Tenmek M

Yes, Tenmek M can cause some sleep problems, especially insomnia. On the other hand, Tenmek M has proven to be useful for preventing sleep apnea. The exact relationship between Tenmek M and sleep problems is still not clear, and further studies are needed for a clearer understanding.

Yes, Tenmek M can cause low blood sugar (hypoglycemia). However, this can also occur if you delay or miss a meal, drink alcohol, exercise more than usual, can't eat due to stomach upset, and taking other antidiabetic medicine with metformin. So, regular monitoring of blood glucose level is needed and be cautious of symptoms of hypoglycemia, always keep glucose-rich food with you. 

Lactic acidosis associated with Tenmek M treatment is a rare but fatal adverse effect. Lactic acidosis appears to result from biguanide interference causing an increase in production and decrease in clearance of lactate leading to higher cellular lactate levels. A decrease in pyruvate carboxylase activity, the rate-limiting enzyme in the formation of glucose from lactate, can also decrease hepatic metabolism of lactate. leading to increasing lactic acidosis. Signs and symptoms of Tenmek M induced lactic acidosis are nonspecific and include anorexia, nausea, vomiting, altered level of consciousness, hyperpnoea, abdominal pain, and thirst. 

Tenmek M helps in weight loss by reducing appetite and food intake. It also increases the insulin sensitivity in your body to work more effectively. This lead to decreased glucose production increases the use of glucose and decrease the fat deposition further helps in weight loss. However, Tenmek M is not approved for weight loss, this is an off-label use.

No, you should not take alcohol with Tenmek M, because it can cause serious side effects which includes hypoglycemia (low blood sugar). The risk of hypoglycemia is higher when you're drinking and taking Tenmek M than if you're just taking Tenmek M. Some of the signs of hypoglycemia include dizziness, confusion, and drowsiness.