It sounds like you’re referring to dapagliflozin + metformin 5/1000 mg, which is a common combo tablet (the “5” is dapagliflozin, the “1000” is metformin, usually metformin is extended-release in many brands, but it depends on the product).
To help you properly, can you tell me what you need—e.g. dose instructions, uses, side effects, precautions, or whether it’s safe with your other meds?
Meanwhile, here are the key points:
What it’s used for
- Type 2 diabetes to improve blood sugar.
- Often used when diet/exercise + one medication isn’t enough, or as an “add-on” therapy.
How it’s usually taken (general guidance)
- Typically once or twice daily depending on the specific brand/formulation.
- Take with food (to reduce metformin stomach upset).
- If it’s extended-release metformin, it’s commonly taken once daily, but please follow your prescription/label.
Common side effects
- Metformin: nausea, diarrhea, stomach discomfort.
- Dapagliflozin: increased urination, genital yeast infections, sometimes thirst/dehydration.
Important warnings / when to be careful
Seek medical advice urgently if you have signs of:
- Diabetic ketoacidosis (even with normal/small sugars): nausea, vomiting, abdominal pain, fast breathing, unusual fatigue.
- Dehydration/low blood pressure: dizziness, fainting, very dry mouth.
- Genital infections: itching, redness, unusual discharge (treat early).
- Kidney problems: dosing may depend on kidney function.
Do not use without clinician guidance if you have:
- Significant kidney impairment (your doctor should check eGFR).
- A history of recurrent severe genital infections.
- Conditions causing low fluid intake (e.g., severe vomiting/diarrhea) without “sick-day” guidance.
Alcohol & fasting
- Limit alcohol; heavy drinking increases lactic acidosis risk with metformin.
- If you’re fasting/ill, ask your prescriber about whether to temporarily hold the medicine (“sick day rules”).
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If you answer these 4 questions, I can give more specific and safe guidance:
1) Your age and whether it’s ER (extended-release) metformin (from the box/blister).
2) Your latest kidney function (eGFR/creatinine) if you know it.
3) Your current dose schedule (once or twice daily?) and when you were told to take it.
4) Any other meds you take (especially insulin, diuretics/water pills, or sulfonylureas).