Empanorm M 5 mg/500 mg Tablet

Empanorm M 5 mg/500 mg Tablet is a prescription diabetes medicine that combines empagliflozin 5 mg and metformin 500 mg in each tablet. It belongs to the SGLT2 inhibitor and biguanide drug classes and is used to help lower blood sugar in adults with type 2 diabetes. This tablet is meant to be used along with diet and exercise, and it may also help reduce the risk of certain diabetes-related complications when prescribed by a clinician. Empanorm M 5 mg/500 mg Tablet is not for type 1 diabetes or diabetic ketoacidosis.

How it works: Empagliflozin helps the kidneys remove extra sugar through the urine, which lowers blood glucose. Metformin helps the liver make less sugar and helps the body use insulin better, and together in this tablet they work to improve blood sugar control.

Empanorm M 5 mg/500 mg Tablet is a low-dose combination strength, so it may be chosen when a doctor wants to introduce empagliflozin and metformin together more cautiously or match a patient’s current treatment plan. Compared with higher-strength combination tablets, this 5 mg/500 mg tablet delivers less empagliflozin and a standard 500 mg metformin dose, which can be helpful when starting combination therapy or adjusting treatment for tolerance.

• Type 2 diabetes mellitus
• Blood sugar control with diet and exercise
• Combination therapy when one medicine is not enough
• May be used when a doctor wants both empagliflozin and metformin in one tablet

• Swallow the Empanorm M 5 mg/500 mg Tablet whole with water; do not crush, chew, or split it unless your prescriber says otherwise.
• Take it exactly at the time and frequency prescribed, because the right schedule depends on your blood sugar and other medicines.
• Take it with food if your stomach gets upset, since metformin can cause nausea or stomach discomfort.
• Drink enough fluids while taking this tablet, because empagliflozin can increase urination.
• Do not take an extra tablet to make up for a missed dose; ask your clinician or pharmacist what to do instead.
• If you are having surgery, severe vomiting, or a serious illness, ask your doctor whether you should temporarily stop this medicine.

Each Empanorm M 5 mg/500 mg Tablet contains empagliflozin 5 mg plus metformin 500 mg. The exact dosing schedule is individualized by the doctor, and this strength may be taken once or twice daily depending on the prescribed plan and tolerance. Do not exceed the maximum daily amount your prescriber sets, because safe dosing depends on kidney function, blood sugar goals, and the other medicines you take.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Empagliflozin + Metformin may include:

• Nausea
• Diarrhea
• Stomach upset
• Decreased appetite
• Increased urination
• Thirst
• Genital yeast infection

• Do not use this tablet for type 1 diabetes or diabetic ketoacidosis.
• Because the 5 mg/500 mg strength is a lower combination dose, it is still only for patients a doctor has assessed; it is not a casual starting medicine without follow-up.
• Avoid heavy alcohol use, which can raise the risk of lactic acidosis with metformin.
• Use caution if you have kidney disease, heart failure, liver disease, or frequent dehydration.
• This medicine can make you urinate more, so stand up slowly and be careful with driving if you feel dizzy or lightheaded.
• Tell your doctor about past bladder or genital infections, since empagliflozin can increase the risk of these infections.
• If you are fasting, very sick, or not eating normally, your blood sugar and dehydration risk may change and your doctor may need to adjust treatment.

• Insulin or other diabetes medicines, which can increase the risk of low blood sugar when used together
• Diuretics, which can increase dehydration and low blood pressure risk
• Alcohol, which can increase the risk of metformin-related lactic acidosis
• Iodinated contrast dye used for some scans, which may require temporary stopping of metformin
• Certain medicines that affect kidney function or dehydration, which can raise side effect risk

Store Empanorm M 5 mg/500 mg Tablet in its original strip/box at room temperature, away from moisture, heat, and out of reach of children.