Vreza-M 50/500 Tablet is a combination drug of Vildagliptin (DPP-4 inhibitor) and Metformin (Biguanides) belongs to the class of anti-diabetic. Type 2 diabetes mellitus used to be known as 'non-insulin-dependent diabetes mellitus (NIDDM)' or 'maturity-onset diabetes. Type 2 diabetes develops if the body does not produce enough insulin or when your body's insulin does not work as well as it should. It can also develop if the body produces too much glucagon. Insulin is a substance which helps to lower the level of sugar in your blood, especially after meals. Vreza-M 50/500 Tablet is another substance which triggers the production of sugar by the liver, causing the blood sugar to rise. The pancreas makes both of these substances.

Vreza-M 50/500 Tablet helps to control the blood sugar level. It works by making the pancreas produce insulin and less glucagon (effect of vildagliptin) and also by helping the body to make better use of the insulin it has (effect of metformin). You must continue following the diet and exercise recommended for you whilst on treatment with Vreza-M 50/500 Tablet . Vreza-M 50/500 Tablet is not a substitute for insulin. It is not used to treat type 1 diabetes (where your body does not produce insulin) or diabetic ketoacidosis.

Vreza-M 50/500 Tablet should be taken with food to avoid an upset stomach. Vreza-M 50/500 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, which can change quickly depending on your condition. The most common side effect of Vreza-M 50/500 Tablet 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 also should carry some form of sugar along with you. Other side effects include taste change, nausea, diarrhoea, stomach pain, headache, and upper respiratory symptoms.

Vreza-M 50/500 Tablet should not be stopped even if you feel better without consulting your doctor as sugar levels change. If you stop taking Vreza-M 50/500 Tablet abruptly, it may increase your sugar levels which could further increase the risk of eyesight loss (retinopathy), kidney (nephropathy) and nerve damage (neuropathy). Vreza-M 50/500 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 or planning to get pregnant or breastfeed.

Vreza-M 50/500 Tablet helps your pancreas produce more insulin, effectively utilise insulin, and decrease the excess sugar that your liver makes. It helps control the rise of blood sugar levels in your body after a meal. Vreza-M 50/500 Tablet plays a vital role in controlling blood sugar levels and prevents serious complications of diabetes like eyesight loss (retinopathy), kidney (nephropathy), nerve damage (neuropathy), diabetic foot ulcer and delayed wound healing.

• Low blood sugar
• Nausea
• Headache
• Shaking or quivering
• Vomiting
• Diarrhoea
• Abdominal pain
• Loss of appetite
• Joint pain
• Tiredness
• Constipation
• Swollen hands
• Ankle or feet (oedema)

Vreza-M 50/500 Tablet should not be used in patients with type 1 diabetes or with diabetic ketoacidosis. Some diabetic patients, while taking Vreza-M 50/500 Tablet , might develop a rare but serious condition called lactic acidosis. In this condition, there is too much lactic acid accumulated in the blood that can damage the working of your liver and kidney required for the elimination of excess lactic acid from the blood. Before you start taking Vreza-M 50/500 Tablet , tell your doctor if you’ve ever had pancreatitis (inflammation of the pancreas), kidney disease, and low vitamin B12 level. Vreza-M 50/500 Tablet , when used with insulin, may extremely lower the blood sugar level leading to hypoglycaemia condition, which can be fatal. In this case, your doctor may adjust the dose by lowering the dose of insulin or Vreza-M 50/500 Tablet . Prolonged intake of Vreza-M 50/500 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 are going to have a diagnostic test with an injection of dye or X-ray contrast agent. The use of Vreza-M 50/500 Tablet should be stopped for a short time before having an X-ray procedure.

Drug-Drug Interactions: Vreza-M 50/500 Tablet interacts with pain killers (aspirin, ibuprofen, and celecoxib), high blood pressure-lowering pills (nifedipine, captopril, enalapril, lisinopril), thyroid hormones (thyroxine), antacid (cimetidine) or certain medicines affecting the nervous system.

Drug-Food Interactions: Intake of excessive alcoholic beverages may increase the chance of life-threatening condition known as Lactic Acidosis. So, avoid intake of alcoholic beverages with Vreza-M 50/500 Tablet .

Drug-Disease Interactions: People affected with heart diseases (like congestive heart failure and myocardial infarction), vitamin B12 deficiency, and alcoholism should avoid intake of Vreza-M 50/500 Tablet .

• RANOLAZINE
• CIMETIDINE
• NIFEDIPINE
• ENALAPRIL
• LOSARTAN
• DICLOFENAC

• Fill your half plate with starchy veggies, a quarter with proteins, and a quarter with whole grain.

• Eat at regular intervals. Do not take a long gap between a meal or snack.
• Monitor your blood sugar level regularly, especially when there are lots of fluctuations.
• Invest at least 150 minutes of moderate-intensity physical activity or one hour and 15 minutes of high-intensity exercise weekly.
• Lose weight gradually to achieve a healthy body mass index (18.5 to 24.9).
• Replace refined carbohydrates-containing foods with whole grain foods and increase the intake of fruits, veggies, and other fibre-enriched foods.
• Limit saturated fat (or hidden intake 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.

Contact your doctor immediately if you have nausea, vomiting, kussmaul breathing  (laboured and deep), and generalised weakness which are symptoms of Lactic acidosis, a very rare but serious metabolic complication. 

Type 2 diabetes is a condition where the body is unable to make sufficient insulin, or the insulin that it makes doesn't work properly or is utilized by our body. This can cause high blood sugar levels (hyperglycaemia). Symptoms of type 2 diabetes include increased thirst, frequent urination at night, slow wound healing, increased hunger, fatigue, and blurred vision. There may be weight gain in some cases, while in rare cases, weight loss may be observed. The complication of type 2 diabetes also includes neuropathy (nerve problems), nephropathy (kidney problems), retinopathy (damaged retina of eyes or blindness), loss of limbs, sexual dysfunction, and an increase in the chance of heart attack or stroke.