Sigtil 25 mg (Tablet)

Unit Price: ৳ 8.00 (30's pack: ৳ 240.00)

Medicine Details

Indications

  • Adjunct to diet and exercise for glycemic control in adults with type 2 diabetes mellitus
  • Not to be used in patients with type 1 diabetes
  • Not effective for the treatment of diabetic ketoacidosis
  • Not studied in patients with a history of pancreatitis

Pharmacology

  • DPP-4 inhibitor
  • Slows inactivation of incretin hormones
  • Increases concentration of active intact hormones
  • Regulates glucose homeostasis
  • Increases insulin release and decreases glucagon levels

Dosage & Administration

  • Recommended dose: 50 mg twice a day or 100 mg once daily
  • Can be taken with or without food

Interaction

  • No meaningful alteration of pharmacokinetics of various drugs observed
  • Slight increase in mean Digoxin concentration

Contraindications

  • History of serious hypersensitivity reaction to sitagliptin

Side Effects

  • Common adverse reactions: headache, upper respiratory tract infection, nasopharyngitis
  • Hypoglycemia may occur in patients treated with combination therapy

Pregnancy & Lactation

  • Pregnancy Category B
  • Use during pregnancy only if clearly needed
  • Caution advised during lactation

Precautions & Warnings

  • Prompt discontinuation if pancreatitis is suspected
  • Dosage adjustment recommended in patients with renal insufficiency
  • Caution with medications known to cause hypoglycemia
  • Reports of serious hypersensitivity reactions
  • Safety and effectiveness not established in pediatric patients under 18 years

Use in Special Populations

  • Substantially excreted by the kidney
  • Dose selection caution in the elderly
  • Dosage adjustments for varying levels of renal insufficiency

Overdose Effects

  • Maximal mean increases in QTc observed at high doses
  • Usual supportive measures recommended in the event of overdose
  • Modestly dialyzable

Therapeutic Class

  • Dipeptidyl Peptidase-4 (DPP-4) inhibitor

Storage Conditions

  • Store below 25°C in a dry place away from light
  • Keep out of reach of children
  • Do not use after expiry date
  • To be dispensed only on prescription

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