednisone, hydrocortisone). 

Drug-Food Interaction: Limit alcohol intake since it affects blood sugar levels. Avoid fatty foods and include healthy carbohydrates in your diet.

Drug-Disease Interaction: Tell your doctor before taking Nixha-M Tablet if you have liver, kidney or heart diseases, mental disorders, thyroid diseases, hypervitaminosis D, hypercalcaemia, ketoacidosis, tumours, and pernicious anaemia.

• PROPRANOLOL
• METOPROLOL
• FLUOXETINE
• AMITRIPTYLINE
• CHOLESTYRAMINE
• FLUOROURACIL
• SULFASALAZINE
• IBUPROFEN
• CELECOXIB
• DIGOXIN
• DIGITALIS
• PREDNISONE
• HYDROCORTISONE

• To maintain your blood glucose levels, maintain a fibre-rich diet and include healthy carbohydrates from fruits, vegetables, and whole grains.
• Eat at regular intervals.
• Keep a check on your weight and exercise regularly.
• Your doctor also guides you on noticing and managing the early symptoms of high/low blood sugar levels.
• Gastrointestinal side effects can be managed with simple lifestyle modifications. These include cutting down on sugars and fatty foods, avoiding carbonated drinks, and avoiding foods that cause gas.

Timely ultrasound abdominal scanning is recommended to monitor your PCOS condition.

Polycystic ovary/ovarian syndrome: It is a hormonal disorder that causes enlarged ovaries with numerous small follicles. Women with PCOS produce higher levels of male hormones than usual. This hormonal imbalance can lead to irregularity in the menstrual cycle and problems in getting pregnant. Symptoms include irregular periods, excess hair growth, acne, and obesity. Treatment for PCOS includes birth control pills, cholesterol-lowering drugs, antidiabetic drugs, physical exercise, and weight loss.