Conversation: The conversation between human and AI assistant.
[|Human|] Hi Doctor.. I wanted to know the side effects of Istamet 50mg/500 mg tablets for diabetes? My mom has sugar and she has takes these tablets and she feels very low on energy after taking this and Tri Glynase 2 Forte... What can be the reason for this? Her sugar tests are good and in control....
[|AI|]  Hi, Stamen 50 mg/500 mg is a combination of two medicines sitagliptin (50 mg) and metformin (500 mg) commonly prescribed to control blood sugar in type 2 diabetic patients.  Its common side effects include vomiting, abdominal cramps, diarrhea, metallic taste, low blood sugar levels and a serious complication lactic acidosis (metformin-induced). Based on the history given your mom seems to have developed a very low blood sugar level apparently caused by taking stamen 50/500 along with triglynase 2 forte together. She needs a dose adjustment of the prescribed medications by her treating doctor and frequent monitoring of blood sugar to safely use both medications. Hope I have answered your query. Let me know if I can assist you further. Take care