About
Sitagliptin 100mg is a dipeptidyl peptidase-4 (DPP-4) inhibitor used for the management of type 2 diabetes mellitus. It works by increasing the levels of incretin hormones, glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which are released by the intestine in response to food. These hormones stimulate insulin synthesis and release from pancreatic beta cells and decrease glucagon secretion from pancreatic alpha cells, both in a glucose-dependent manner. This mechanism helps to lower blood glucose levels after meals and throughout the day, improving overall glycemic control. Sitagliptin is often used as an adjunct to diet and exercise, either as monotherapy or in combination with other antidiabetic agents, to achieve target HbA1c levels. It is generally well-tolerated and has a low risk of hypoglycemia when used alone.
Uses
- Treatment of type 2 diabetes mellitus.
- To improve glycemic control in adults.
- As monotherapy when metformin is inappropriate.
- In combination with other antidiabetic agents.
Directions For Use
Take one tablet orally once daily, with or without food, as prescribed by your doctor. Swallow the tablet whole with water.
Benefits
- Effective blood sugar reduction.
- Low risk of hypoglycemia when used alone.
- Does not cause weight gain.
- Convenient once-daily dosing.
- Improves pancreatic beta-cell function.
- Well-tolerated profile.
Side Effects
- Nasopharyngitis
- Headache
- Upper respiratory tract infection
- Diarrhea
- Nausea
- Abdominal pain
- Joint pain
- Back pain
- Hypoglycemia (with sulfonylurea/insulin)
- Pancreatitis (rare)
- Allergic reactions
- Constipation
Safety Measures
- Alcohol - Moderate alcohol consumption is generally acceptable. Excessive intake may increase hypoglycemia risk, especially if combined with other antidiabetic drugs.
- Pregnancy - Not recommended during pregnancy. Consult a healthcare professional to weigh potential risks and benefits.
- Breastfeeding - Avoid during breastfeeding as it may pass into breast milk. Seek medical advice.
- Liver - Use with caution in patients with hepatic impairment. No specific dose adjustment usually required for mild to moderate impairment.
- Kidney - Dose adjustment is necessary for moderate to severe renal impairment and end-stage renal disease.
- Lung - Generally considered safe for use in individuals with pre-existing lung conditions. No specific pulmonary contraindications.
Disclaimer
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Always consult your doctor for any medical concerns, and discuss your questions about health conditions or medications with a qualified healthcare professional. Do not ignore or delay seeking professional medical advice based on information found on Med E Hub.
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