Hi, Jalra M contains both metformin and vildagliptin which is a combination of two medications that control high blood sugar levels in people with type 2 diabetes mellitus. This helps prevent serious complications of diabetes like kidney damage and blindness and may reduce the chance of having a heart attack or stroke. Side effects of Jalra M are nausea, vomiting, diarrhea, stomach pain, loss of appetite, dizziness, headache, trembling, hypoglycemia, metallic taste, heartburn, swollen joints, chest pain, belching etc. Substitutes for Jalra M are Zomelis Met, Vysov -M, Vilsure M, Vilcure M, Vilshine M, Nugliptin M etc. Jalma M is a combination medicine of metformin and vildagliptin which is more effective medication than Jalra contains metformin only. So, your doctor has prescribed the best medications for you. You should consult your doctor as your blood sugar has yet not been controlled. Fibrovas contains both atorvastatin and fenofibrate which is used to lower the levels of lipids known as cholesterol and triglycerides in the blood when lifestyle changes on their own have failed. This medication helps to reduce the risk of heart disease. If you think, you take Fibrovas despite of normal cholesterol level then you should consult your doctor in this regards. Take care. Hope I have answered your questions. Let me know if I can assist you further. Regards, Dr. Zubayer Alam, General And Family Physician