ISTAVEL D 10/100 is a Fixed Dose Combination medication containing Sitagliptin Phosphate and Dapagliflozin. Sitagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor, while Dapagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor. This combination is used in the management of type 2 diabetes mellitus to help control blood sugar levels. It works by increasing insulin release and reducing glucose production in the liver, as well as promoting glucose excretion through the urine.

• Control blood sugar levels
• Treatment of type 2 diabetes mellitus
• Improve glycemic control in diabetic patients

• Hypoglycemia (low blood sugar)
• Joint pain
• Increased urination
• Genital yeast infection
• Thirst

Take ISTAVEL D 10/100 orally as directed by your doctor, usually once daily with or without food. Follow the prescribed dosage and do not exceed it.

• Pregnancy - It is important to inform your doctor if you are pregnant or planning to conceive while taking ISTAVEL D 10/100. Your doctor will weigh the benefits and risks before recommending its use.
• Alcohol - Limit alcohol consumption while taking ISTAVEL D 10/100, as it may affect blood sugar control.
• Old Age - Special caution should be exercised when using ISTAVEL D 10/100 in the elderly population, as they may be more prone to side effects.
• Breast Feeding - ISTAVEL D 10/100 is not recommended during breastfeeding. Consult your doctor for safer alternatives.
• Children - The safety and efficacy of ISTAVEL D 10/100 in children have not been established. Consult a pediatric endocrinologist for appropriate treatment options.

• Store ISTAVEL D 10/100 in a cool, dry place away from direct sunlight -
• Keep it out of reach of children -

• Drug-Drug - Before starting ISTAVEL D 10/100, inform your doctor about all the medicines, supplements, or herbal products you are taking to avoid potential drug interactions.
• Drug-Food - There are no significant drug-food interactions reported with ISTAVEL D 10/100, but it is advisable to maintain a healthy diet.
• Drug-Disease - Use ISTAVEL D 10/100 with caution in patients with kidney problems or a history of pancreatitis. Regular monitoring is essential in such cases.

• Q. Can ISTAVEL D 10/100 cause weight gain?
  ISTAVEL D 10/100 is not typically associated with weight gain. However, individual responses may vary. Maintain a healthy diet and exercise routine to manage weight effectively.
• Q. What should I do if I miss a dose of ISTAVEL D 10/100?
  If you miss a dose, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.
• Q. Is it safe to drive while taking ISTAVEL D 10/100?
  ISTAVEL D 10/100 may cause dizziness or hypoglycemia in some patients. If you experience these side effects, avoid driving or operating heavy machinery until you feel alert and stable.
• Q. Can I stop taking ISTAVEL D 10/100 if my blood sugar levels are under control?
  Do not stop taking ISTAVEL D 10/100 without consulting your doctor, even if your blood sugar levels are stable. Abruptly discontinuing the medication can lead to a rebound increase in blood sugar levels.
• Q. What lifestyle changes can complement the effects of ISTAVEL D 10/100?
  Maintaining a healthy diet, engaging in regular physical activity, monitoring blood sugar levels, and avoiding tobacco and excessive alcohol consumption can enhance the effectiveness of ISTAVEL D 10/100.