Description
Sitagliptin is an oral drug that reduces blood sugar (glucose) levels in patients with type 2 diabetes. Sitagliptin is a member of a class of drugs that inhibit the enzyme, dipeptidyl peptidase-4 (DPP-4) and are therefore called DPP-4 inhibitors.
Sitagliptin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in people with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems.
Sitagliptin works by inhibiting the DPP-4 enzyme that destroys GLP and GIP hormones, allowing both to function more effectively. Both glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) are released by the intestine and affect blood glucose levels.
Recommended Dosing. The recommended dose of JANUVIA is 100 mg once daily. JANUVIA can be taken with or without food.
Sitagliptin is contraindicated in patients with a known sitagliptin hypersensitivity, such as anaphylaxis, urticaria, angioedema, exfoliative dermatitis or other serious skin conditions (serious rash), including Stevens-Johnson syndrome.
The daily amount of this medicine equals to 100 mg and is taken once a day per os, independently the food intake, either including other antihyperglycaemic agents or under conditions of monotherapy.
In case of missed medication intake, the health-care consumer must take the remedy as soon as this omission is discovered. It is not required to take a double daily dose of the medicine in this case.
A daily dosage of this product should be 50 mg for those patients who suffer from moderate kidney dysfunction and who have CA level of 30-50 ml/min. In case of severe renal dysfunction, when CA level is below 30 ml/min, the daily amount of the medicine equals to 25 mg. Administration of Januvia by these patients does not depend on the time of the hemodialysis session.
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