Teneza-M 500 Tablet ER is a medicine used to control high blood sugar levels in people with type 2 diabetes mellitus. It is a combination of two medicines that help prevent serious complications of diabetes such as kidney damage, blindness, and heart problems. The medicine can be taken alone or in combination with other diabetes medications, but it works best when used along with a healthy diet and regular exercise.The dosage of the medicine will depend on your condition, blood sugar levels, and any other medications you are taking. It is important to take the medicine regularly, at the same time each day, to get the most benefit. You should not stop taking the medicine unless your doctor recommends it.Taking Teneza-M 500 Tablet ER with meals helps reduce the risk of developing an upset stomach. The most common side effects of taking this medicine include diarrhea, nausea, vomiting, upset stomach, headache, and sore throat. Low blood sugar level (hypoglycemia) is a possible side effect if you are also taking other diabetes medicines like insulin or sulfonylurea, so it is important to know how to recognize and manage it.This medicine may not be suitable for everyone, so it is important to inform your doctor if you have ever had kidney, liver, or heart disease, problems with your pancreas, or if you consume a lot of alcohol. Pregnant or breastfeeding women should also consult their doctor before taking this medicine. Other medicines can affect Teneza-M 500 Tablet ER, so it is important to tell your doctor about all the medicines you are taking to ensure your safety.You should try to avoid drinking alcohol while taking this medicine as it can lower blood glucose. Your doctor will check your kidney function and blood sugar levels before and during treatment to ensure that the medicine is working effectively.