Product Description
Lupisit DM 10mg/500mg/100mg Tablet is a combination medicine that contains Dapagliflozin (10mg), Metformin (500mg), and Sitagliptin (100mg). It is prescribed for the management of type 2 diabetes mellitus when single or dual therapy is not enough to control blood sugar. The three medicines work together to reduce sugar production in the liver, improve insulin response, and increase glucose removal through urine.

Benefits
• Provides strong control of blood sugar levels in type 2 diabetes
• Reduces risk of long-term complications such as kidney, nerve, and eye damage
• Dapagliflozin helps remove extra glucose through urine and may assist in weight reduction
• Sitagliptin improves insulin secretion after meals and lowers sugar production
• Metformin decreases liver glucose output and improves body’s sensitivity to insulin

Side Effects
• Nausea, vomiting, stomach upset, or diarrhea may occur in some people
• Increased urination, urinary tract infection, or genital infection may be noticed
• Headache, dizziness, or tiredness can happen occasionally
• Low blood sugar may occur if combined with insulin or other antidiabetic medicines
• Rarely, lactic acidosis or pancreatitis may develop and need urgent care

How to Use
• Take the tablet exactly as prescribed by the doctor
• Swallow whole with water, preferably with meals to reduce stomach upset
• Try to take at the same time every day for better results
• Do not skip doses, as it may disturb blood sugar control

What to Avoid
• Avoid alcohol, as it increases the risk of low blood sugar and lactic acidosis
• Do not take more than the prescribed dose
• Avoid dehydration by drinking enough fluids while on this medicine
• Not suitable for patients with type 1 diabetes or diabetic ketoacidosis

Precautions
• Inform your doctor if you have kidney, liver, or heart problems before starting
• Elderly patients should be monitored closely for side effects
• Pregnant and breastfeeding women should use only if prescribed
• Regular monitoring of blood sugar, kidney function, and vitamin B12 levels may be required during long-term use
• Seek immediate medical attention if you notice persistent vomiting, severe stomach pain, shortness of breath, or unusual weakness