Dr. Vedprakash Verma MBBS, MD , Cardiology

Yes, Tendia 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

Dr. Sameer Awadhiya MBBS , Pediatrics

Tendia M helps in weight loss by reducing appetite and food intake. It also increases the insulin sensitivity in your body to work more effectively. This lead to decreased glucose production increases the use of glucose and decrease the fat deposition further helps in weight loss. However, Tendia M is not approved for weight loss, this is an off-label use.

Dr. Manju Shekhawat MBBS , General Physician

No, you should not take alcohol with Tendia 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 Tendia M than if you're just taking Tendia M. Some of the signs of hypoglycemia include dizziness, confusion, and drowsiness.

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

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

Dr. Manoj Meena MBBS , General Physician

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