Dr. Manju Shekhawat MBBS , General Physician

No, you should not take alcohol with Ten M, because it can cause serious side effects which includes hypoglycemia (low blood sugar). The risk of hypoglycemia is higher when you're drinking and taking Ten M than if you're just taking Ten M. Some of the signs of hypoglycemia include dizziness, confusion, and drowsiness.

Dr. Ayush Pandey MBBS, PG Diploma , General Physician

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

Dr. Joydeep Sarkar MBBS , Cardiology, Neurology, Pulmonology, Nephrology, Hepatology, Internal Medicine, Diabetology

Yes, Ten M can cause night sweat, the exact mechanism of sweating is not known. But some research suggests that Ten M 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 Ten M may need to be adjusted.

Dr. Sameer Awadhiya MBBS , Pediatrics

Ten M increases the sensitivity of insulin, young women with PCOS often have elevated insulin levels and are more likely to develop diabetes. It is often prescribed for women with PCOS to help prevent diabetes. A lifestyle that includes healthy nutrition and daily exercise is the most important part of a PCOS treatment plan.

Dr. Manoj Meena MBBS , General Physician

Lactic acidosis associated with Ten M 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 Ten M induced lactic acidosis are nonspecific and include anorexia, nausea, vomiting, altered level of consciousness, hyperpnoea, abdominal pain, and thirst.