Sitagliptin
Sitagliptin enhances incretin hormone activity (GLP-1 and GIP), increasing insulin release and decreasing glucagon levels in a glucose-dependent manner.
Sitagliptin Tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.
100 mg orally once daily (with or without food).
Most common (≥5%):
- Upper respiratory tract infection
- Nasopharyngitis
- Headache
Hypoglycemia:
-
Higher risk when used with insulin or sulfonylureas.
Known serious hypersensitivity to sitagliptin (e.g., anaphylaxis, angioedema).
Pancreatitis: Discontinue if suspected.
Heart Failure: Risk observed with DPP-4 inhibitors.
Renal Failure: Monitor kidney function before and during treatment.
Hypoglycemia: Increased risk when combined with insulin/sulfonylureas.
Hypersensitivity Reactions: Includes Stevens-Johnson syndrome.
Severe Arthralgia: Can occur at any time during therapy.
Bullous Pemphigoid: Discontinue if blistering occurs.