Dr. Sameer Awadhiya MBBS , Pediatrics

Yes, you can take Metsmall VX Tablet 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 Metsmall VX Tablet and long-term use can increase lactic acid and uric acid in the blood.

ravi udawat MBBS , General Physician

Metsmall VX Tablet should be taken with food to reduce stomach and bowel side effects, which may experience the first few weeks of treatment. Also, exercise regularly and test for sugar in your blood or urine as directed.

Dr. Manoj Meena MBBS , General Physician

Lactic acidosis associated with Metsmall VX Tablet treatment is a rare but fatal adverse effect. Lactic acidosis appears to result from biguanide interference causing an increase in production and decrease in clearance of lactate leading to higher cellular lactate levels. A decrease in pyruvate carboxylase activity, the rate-limiting enzyme in the formation of glucose from lactate, can also decrease hepatic metabolism of lactate. leading to increasing lactic acidosis. Signs and symptoms of Metsmall VX Tablet induced lactic acidosis are nonspecific and include anorexia, nausea, vomiting, altered level of consciousness, hyperpnoea, abdominal pain, and thirst. 

Dr. Joydeep Sarkar MBBS , Internal Medicine

Yes, Metsmall VX Tablet can cause night sweat, the exact mechanism of sweating is not known. But some research suggests that Metsmall VX Tablet causes hypoglycemia (low blood sugar) especially at night which can cause night sweats. Need to monitor your blood glucose level regularly, and talk to your doctor as your dose of Metsmall VX Tablet may need to be adjusted.

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

Metsmall VX Tablet 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.