Product Description
Gibtulio-SM 10/1000 Tablet ER is a combination medicine used for the treatment of type 2 diabetes mellitus. It contains two active agents that work together to lower blood sugar levels. One helps the kidneys flush out extra glucose through urine, while the other decreases sugar production in the liver and makes the body more sensitive to insulin. Being an extended release (ER) formulation, the medicine works gradually, ensuring steady control of sugar levels throughout the day.

Benefits
Provides effective and sustained control of blood sugar in adults with type 2 diabetes
Reduces the risk of diabetes-related complications affecting the heart, kidneys and nerves
Supports gradual and consistent glucose regulation due to its extended release action
Helps with weight management and contributes to improved overall energy balance

Possible Side Effects
Some people may experience nausea, stomach upset or diarrhea, especially at the beginning
Urinary tract infection, genital infection or increased urination may occur in certain cases
Headache, dizziness, dehydration or low blood pressure might also be noticed
Low blood sugar may happen if meals are skipped or when used with other diabetes medicines

How to Use
Take the tablet exactly as prescribed by your doctor, usually once daily
Swallow it whole with water and do not crush, break or chew the extended release form
It is best taken with food to minimize stomach discomfort
Try to take it at the same time each day for steady blood sugar management

What to Avoid
Avoid irregular meals or skipping food as this can increase the risk of low sugar levels
Do not consume alcohol excessively since it may raise the risk of side effects
Avoid using this medicine in severe kidney or liver problems unless approved by a doctor
Do not combine with other antidiabetic medicines without consulting a healthcare professional

Precautions
Inform your doctor if you have any history of kidney or liver disease, heart problems or frequent infections
Maintain good hydration to reduce the chances of dehydration and low blood pressure
Pregnant or breastfeeding women should only take this medicine if recommended by a healthcare provider
Regular blood sugar checks and kidney function tests are important during treatment