💊 Metformin 500 mg + Linagliptin 5 mg Tablet: Dual-Action Diabetes Control
🔹 What is Metformin + Linagliptin Tablet?
This combination tablet contains:
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Metformin (500 mg): A biguanide that lowers blood sugar by reducing glucose production in the liver and improving insulin sensitivity.
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Linagliptin (5 mg): A DPP-4 inhibitor that increases insulin release and decreases glucagon levels in response to meals.
Together, they offer complementary actions to control blood glucose in adults with Type 2 Diabetes Mellitus (T2DM) when diet, exercise, and single-drug therapy are insufficient.
🧪 Ingredients
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Active Ingredients:
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Metformin Hydrochloride 500 mg
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Linagliptin 5 mg
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Inactive Ingredients (may vary by manufacturer):
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Hypromellose
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Magnesium stearate
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Povidone
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Lactose monohydrate
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Cellulose derivatives
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💡 How to Use
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Dosage: Typically one tablet once or twice daily with meals, depending on blood sugar levels and doctor’s recommendation.
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Administration: Swallow whole with water. Take with food to minimize gastrointestinal side effects from Metformin.
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Do Not skip meals or overdose; maintain a regular schedule.
⚠️ Common Side Effects
From Metformin:
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Nausea
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Diarrhea
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Bloating
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Metallic taste
From Linagliptin:
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Nasopharyngitis (cold symptoms)
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Headache
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Joint pain
These side effects are usually mild and improve with time or dose adjustment.
🚨 Serious Side Effects
Seek medical attention for:
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Lactic acidosis (rare but life-threatening): Symptoms include muscle pain, weakness, difficulty breathing, slow heartbeat, or dizziness (linked to Metformin).
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Pancreatitis: Severe abdominal pain, vomiting (associated with Linagliptin).
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Hypoglycemia: Especially if used with insulin or sulfonylureas.
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Allergic reactions: Rash, itching, or swelling (angioedema), particularly from Linagliptin.
🩺 Monitoring & Follow-Up
Regular follow-up is crucial for effectiveness and safety:
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Blood glucose and HbA1c: Every 3–6 months
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Kidney function (eGFR): At baseline and periodically (important due to Metformin’s renal clearance)
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Liver function tests
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Signs of pancreatitis or lactic acidosis
Patients should maintain a diabetes diary to track glucose levels, diet, and medication adherence.
⚠️ Warnings & Precautions
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Renal impairment: Metformin should be used cautiously or avoided if eGFR < 30 mL/min/1.73 m².
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Alcohol use: Increases risk of lactic acidosis; should be limited.
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Heart failure: Monitor closely; risk of fluid retention or worsening condition.
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Elderly patients: Increased risk of side effects due to decreased renal function.
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Pregnancy & Lactation: Use only if clearly needed and under strict supervision.
📝 Summary
Metformin 500 mg + Linagliptin 5 mg is an effective oral combination therapy for managing Type 2 Diabetes. It targets blood sugar through two mechanisms: improving insulin sensitivity and enhancing the body’s natural insulin response. While generally well-tolerated, this medication requires regular monitoring for kidney function, blood sugar, and potential side effects like lactic acidosis or pancreatitis. It should be taken with meals and as part of a comprehensive diabetes management plan that includes diet and lifestyle changes.
- For more detailed information, consult with your healthcare provider or refer to trusted medical resources.
Note: This information is intended for educational purposes and should not replace professional medical advice. Always consult a healthcare provider for personalized guidance.






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