Side Effects:

Common Nausea, Vomiting, Altered taste, Diarrhoea, Abdominal pain, Loss of appetite.

Expert advice for Exermet Tablet SR
Metformin is the medicine of choice to lower blood sugar levels. You should continue to exercise regularly, eat a healthy diet, and take your other diabetes medicines (if prescribed) along with Exermet. Chances of weight gain and low blood sugar are lesser as compared to other diabetes medicines. An upset stomach with nausea and diarrhoea may occur in the first two weeks; take it with food to avoid an upset stomach. Hypoglycemia (low blood sugar level) may occur when taken along with other antidiabetic medicines, alcohol or on delaying/skipping a meal. Carry a sugar source with you for immediate relief. Notify your doctor if you have a kidney disease. Your doctor may adjust your dose. Vitamin B12 deficiency and symptoms of anemia like fatigue, pale skin, shortness of breath or headache may occur. Notify your doctor if you experience any of these as you may require supplements.

Frequently Asked Questions

Q. Is Exermet helpful in patients with polycystic ovarian syndrome (PCOS)?
Yes. Exermet is helpful in patients with PCOS. It may be used along with other medicines to induce ovulation and regularize menstrual cycles. It also delays the development of type 2 diabetes if you already have prediabetes and aids in weight loss if you follow a diet and exercise program.

Q. How does Exermet help in weight loss?
Exermet helps in weight loss by decreasing hunger (appetite) and hence food intake. It makes the insulin already available in your body to work more effectively. This leads to decrease glucose production, increase glucose use and decreased fat deposits which further helps to lower body weight. However, it is not yet approved for weight loss, this is an off-label use.

Q. Is Exermet useful in the treatment of infertility?
Exermet is commonly used off-label for the treatment of infertility associated with polycystic ovary syndrome (PCOS). It regulates ovulation and androgen levels in the body and improves menstrual regularity and pregnancy rates and outcomes. This beneficial effect is thought to be due to improvement in insulin resistance by Exermet.

Q. Does Exermet cause low blood sugar levels (hypoglycemia)?
Exermet can lower blood sugar level (hypoglycemia). It happens more often if you delay or miss your food, do more than your routine exercise, drink alcohol or take other antidiabetic medicine along with. So, regular monitoring of blood sugar level is important and be cautious of symptoms of hypoglycemia and always keep glucose tablets, honey or fruit juice with you.

Q. Can I take Exermet forever?
Exermet is generally a safe and well-tolerated drug even on long-term use. However, its long-term use can cause vitamin B12 deficiency leading to anemia and peripheral neuropathy (nerve damage). so, it should be taken only at prescribed doses for the duration as advised by the doctor.

Q. Is Exermet a sulfonylurea?
No, Exermet is not a sulfonylurea. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.

Q. Is Exermet a steroid?
No, Exermet is not a steroid. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modifications in diet and exercise.

Q. Does Exermet cause bloating?
Exermet commonly causes stomach upset like bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea. To avoid these side effects, it is advised to be taken after meals, preferably started at a low dose and then increased slowly over weeks, or by using slow-release tablets.

Q. Is Exermet good for fatty liver?
Exermet is seen to be beneficial in the treatment of non-alcoholic fatty liver disease (NAFLD). One of the underlying cause of NAFLD is insulin resistance. Exermet improves insulin resistance and liver enzymes in these patients. It is not seen to benefit patients of alcoholic fatty liver disease and is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis.

Q. What is the benefit of combining Exermet with coenzyme q10?
Coenzyme Q10 is an antioxidant that helps in energy production and is found in heart, liver, kidney, and pancreas (which produces insulin). It can repair the damage caused to these organs by free radicals. Low levels of CoQ10 are seen in patients with diabetes. So, some researchers suggest it be given from outside. It can be taken with Exermet as no drug-drug interactions or harmful effects have been seen between the two.

Q. Does Exermet help in improving your menstrual cycle (periods)?
Yes, Exermet does improve menstrual cycle (periods) regularity in women with polycystic ovarian syndrome (PCOS). It is associated with insulin resistance, decreased ovulation, and high androgen levels which cause menstrual irregularities like delayed periods and scanty bleeding. Exermet helps in regularizing menstrual cycles by improving insulin sensitivity, ovulation rate, and decreasing androgen levels.

Q. Can I take Exermet with atorvastatin?
Yes, Exermet can be taken with atorvastatin. There are no reported harmful effects when they are used together. Rather some studies suggest beneficial effects in diabetics as they may prevent a very high increase in blood glucose after food, decrease some inflammation markers and protect the patients from liver injury.

Q. Can I take Exermet with phentermine?
Exermet can be taken with phentermine. These are sometimes given together in obese patients who are also diabetic and are taking Exermet along with exercise and diet modification. Phentermine decreases food intake by its action in the brain. However, phentermine can decrease the effect of Exermet leading to very high blood glucose levels. So, a dose adjustment of Exermet may be needed.

Q. Can I take Exermet with levothyroxine?
Exermet can be taken with levothyroxine but the dose of Exermet may need to be adjusted. Levothyroxine can decrease the effect of Exermet leading to very high blood glucose levels. These are used together in patients with coexisting thyroid disease and diabetes mellitus or polycystic ovarian syndrome (PCOS).

Q. Can I take Exermet with prednisolone?
Exermet can be taken with prednisolone but the dose of Exermet may need to be adjusted. Prednisolone can decrease the effect of Exermet leading to very high blood glucose levels. Continuous use of steroids like prednisolone can also cause diabetes known as glucocorticoid-induced diabetes and use of Exermet is recommended in these patients.

Q. Can I take Exermet with metoprolol?
Exermet can be taken with metoprolol. There are no reported drug interactions or harmful effects in humans when they are used together. However, some animal studies suggest that metoprolol can decrease the blood levels of Exermet and on long-term use can increase lactic acid and uric acid levels.

Q. Does Exermet clear acne?
Exermet is not indicated for clearing acne due to just any condition. It only helps in clearing acne in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, abdominal obesity, and irregular menstruation.

Q. Does Exermet cause hair loss?
No, hair loss has not been reported with Exermet. It only helps in clearing facial hair (hirsutism) in women with polycystic ovarian syndrome (PCOS) along with other problems like acne, abdominal obesity, and irregular menstruation.

Q. Does Exermet cause weight gain?
No, weight gain has not been reported with Exermet. Rather it helps in decreasing weight especially abdominal fat patients of type 2 diabetes mellitus and in women with polycystic ovarian syndrome (PCOS) along with other problems like facial hair, acne, and irregular menstruation.

Q. Does Exermet cause constipation?
Exermet is not known to cause constipation. Some common side effects associated with the use of Exermet includes nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.

Q. Is Exermet safe?
Exermet is a safe and well-tolerated drug even on long-term use when taken strictly as advised by the doctor. However, there are some very common side effects like nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite you may experience even at therapeutic doses.

Q. Does Exermet increase blood pressure?
Exermet is not known to increase blood pressure. Some common side effects associated with the use of Exermet includes nausea, vomiting, abdominal pain, altered taste, diarrhea, and loss of appetite.

Q. Is Exermet an insulin?
No, Exermet is not an insulin. Exermet is an oral drug used in type 2 diabetes mellitus and lowers blood glucose levels by decreasing its production and increasing absorption and making the already available insulin in your body to work better. Insulin is a normally produced hormone in the body, used in the injectable form in the treatment of both type 1 and 2 diabetes mellitus and it works by absorbing and storing glucose from the blood.

Q. Is Exermet a banned drug?
No, Exermet is not a banned drug. It is a prescription medicine and is available when prescribed by registered medical practitioner.

Q. Is Exermet a birth control pill?
No, Exermet is not a birth control pill. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.

Q. Is Exermet a statin?
No, Exermet is not a statin. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise.

Q. Can I take Exermet with saxagliptin?
Both Exermet and saxagliptin are anti diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Exermet is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.

Q. Does Exermet cause blurry vision?
Exermet is not known to cause blurred vision. Change in vision in a patient with diabetes could be due to multiple reasons. It could be a temporary problem either due to high blood sugar levels which cause your lens inside your eye to swell and change your vision. If the blurred vision continues for a long time, consult a doctor.

Q. What is lactic acidosis and how is it related to Exermet use?
Lactic acidosis is a rare, but serious complication associated with the use of Exermet. Patient has high blood lactic acid levels and may present with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is especially seen in old age patients, those with kidney, liver or heart disease, or who take large amounts of alcohol. If you have these symptoms, stop taking Exermet and consult your doctor.

Q. Is Exermet use associated with liver pain?
Exermet is not known to cause any liver pain or damage. Rather, it is seen to be useful in patients with non-alcoholic fatty liver disease (NAFLD) and chronic hepatitis C. However, it is usually avoided in patients with liver cirrhosis as they are at an increased risk of lactic acidosis which is a serious complication associated with the use of Exermet.

Q. Does Exermet make you feel high?
No, Exermet does not elevate the mood or make you feel high. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Rare side effects of Exermet include anxiety and depression.

Q. Can Exermet cause back pain?
Usually, Exermet is not associated with back pain. However, it can be a presentation of stomach upset, a common side effect caused by Exermet which includes bloating (heavy and uncomfortable feeling in the stomach), nausea, vomiting, and diarrhea, or it could be a symptom of lactic acidosis, a rare and a serious complication of Exermet.

Q. Can long-term use of Exermet cause vitamin b12 deficiency?
Yes, Exermet causes vitamin B12 deficiency on long-term use as it interferes with absorption of vitamin B12 in the stomach. If untreated, it may cause anemia and nerve problems and the patient can have tingling sensation and numbness in hands and feet, weakness, urinary problems, change in mental status and difficulty in making balance (ataxia). To avoid these problems, some researchers suggest an intake of vitamin B12 from outside at least once every year.

Q. Is Exermet useful in the management of metabolic syndrome?
Yes, Exermet is seen to be useful in the management of metabolic syndrome, a collection of risk factors that include high blood pressure, high blood sugar levels, abnormal blood cholesterol levels and excess fat around the waist. Exermet is an insulin sensitizer and it improves the action of insulin and normalises blood sugar levels and reduces body weight.

Q. How beneficial is it to take Exermet with glimepiride?
Both Exermet and glimepiride are anti diabetic drugs and can be used together. They work by different mechanisms and can control the blood sugar levels in a much better way when used together as compared to either drug taken alone. However, glimepiride can cause very low blood glucose levels, so a regular monitoring of blood glucose is very important.

Q. Is it safe to take Exermet with cetirizine?
Yes, Exermet can be taken with cetirizine. There are no reported drug interactions or harmful effects when they are used together.

Q. Can I take Exermet and ranitidine together?
Exermet can be taken with ranitidine. However, if you are taking them together, you need to monitor blood glucose levels regularly as ranitidine can decrease the removal of Exermet from the body and increase its blood levels. This can cause very low blood sugar levels and other side effects as well and the dose of Exermet may need adjustment.

Q. How beneficial is it to take Exermet with linagliptin?
Both Exermet and linagliptin are anti-diabetic drugs and can be used together. Their fixed dose combinations are also available and commonly advised once Exermet is unable to control blood sugar levels even after giving the maximum tolerated dose. As they work by different mechanisms, they help in better control of blood sugar levels compared to either drug taken alone.

Q. Does Exermet inhibit hepatitis B virus protein?
Yes, some research studies have shown that Exermet can decrease the multiplication and growth of hepatitis B virus when given along with other antiviral drugs. However, this is indication is still under research and not yet approved.

Q. Can I take Exermet before or after a chest x-ray? Does its use lead to chest x-ray abnormality?
Exermet should be temporarily discontinued before chest or any X-ray that requires injection of a contrast medium or dye. These dyes can decrease kidney function and Exermet along with these dyes can cause a serious side effect like lactic acidosis. So you may need to stop taking Exermet. However, do not stop taking any medicine without talking to your doctor.

Q. Does Exermet make you sleepy?
Exermet can cause sleepiness which could be an early symptom of lactic acidosis along with tiredness, weakness, stomach pain, loose stools, severe muscle pain, muscle cramps and difficulty in breathing. It is a serious condition caused by Exermet seen in old age patients, those with kidney, liver or heart disease, or those who take large amounts of alcohol. If you have these symptoms, stop taking Exermet and consult your doctor.

Q. Does the use of Exermet cause joint pain?
Use of Exermet is not associated with joint pain. However, diabetes itself decreases blood circulation to the joints and even damages them leading to joint pain. Use of anti-diabetic drugs like sitagliptin or saxagliptin is also associated with joint pain. Early symptoms of lactic acidosis like muscle pain and cramps with weakness and tiredness can be mistaken for joint pain.

Q. Can Exermet help in reducing weight gain caused by antipsychotics?
Exermet may be of help in the treatment and prevention of weight gain caused by antipsychotics along with lifestyle modifications like a change in diet and regular exercise. Weight gain is an important reason for discontinuation of these medicines. Exermet improves insulin sensitivity and prevents weight gain, both of these factors are affected by the use of antipsychotics.

Q. Is Exermet useful in the treatment of fragile X syndrome?
Exermet has shown promising results in some animal research studies in the treatment of fragile X syndrome. It may help in improving mental and behavioral disorders (autism) and control obesity and risk of developing diabetes in these patients. But these results are very preliminary and it is still not approved for the treatment of fragile X syndrome.

Q. What is the difference between liraglutide and Exermet?
Exermet and liraglutide are antidiabetic drugs and both control blood sugar levels effectively. Exermet is taken by oral route and it decreases glucose production from liver and glucose absorption from the gut and increases insulin sensitivity. While liraglutide is an injectable and it increases insulin release from the pancreas. Both cause stomach upset, like nausea, vomiting, diarrhea and bloating while liraglutide also increases the risk of pancreatitis.

Q. Does Exermet use make you feel high?
No, Exermet does not elevate the mood or make you feel high. It is an antidiabetic drug used to control high blood sugar levels in newly-diagnosed type 2 diabetes patients, along with modification in diet and exercise. Rare side effects of Exermet include anxiety and depression.

Q. Does Exermet make you sweat?
Yes, sweating is one of the known side effects of Exermet. The exact cause of this is not known. Some researchers suggest it to be due to low blood sugar levels especially at night which can cause night sweats as well. Monitor your blood sugar levels regularly and talk to your doctor as your dose of Exermet may need to be adjusted.

Q. Can I take Exermet with clomiphene citrate?
Exermet can be taken with clomiphene citrate. They are advised together in patients with infertility along with polycystic ovarian syndrome (PCOS). Clinical studies have shown an improvement in ovulation and pregnancy rates in these patients as compared to use of clomiphene citrate alone or if the patients are resistant to the effects of clomiphene citrate. However, this is still under research.

Q. Is Exermet useful in treating or preventing breast cancer?
Exermet is seen to be useful in the treatment and prevention of cancers especially breast cancer in research studies. As high insulin levels are known to increase the risk of cancer, Exermet decreases cancer cell growth by decreasing insulin and blood glucose levels. However, its use in treating breast cancer is not yet approved.

Q. Does Exermet use increase your chance to get Helicobacter pylori infection?
No, Exermet is not associated with an increased risk of Helicobacter pylori infection. Diabetes itself increases the risk of H.pylori infection which increases the chances of stomach upset like nausea, vomiting, diarrhea, and bloating by Exermet.

Q. Does Exermet use leads to anemia?
Exermet may decrease the levels of vitamin B12 on long term use which may rarely cause a type of anemia in which blood cells are larger than normal (megaloblastic anemia). You may need to take foods rich in vitamin B12 like eggs, dairy products, and meat or a supplement from outside.

Q. Is Exermet useful in the treatment of prediabetes?
Exermet is seen to be useful in the management of prediabetes, a condition with blood glucose levels higher than normal but not high enough to label you as diabetic. Exermet makes the insulin already available in your body to work more effectively, decreases glucose production by liver and increases use of glucose by the muscles and lowers body weight. However, lifestyle modifications like a change in diet and exercise should be tried first as they are seen to be more effective than Exermet.

Q. Can I take Exermet with teneligliptin?
Yes, Exermet can be taken with teneligliptin. It is a good add-on treatment if the blood sugars are very high even after taking Exermet. The risk of low blood sugar levels (hypoglycemia) is also very low with both the medicines. However, consult your doctor before taking them together as a dose adjustment may be needed.