Dr. Joydeep Sarkar MBBS , Internal Medicine

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

ravi udawat MBBS , General Physician

Tenlimac M 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. Sameer Awadhiya MBBS , Pediatrics

Tenlimac 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, Tenlimac M is not approved for weight loss, this is an off-label use.

Dr. Manoj Meena MBBS , General Physician

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

Dr. Ayush Pandey MBBS, PG Diploma , General Physician

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