Taking metformin with alcohol can cause lactic acidosis and you may experience malaise, respiratory distress, slow or irregular heartbeat, sleepiness, stomach upset, or other unusual symptoms.

Unknown. Human and animal studies are not available. Please consult your doctor.

No information is available on the use of Tenglyn M 500 Tablet during lactation. Please consult your doctor.

Your ability to drive may be affected if your blood sugar is low or high. If this happens, do not drive.

Tenglyn M 500 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Tenglyn M 500 Tablet may be needed. Please consult your doctor.Use of Tenglyn M 500 Tablet is, however, not recommended in patients with severe kidney disease. Regular monitoring of kidney function test is advisable while you are taking this medicine.

Tenglyn M 500 Tablet should be used with caution in patients with liver disease. Dose adjustment of Tenglyn M 500 Tablet may be needed. Please consult your doctor.Tenglyn M 500 Tablet is generally started with low dose in patients with mild to moderate liver disease and its use is not recommended in patients with severe liver disease.