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Sitagliptin

Brand and Other Names: Sitagliptin
Mechanism of Action:

Sitagliptin enhances incretin hormone activity (GLP-1 and GIP), increasing insulin release and decreasing glucagon levels in a glucose-dependent manner.

Indications:

Sitagliptin Tablets are indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus.

Route: oral
Dose:

100 mg orally once daily (with or without food).

Adverse Reactions:

Most common (≥5%):

  • Upper respiratory tract infection
  • Nasopharyngitis
  • Headache

Hypoglycemia:

  • Higher risk when used with insulin or sulfonylureas.

Contraindication:

Known serious hypersensitivity to sitagliptin (e.g., anaphylaxis, angioedema).

Warnings and Precautions:

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.

See package insert for full prescribing information.