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Fliptin

Fliptin

sitagliptin

Manufacturer:

Ferron
Concise Prescribing Info
Contents
Sitagliptin
Indications/Uses
Monotherapy as an adjunct to diet & exercise to improve glycemic control in patients w/ type 2 DM. Combination w/ metformin or PPARγ agonist (eg, thiazolidinediones) to improve glycemic control in patients w/ type 2 DM when monotherapy w/ diet & exercise inadequately provide glycemic control. Combination w/ metformin & sulfonylurea to improve glycemic control in patients w/ type 2 DM when dual therapy w/ these agents w/ diet & exercise inadequately provide glycemic control. Add-on to insulin (w/ or w/o metformin) when diet, exercise & stable insulin dose inadequately provide glycemic control.
Dosage/Direction for Use
Monotherapy or combination therapy w/ metformin or PPARγ agonist (eg, thiazolidinediones), metformin & sulfonylurea, stable insulin dose (w/ or w/o metformin) 100 mg once daily. Renal impairment: eGFR ≥30 to <45 mL/min/1.73 m2 50 mg once daily, ≥15 to <30 mL/min/1.73 m2 or ESRD (<15 mL/min/1.73 m2) including those requiring hemodialysis or peritoneal dialysis 25 mg once daily.
Administration
May be taken with or without food.
Contraindications
Special Precautions
Not to be used in patients w/ type 1 diabetes or for diabetic ketoacidosis. Possible acute pancreatitis including fatal & nonfatal hemorrhagic or necrotizing pancreatitis. Carefully observe for signs & symptoms of pancreatitis. Discontinue sitagliptin & other potentially suspect medicinal products if pancreatitis is suspected. Concomitant use w/ insulin or sulfonylurea; may require to use lower dose to reduce risk of hypoglycemia. Tell patients to report blisters or erosions development during treatment. Discontinue use & consider dermatologist referral for diagnosis & appropriate treatment if bullous pemphigoid is suspected. Renal impairment; dosage adjustment is recommended in patients w/ eGFR <45 mL/min/1.73 m2 & ESRD patients requiring hemodialysis or peritoneal dialysis. Pregnancy & lactation. Ped patients. Elderly.
Adverse Reactions
Hypoglycemia, nasopharyngitis, URTI, headache, infections, small increase in WBC due increase in neutrophils; hypersensitivity reactions including anaphylaxis, angioedema, rash, urticaria, cutaneous vasculitis & exfoliative skin conditions including SJS; hepatic enzyme elevations; acute pancreatitis including fatal & nonfatal hemorrhagic & necrotizing pancreatitis; constipation; vomiting; worsening renal function including acute renal failure (sometimes requiring dialysis), bullous pemphigoid; arthralgia, myalgia, pain in extremity, back pain, pruritus.
Drug Interactions
Possible hypoglycemia when used in combination w/ insulin or sulfonylurea.
MIMS Class
Antidiabetic Agents
ATC Classification
A10BH01 - sitagliptin ; Belongs to the class of dipeptidyl peptidase 4 (DPP-4) inhibitors. Used in the treatment of diabetes.
Presentation/Packing
Form
Fliptin FC tab 100 mg
Packing/Price
3 × 10's
Form
Fliptin FC tab 50 mg
Packing/Price
3 × 10's
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