Introduction: 
Metjivan V 50/500 is a combination medication containing Vildagliptin (50 mg) and Metformin (500 mg). It is used to manage Type 2 Diabetes Mellitus in adults. This combination helps regulate blood sugar levels by enhancing insulin secretion (Vildagliptin) and improving insulin sensitivity while reducing glucose production in the liver (Metformin)

Uses: 
Type 2 Diabetes Mellitus: Controls high blood sugar levels in patients inadequately managed by diet, exercise, or monotherapy.
Prevention of complications: Reduces the risk of long-term complications such as kidney damage, nerve problems, and cardiovascular diseases.

Side Effects: 
Common side effects:
Nausea, vomiting, diarrhea, or abdominal discomfort.
Headache or dizziness.
Upper respiratory tract infections (stuffy or runny nose, sore throat).

Serious side effects:
Lactic acidosis: A rare but serious side effect of Metformin, symptoms include deep breathing, persistent nausea, and stomach pain.
Pancreatitis: Symptoms include severe abdominal pain, nausea, and vomiting.
Allergic reactions: Rash, swelling, or difficulty breathing.
Seek immediate medical attention if any serious side effects occur.

How to Use: 
Take Metjivan V 50/500 as prescribed by your doctor, usually once or twice daily with meals to reduce stomach upset.
Swallow the tablet whole with water; do not crush or chew.
Take it at the same time daily for consistent blood sugar control.


How Drug Works: 
Vildagliptin: A dipeptidyl peptidase-4 (DPP-4) inhibitor that increases the levels of incretin hormones, enhancing insulin secretion and reducing glucagon release after meals.
Metformin: A biguanide that reduces glucose production in the liver, decreases glucose absorption in the intestine, and improves insulin sensitivity in the body.

Storage Instructions: 
Store below 25°C, in a dry place, away from direct sunlight.

Safety Advice: 
Pregnancy: Use only if prescribed by your doctor, as safety in pregnancy is not well established.
Breastfeeding: Not recommended unless specifically advised by a healthcare provider.
Alcohol: Avoid alcohol as it increases the risk of lactic acidosis and low blood sugar.
Kidney and Liver Conditions: Inform your doctor about any kidney or liver issues; dose adjustments may be required.
Driving: Avoid driving or operating machinery if you experience dizziness or low blood sugar symptoms.

Lifestyle Advice
Follow a balanced diet and engage in regular exercise to maintain optimal blood sugar levels.
Monitor your blood glucose levels regularly as advised by your doctor.
Avoid skipping meals to prevent low blood sugar (hypoglycemia).