Dr. Rahul Poddar MBBS, DNB, MBBS, DNB , General Surgery

Tenebite M works by decreasing the hepatic glucose production. It also works to lower blood sugar by increasing your sensitivity to insulin and decreasing the amount of glucose that is absorbed from the food you eat.

Dr. Sameer Awadhiya MBBS , Pediatrics

Yes, you can take Tenebite M with a beta-blocker. People with diabetes tend to develop heart disease or stroke at an earlier age than the general population. One reason for this is that high glucose levels increase your risk of high blood pressure (hypertension). No harmful interactions are seen between them. However, a recent study suggests that beta-blockers can decrease the plasma level of Tenebite M and long-term use can increase lactic acid and uric acid in the blood.

Dr. Ayush Pandey MBBS, PG Diploma , General Physician

Yes, Tenebite M can cause some sleep problems, especially insomnia. On the other hand, Tenebite M has proven to be useful for preventing sleep apnea. The exact relationship between Tenebite M and sleep problems is still not clear, and further studies are needed for a clearer understanding.

Dr. Ramraj MBBS , Other

Yes, Tenebite M can cause low blood sugar (hypoglycemia). However, this can also occur if you delay or miss a meal, drink alcohol, exercise more than usual, can't eat due to stomach upset, and taking other antidiabetic medicine with metformin. So, regular monitoring of blood glucose level is needed and be cautious of symptoms of hypoglycemia, always keep glucose-rich food with you. 

Dr. Vedprakash Verma MBBS, MD , Cardiology

Yes, Tenebite M is safe to use, many people have side effects at first, they usually diminish and then go away completely in a few weeks. A few people find they cannot tolerate metformin, there are other drugs but metformin is usually the first choice. It is very safe