Linagliptin/Metformin Sandoz
Linagliptin/Metformin Sandoz helps adults with type 2 diabetes manage their blood sugar levels.
Form
tabletti, kalvopäällysteinen
Strength
2.5 mg / 850 mg
Active Ingredient
Linagliptin
Manufacturer
Sandoz A/S
How to Use
Dosage
Your doctor will tell you the exact dose, which depends on your condition and your current doses of linagliptin and/or metformin.
Method
Take one tablet by mouth twice a day, as prescribed by your doctor, with meals to reduce stomach problems.
Important
Do not exceed a maximum daily dose of 5 mg linagliptin and 2000 mg metformin hydrochloride.
Possible Side Effects
COMMON
- •Shaking, sweating, anxiety, blurred vision, tingling lips, pale skin, mood changes, or confusion (signs of low blood sugar, especially when used with certain other diabetes medicines).
- •Diarrhea.
- •Increased levels of an enzyme called lipase in your blood.
- •Nausea.
- •Stomach pain (from metformin alone).
- •Metallic taste in mouth (from metformin alone).
- •Low vitamin B12 levels, with symptoms like extreme tiredness, sore and red tongue, tingling, or pale/yellow skin (from metformin alone).
RARE
- •Lactic acidosis (symptoms like vomiting, stomach pain, muscle cramps, severe tiredness, trouble breathing, low body temperature, slow heartbeat).
- •Pancreatitis (inflammation of the pancreas), with symptoms like severe, persistent stomach pain.
- •Allergic reactions including wheezing, shortness of breath, skin rash, hives, swelling of the face, lips, tongue, or throat which can cause trouble breathing or swallowing.
- •Inflammation of the nose and throat.
- •Cough.
- •Loss of appetite.
- •Vomiting.
- •Increased levels of an enzyme called amylase in your blood.
- •Itching.
- •Skin blisters (bullous pemphigoid).
- •Liver problems (when used with insulin).
- •Constipation (when used with insulin).
- •Hepatitis (liver disease, from metformin alone).
- •Skin reactions like redness (erythema, from metformin alone).
Important Warnings
- Do not take this medicine if you are allergic to linagliptin, metformin, or any other ingredients.
- Do not take this medicine if you have severe kidney problems.
- Do not take this medicine if you have uncontrolled diabetes, high blood sugar, nausea, vomiting, diarrhea, rapid weight loss, lactic acidosis, or ketoacidosis.
- Do not take this medicine if you have ever had diabetic pre-coma.
- Do not take this medicine if you have a severe infection, such as an infection affecting your lungs, airways, or kidneys.
Show 9 more warnings
- Do not take this medicine if you are severely dehydrated (lost a lot of body fluid), for example, due to prolonged or severe diarrhea or repeated vomiting.
- Do not take this medicine if you have acute heart failure, recently had a heart attack, have severe circulatory problems (like shock), or have breathing difficulties.
- Do not take this medicine if you have liver disease.
- Do not take this medicine if you drink too much alcohol, either daily or occasionally.
- This medicine is not for treating type 1 diabetes, where your body does not produce any insulin.
- Contact your doctor immediately if you have severe, long-lasting stomach pain, which could be a sign of pancreatitis.
- Talk to your doctor if you develop skin blisters, as this could be a sign of a rare skin condition called bullous pemphigoid.
- Stop taking this medicine and get medical help right away if you have symptoms of lactic acidosis: vomiting, stomach pain, muscle cramps, general feeling of being unwell, severe tiredness, trouble breathing, low body temperature, and slow heartbeat. Lactic acidosis is a very serious side effect.
- Tell your doctor if you are having major surgery or an injection with iodine contrast for an X-ray or scan, as you may need to stop this medicine temporarily.