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Jentadueto is a medicine used along with diet and exercise to help control high blood sugar in adults with type 2 diabetes. Jentadueto contains two medicines that work in two different ways to lower your blood sugar levels: linagliptin and metformin.
How does this medication work?
Linagliptin works by increasing hormones that stimulate your pancreas to produce more insulin and stimulate your liver to produce less blood sugar. Metformin helps your body respond better to the insulin it makes naturally, and decreases the amount of sugar your liver makes and the amount of sugar your intestines absorb. Together, they help to control your blood sugar.
What are the beneficial effects of this medication and when should I begin to have results?
What: Lowering your blood sugar to a normal level may prevent or delay potential complications associated with diabetes, such as blindness, kidney failure, or heart problems. Also, the combination of medicines in Jentadueto provides better control of blood sugar compared to metformin alone.
When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you take Jentadueto exactly as your healthcare provider has prescribed.
How do I know it is working?
Check your blood sugar regularly and as your healthcare provider tells you to. Your healthcare provider will also do regular blood tests to measure your blood sugar levels and your hemoglobin A1C (measures your average blood sugar levels over a 2- to 3-month period). Stay on your prescribed diet and exercise program, as this will also affect the results of your blood tests.
The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.
Jentadueto can cause a rare but serious condition called lactic acidosis (a build-up of an acid in the blood). This is a medical emergency and must be treated in the hospital. Stop taking Jentadueto and call your healthcare provider right away if you feel very weak or tired; have unusual muscle pain, trouble breathing, sleepiness or you sleep longer than usual; develop sudden stomach or intestinal problems with nausea, vomiting, or diarrhea; feel cold, especially in your arms and legs; experience dizziness or lightheadedness; or have a slow or irregular heartbeat.
You have a higher chance of getting lactic acidosis if you have kidney or liver problems; drink a lot of alcohol; become dehydrated (lose a large amount of body fluids); have certain tests with dyes or contrast agents that are injected into your body; undergo surgery; or experience a heart attack, severe infection, or stroke.
More common side effects may include: common cold, diarrhea.
Less common side effects may include:
Pancreatitis (inflammation of the pancreas) with symptoms such as pain in your abdomen (stomach area) that is severe and will not go away. You may feel the pain going from your abdomen through to your back, and may experience vomiting.
Low blood sugar with symptoms such as shaking, sweating, rapid heartbeat, changes in your vision, hunger, headache, or changes in your mood. Your risk of low blood sugar is higher if you do not eat enough, drink alcohol, or take other medicines to lower your blood sugar.
Allergic reactions with symptoms such as swelling of your face, lips, throat and other areas of your skin; difficulty swallowing or breathing; hives; skin rash, itching, flaking, or peeling.
Joint pain that can be severe.
Do not take Jentadueto if you are allergic to it or any of its ingredients.
Do not take Jentadueto if you have kidney problems.
Do not take Jentadueto if you have metabolic acidosis (a condition in which there is too much acid in the body).
Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Jentadueto. Also, talk to your healthcare provider about your complete medical history, especially if you have kidney, liver, or heart problems; a history of pancreatitis; drink alcohol frequently; are going to receive an injection of dye or contrast agents for an x-ray procedure; or if you are pregnant, plan to become pregnant, or are breastfeeding.
The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.
Adults: The recommended starting dose is 2.5/500 (2.5 milligrams [mg] of linagliptin and 500 mg of metformin) twice a day. Your healthcare provider may adjust your dose as needed, until the desired effect is achieved.
If you are also using insulin or taking another diabetes medicine called a sulfonylurea (such as glimepiride, glipizide, or glyburide), your healthcare provider may adjust the dose of these medicines.
If your body is under some types of stress such as a fever, infection, trauma (such as a car accident), or surgery, your healthcare provider may need to adjust your diabetes medicine.
Take Jentadueto exactly as prescribed by your healthcare provider. Do not change your dose or stop taking Jentadueto without first talking to your healthcare provider.
Take Jentadueto with meals to lower your chance of having an upset stomach.
Do not drink excessive amounts of alcohol while taking Jentadueto. Alcohol can increase your chance of developing lactic acidosis.
If Jentadueto is taken with certain other drugs, the effects of either could be increased, decreased, or altered. Jentadueto may interact with numerous medications. Therefore, it is very important that you tell your healthcare provider about any other medications you are taking.
The effects of Jentadueto during pregnancy and breastfeeding are unknown. Do not breastfeed while you are taking Jentadueto. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
If you miss a dose of Jentadueto, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.
Store at room temperature. Protect from humidity.
In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
National Poison Control#: Call 1-800-222-1222
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