Question 1

What is Metsmall VX 500 Tablet SR?

Accepted Answer

Metsmall VX 500 Tablet SR is a combination of two anti-diabetic drugs: metformin and vildagliptin. Metformin is an anti-diabetic medicine and belongs to the class of biguanides. It lowers the glucose production in the liver, delays glucose absorption from the intestines, and increases the body's sensitivity to insulin. Vildagliptin inhibits the enzyme DPP4 and increases the release of insulin from the pancreas. This combination is not advised for patients below 18 years of age.

Question 2

Is it safe to use Metsmall VX 500 Tablet SR?

Accepted Answer

Yes, it is safe to use Metsmall VX 500 Tablet SR if you take it for the prescribed duration and according to the dosage advised by the doctor. However, despite taking the prescribed dosage, you might experience common side effects like nausea, diarrhea, vomiting, stomach upset, headache, nasal congestion, sore throat, respiratory tract infection, or hypoglycemia (low blood sugar level) in combination with insulin or sulfonylurea. Inform your doctor if you experience any persistent problems while taking this medicine.

Question 3

Can the use of Metsmall VX 500 Tablet SR cause hypoglycemia?

Accepted Answer

The use of Metsmall VX 500 Tablet SR does not usually cause hypoglycemia (low blood sugar level) alone. But it could occur if there is insufficient supplementation of calories while taking this medicine. Symptoms of hypoglycemia include nausea, headache, irritability, hunger, sweating, dizziness, fast heart rate, and feeling anxious or shaky. The symptoms are more likely to be noticed if you miss or delay your food, drink alcohol, over-exercise, or take any other antidiabetic medicine along with it. So, regular monitoring of blood sugar levels is important. It is recommended to always carry glucose tablets, honey, or fruit juice with you.

Question 4

Can the use of Metsmall VX 500 Tablet SR cause nausea and vomiting?

Accepted Answer

Yes, the use of Metsmall VX 500 Tablet SR can cause nausea and vomiting. In case of vomiting, drink plenty of water or other fluids by taking small, frequent sips. Talk to your doctor if vomiting persists and you notice signs of dehydration, like dark-colored and strong-smelling urine and a low frequency of urination. Do not take any other medicine without speaking to a doctor.

Question 5

Are there any specific contraindications associated with the use of Metsmall VX 500 Tablet SR?

Accepted Answer

The use of Metsmall VX 500 Tablet SR should be avoided in patients with known allergies to any of the components or excipients of this medicine. The use of this medicine is also considered to be harmful to patients with severe kidney impairment, liver impairment, congestive heart failure, lactic acidosis, or diabetic ketoacidosis.

Question 6

Can the use of Metsmall VX 500 Tablet SR cause lactic acidosis?

Accepted Answer

Yes, the use of Metsmall VX 500 Tablet SR can lead to lactic acidosis. It is a medical emergency that is caused by increased levels of lactic acid in the blood. It is also known as MALA (metformin-associated lactic acidosis). It is a very rare side effect associated with the use of metformin, and therefore, it is avoided in patients with underlying kidney disease, elderly patients, or those who take large amounts of alcohol. Symptoms of lactic acidosis may include muscle pain or weakness, dizziness, tiredness, the feeling of cold in arms and legs, difficulty in breathing, nausea, vomiting, stomach pain, or slow heart rate. If you have these symptoms, stop taking Metsmall VX 500 Tablet SR and immediately consult your doctor.

Question 7

Can the use of Metsmall VX 500 Tablet SR lead to vitamin B12 deficiency?

Accepted Answer

Yes, the use of Metsmall VX 500 Tablet SR can cause vitamin B12 deficiency with long-term use. It interferes with the absorption of vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems.

Question 8

What is the storage condition for the Metsmall VX 500 Tablet SR?

Accepted Answer

Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children, and other people.

METSMALL VX 500 TABLET SR

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