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compositionComposition:ACARBOSE-25MG+METFORMIN-500MG
prescriptionPrescription Medicine
Carzibo-M Tablet

Carzibo-M Tablet is used to treat type 2 diabetes. It contains Metformin and Acarbose, which work by reducing the amount of blood sugar released in the bloodstream by the liver and slowing down the action of intestinal enzymes responsible for the digestion of complex sugars/glucose. Before taking this medicine, inform your doctor if you are pregnant, breastfeeding, taking other medicines or have pre-existing medical conditions.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ACARBOSE-25MG+METFORMIN-500MG

Consume Type :

Oral

Expires on or after :

Dec-28

Return Policy :

Not Returnable

About Carzibo-M Tablet

Carzibo-M Tablet is indicated for the management and treatment of type 2 diabetes, especially in people whose sugar levels are too high and cannot be controlled alone by diet and exercise.

Carzibo-M Tablet contains Metformin and Acarbose. Metformin works by reducing the amount of blood sugar released in the bloodstream by the liver, and Acarbose works by slowing down the action of intestinal enzymes responsible for the digestion of complex sugars/glucose.

Carzibo-M Tablet may cause side effects like diarrhoea, flatulence, and abdominal cramps. Most of these side effects do not need medical attention and will resolve over time. However, consult your doctor if the side effects persist or worsen.

Do not take Carzibo-M Tablet if you are allergic to any of its components. Consult your doctor if you are pregnant or breastfeeding. Keep your doctor informed about your health condition and medications to prevent any potential interactions.

Uses of Carzibo-M Tablet

Carzibo-M Tablet is used for the management and treatment of type 2 diabetes. The detailed uses of Carzibo-M Tablet are as follows:

  • Type 2 diabetes mellitus: Carzibo-M Tablet manages blood glucose levels when diet and exercise are insufficient.
  • Postprandial hyperglycemia: Carzibo-M Tablet lowers the rise in blood sugar levels after meals by slowing carbohydrate absorption and improving insulin action.
  • Diabetes complications: Carzibo-M Tablet lowers the risk of problems such as nerve damage, kidney disease, and vision issues due to serious diabetic disorders.

Key Benefits

  • Carzibo-M Tablet helps lower and maintain blood sugar levels in patients with type 2 diabetes not adequately managed by diet and exercise alone.
  • Acarbose is an alpha-glucosidase inhibitor which delays the digestion and absorption of carbohydrates in the intestine, preventing sharp rises in blood sugar after meals.
  • Metformin is a biguanide which improves glucose tolerance, reduces glucose absorption in the intestine, decreases sugar production in the liver, and enhances glucose utilisation by the body.
  • Carzibo-M Tablet provides consistent, gradual blood sugar control suitable for long-term use with minimal side effects.
  • It helps reduce the risk of diabetes-related complications, including eye damage (diabetic retinopathy), kidney damage (diabetic nephropathy), nerve damage (diabetic neuropathy), delayed wound healing and diabetic foot ulcers.
Side effects of Carzibo-M Tablet
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Here are the steps to manage Gastrointestinal Air and Swelling (GAS) caused by medication:
  • Tell your doctor about your GAS symptoms. They may change your medication regimen or prescribe additional drugs to help you manage them.
  • To manage GAS symptoms, eat a balanced diet of fibre, vegetables, and fruits.
  • Drink enough water throughout the day to avoid constipation and treat GAS symptoms.
  • Regular exercise like yoga and walking may help stimulate digestion and alleviate GAS symptoms.
  • Take probiotics only if your doctor advises, as they may help alleviate GAS symptoms by promoting gut health.
  • Take medication for GAS symptoms only if your doctor advises, as certain medications can interact with your existing prescriptions or worsen symptoms.
  • If symptoms persist, worsen, or are accompanied by severe abdominal pain, vomiting, or bleeding, seek immediate medical attention.
  • If you experience low blood sugar levels, inform your doctor. They will assess the severity and make recommendations for the next actions.
  • Your doctor will assess your symptoms, blood sugar levels, and overall health before recommending the best course of action, which may include treatment, lifestyle modifications, or prescription adjustments.
  • Follow your doctor's instructions carefully to manage the episode and adjust your treatment plan.
  • Make medication adjustments as recommended by your doctor to prevent future episodes.
  • Implement diet and lifestyle modifications as your doctor advises to manage low blood sugar levels.
  • Monitor your blood sugar levels closely for patterns and changes.
  • Track your progress by recording your blood sugar levels, food intake, and physical activity.
  • Seek further guidance from your doctor if symptoms persist or worsen so that your treatment plan can be revised.
Here are the step-by-step strategies to manage the side effects of "indigestion" caused by medication usage:
  • Take medications with food (if recommended): It can help prevent stomach distress and indigestion.
  • Eat smaller, more frequent meals: Divide daily food intake into smaller, more frequent meals to ease digestion.
  • Avoid trigger foods: Identify and avoid foods that trigger indigestion, such as spicy, fatty, or acidic foods.
  • Stay upright after eating: Sit or stand upright for at least 1-2 hours after eating to prevent stomach acid from flowing into the oesophagus.
  • Avoid carbonated drinks: Avoid drinking carbonated beverages, such as soda or beer, which can worsen indigestion.
  • Manage stress: To alleviate indigestion, engage in stress-reducing activities like deep breathing exercises or meditation.
  • Consult a doctor if needed: If indigestion worsens or persists, consult a healthcare professional to adjust the medication regimen or explore alternative treatments.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.

Directions for Use

  • Carzibo-M Tablet should be taken with meals to prevent stomach upset.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow Carzibo-M Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Carzibo-M Tablet Works

Carzibo-M Tablet contains two medicines namely: 'Metformin' and 'Acarbose'. Metformin is a 'biguanide' that works by reducing the amount of blood sugar released in the bloodstream by the liver, thereby making the body respond in a better way to insulin. On the other hand, Acarbose is an alpha-glucosidase inhibitor which works by slowing down the action of intestinal enzymes responsible for the digestion of complex sugars/glucose, thereby slowing and reducing the absorption of sugar into the blood after every meal.
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Alcohol

Unsafe

You should avoid consuming alcohol with Carzibo-M Tablet as it may lead to high or low blood sugar levels.

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Pregnancy

Caution

Carzibo-M Tablet is a Category B pregnancy drug that is not recommended for pregnant women or given only under the strict guidance of the doctor, as there is no clinical data available on use in pregnant women.

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Breast Feeding

Caution

Avoid nursing your baby while taking Carzibo-M Tablet as this medicine may pass in breast milk.

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Driving

Safe if prescribed

Carzibo-M Tablet does not affect your thinking or driving ability.

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Liver

Caution

Inform your doctor if you are dealing with Liver diseases/conditions, as your doctor may adjust the dose as required.

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Kidney

Caution

Take Carzibo-M Tablet after the recommendation of a doctor, especially if you have a history of Kidney diseases/conditions. The dosing strength needs to be adjusted by your doctor as required.

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Children

Unsafe

The use of Carzibo-M Tablet is unsafe for children below 12 years.

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Heart

Consult your doctor

Please consult your physician if you have any heart-related problems before taking Carzibo-M Tablet.

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Geriatrics

Consult your doctor

Please consult a doctor before giving Carzibo-M Tablet to geriatric patients. Your doctor will prescribe Carzibo-M Tablet if the benefits outweigh the risks.

What if I have taken an overdose of Carzibo-M Tablet

An overdose of Carzibo-M Tablet may cause unpleasant side effects. If you suspect you have taken an overdose, please consult a doctor immediately.

Diet & Lifestyle Advise

  • Engage in regular exercise like cycling, running, walking, jogging, dancing, or swimming for at least 30 minutes. Try to invest at least 150 minutes weekly in exercise.
  • Maintain a healthy body weight to avoid obesity or high blood sugar, which can increase the risk of the onset of diabetes.
  • Consume a low-fat and low-sugar diet. Replace carbohydrates with whole grains, fruits, and vegetables, as carbohydrates are changed into sugars, leading to high blood sugar levels.
  • Try to avoid potatoes as they are high glycemic foods that increase the risk of high sugar in the blood.
  • Limit the consumption of alcohol and quit smoking.

Have a query?

How Soon It Starts Working

The time required for Carzibo-M Tablet to start to work: The time required for Carzibo-M Tablet to show its action is not clinically established.

The time for which the effects of Carzibo-M Tablet last: The duration of action for Carzibo-M Tablet is not clinically established.

What if you forget to take Carzibo-M Tablet

If you miss a dose of Carzibo-M Tablet, take it as soon as you remember. However, if it is almost time for the next dose, skip the missed one and continue with your regular schedule. Do not take a double dose to make up for the missed one.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Drug Warnings

  • Do not take Carzibo-M Tablet if you are allergic to any of its components.
  • Tell your doctor if you have kidney disease, high ketone levels in blood or urine, heart disease, congestive heart failure, liver disease, or if you are using insulin or other oral diabetes medications.
  • Carzibo-M Tablet may cause lactic acidosis, which occurs due to the overproduction of lactic acid in the blood. If you notice any symptoms, please tell your doctor.
  • You should take small, frequent meals and don't fast while being treated with Carzibo-M Tablet.
  • If you experience symptoms of hypoglycemia (low blood sugar) like sweating, dizziness, dry mouth, dry skin, palpitations, shivering, intense thirst, frequent urination, etc., immediately take 5-6 candies or honey/sugar and consult with a physician.
  • Consult your doctor if you are pregnant or breastfeeding.
  • Inform your doctor if you are taking any other medicines, including supplements and herbal products.

Drug-Drug Interactions

verifiedApollotooltip

Drug-Drug Interaction: Inform your doctor if you are taking antibiotics (neomycin), heart-related medicines (digoxin), antidiabetic drugs (metformin), drugs used to treat high cholesterol (cholestyramine), digestive enzymes (lipase, pancreatin, amylase), or intestinal absorbents (charcoal).

Drug-Food Interaction: No interactions found.

Drug-Disease Interaction: Persons dealing with ulcerative colitis or Crohn’s disease (conditions causing swelling of the bowel, severe kidney or liver disorders, diarrhoea, bowel pain, vomiting, and weight loss) and a large hernia (bulging of a tissue or organ through an unusual opening) in the intestine should discuss with a doctor before using Carzibo-M Tablet.

Acarbose + MetforminMipomersen
Severe
Acarbose + MetforminKetoconazole
Severe

Drug-Drug Interactions

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Acarbose + MetforminMipomersen
Severe
How does the drug interact with Carzibo-M Tablet:
Co-administration of Mipomersen and Carzibo-M Tablet may increase the risk of liver damage.

How to manage the interaction:
Although taking Carzibo-M Tablet and Mipomersen together can cause an interaction, it can be taken if a doctor has suggested it. However, if you experience symptoms such as fever, chills, swollen or painful joints, unexpected bleeding or bruises, skin rash, itching, vomiting, abdominal pain, light-colored stool, dark-colored urine, yellowing of the skin or eyes, decreased hunger, consult the doctor. Do not stop using any medications without talking to the doctor.
Acarbose + MetforminKetoconazole
Severe
How does the drug interact with Carzibo-M Tablet:
Co-administration of Carzibo-M Tablet with Ketoconazole may increase the risk of liver damage.

How to manage the interaction:
Although there is a possible interaction between Carzibo-M Tablet and Ketoconazole, you can take these medicines together if prescribed by your doctor. However, if you experience symptoms such as fever, chills, swollen or painful joints, unexpected bleeding or bruises, skin rash, itching, vomiting, abdominal pain, light-colored stool, dark-colored urine, yellowing of the skin or eyes, decreased hunger, consult the doctor. Do not stop using any medications without talking to the doctor.
Acarbose + MetforminLeflunomide
Severe
How does the drug interact with Carzibo-M Tablet:
Co-administration of Carzibo-M Tablet with leflunomide may increase the risk of liver problems.

How to manage the interaction:
Although there is an interaction between Carzibo-M Tablet and leflunomide, they can be taken together if prescribed by a doctor. However, if you experience symptoms such as fever, chills, swollen or painful joints, unexpected bleeding or bruises, skin rash, itching, vomiting, abdominal pain, light-colored stool, dark-colored urine, yellowing of the skin or eyes, decreased hunger, consult the doctor. Do not stop using any medications without talking to the doctor.
Acarbose + MetforminLomitapide
Severe
How does the drug interact with Carzibo-M Tablet:
Co-administration of Carzibo-M Tablet with Lomitapide may increase the risk of liver problems.

How to manage the interaction:
Although there is a possible interaction between Carzibo-M Tablet and Lomitapide you can take these medicines together if prescribed by a doctor. However, if you experience symptoms such as fever, chills, swollen or painful joints, unexpected bleeding or bruises, skin rash, itching, vomiting, abdominal pain, light-colored stool, dark-colored urine, yellowing of the skin or eyes, decreased hunger, consult the doctor. Do not stop using any medications without talking to the doctor.

Drug-Food Interactions

verifiedApollotooltip
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[ANTIDIABETICS]

FAQs

Carzibo-M Tablet is used for the management and treatment of type 2 diabetes.

Avoid taking digoxin with Carzibo-M Tablet, as it may lead to serious drug interaction. Consult your doctor if you need to take both medicines together, your doctor may adjust the dose appropriately to use safely.

Carzibo-M Tablet works by reducing the amount of blood sugar released in the bloodstream by the liver and slowing down the action of intestinal enzymes responsible for the digestion of complex sugars/glucose.

Carzibo-M Tablet is contraindicated in the condition of diabetic ketoacidosis or lactic acidosis, as it may lead to overload of acids or ketones in your blood, leading to severe life-threatening conditions, as the kidneys may not be able to remove it.

You should try to take small meals at regular intervals and should not skip your meals, as it can help Carzibo-M Tablet work more effectively by utilising glucose in the right manner. Fasting is dangerous for a diabetes patient taking Carzibo-M Tablet as it would lower the blood sugar level, leading to hypoglycemia.

No, a person should continue taking Carzibo-M Tablet as much as the doctor has prescribed for the treatment of type 2 diabetes. You should not stop discontinuing Carzibo-M Tablet suddenly, as it may worsen the symptoms of type 2 diabetes and increase the blood sugar level, leading to hyperglycemia.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Office No.308, 3rd Floor Town Square Viman Nagar ,Pune India 411014
Other Info - CA29238
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