Dr. Sameer Awadhiya MBBS , Pediatrics

Tenformin Duo 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, Tenformin Duo is not approved for weight loss, this is an off-label use.

Dr. Sameer Awadhiya MBBS , Pediatrics

Yes, you can take Tenformin Duo 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 Tenformin Duo and long-term use can increase lactic acid and uric acid in the blood.

Dr. Ram Saini MD, MBBS , General Physician

Tenformin Duo can be taken forever, diabetes is a progressive disease it's possible that more medication and/or insulin may eventually need to be added to the regime. 

Dr. Manju Shekhawat MBBS , General Physician

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

Dr. Vedprakash Verma MBBS, MD , Cardiology

Yes, Tenformin Duo 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