About
Vildagliptin and Metformin 500mg is a fixed-dose combination medication used for the management of type 2 diabetes mellitus. Vildagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor that enhances the levels of incretin hormones, leading to increased glucose-dependent insulin secretion and suppressed glucagon release. Metformin, a biguanide, primarily reduces hepatic glucose production, decreases intestinal glucose absorption, and improves insulin sensitivity.
This combination provides complementary mechanisms of action to achieve comprehensive glycemic control, addressing both fasting and post-meal blood glucose levels. It is particularly useful for patients who have not achieved adequate glycemic control with metformin monotherapy or who require a combination therapy to manage their diabetes effectively.
Uses
- Management of type 2 diabetes mellitus.
- To improve glycemic control in adults.
- When diet and exercise alone are insufficient.
- As an adjunct to other antidiabetic therapies.
Directions For Use
Take this medication orally, usually once or twice daily with meals, as directed by your physician. Swallow the tablet whole.
Benefits
- Effectively lowers both fasting and post-meal glucose.
- Reduces overall HbA1c levels.
- Improves insulin sensitivity.
- Low risk of hypoglycemia compared to some other agents.
- Offers a dual mechanism of action for comprehensive control.
- Generally well-tolerated.
Side Effects
- Nausea
- Diarrhea
- Abdominal pain
- Headache
- Dizziness
- Metallic taste in mouth
- Upper respiratory tract infection
- Nasopharyngitis
- Arthralgia
- Vitamin B12 deficiency
- Lactic acidosis (rare but serious)
- Pancreatitis (rare)
Safety Measures
- Alcohol - Avoid excessive alcohol consumption as it can increase the risk of lactic acidosis, especially with Metformin, and may affect blood sugar levels.
- Pregnancy - Generally not recommended during pregnancy due to insufficient data. Consult a doctor.
- Breastfeeding - Metformin passes into breast milk; Vildagliptin data is limited. Consult a doctor to weigh risks and benefits.
- Liver - Not recommended for patients with moderate to severe hepatic impairment due to increased risk of liver enzyme elevations and Metformin contraindication in severe dysfunction.
- Kidney - Contraindicated in severe renal impairment (eGFR <30 mL/min/1.73m²) due to Metformin accumulation and increased lactic acidosis risk. Dose adjustment may be needed for moderate impairment.
- Lung - No specific contraindications related to lung conditions, but severe respiratory failure can increase lactic acidosis risk.
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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