Silinor 25 mg (Tablet)
Unit Price: ৳ 10.00 (3 x 10: ৳ 300.00)
Strip Price: ৳ 100.00
Medicine Details
Category | Details |
---|---|
Generic | Sitagliptin |
Company | Healthcare pharmaceuticals ltd |
Also available as |
Indications
- Adjunct to diet and exercise
- Improves glycemic control
- Type 2 diabetes mellitus
- Limitations of use in type 1 diabetes
- Not for treatment of diabetic ketoacidosis
- Not studied in patients with history of pancreatitis
Pharmacology
- DPP-4 inhibitor
- Slows inactivation of incretin hormones
- Increases and prolongs action of incretin hormones
- Involvement in physiologic regulation of glucose homeostasis
- Selective for DPP-4
Dosage & Administration
- Recommended dose of 50mg twice a day or 100mg once daily
- Can be taken with or without food
Interaction
- No meaningful alteration of pharmacokinetics with specified drugs
- Slightly increases mean Digoxin concentration
- No dose adjustment of Digoxin required
Contraindications
- History of serious hypersensitivity reaction to sitagliptin
Side Effects
- Common adverse reactions include headache, upper respiratory tract infection, nasopharyngitis
- Hypoglycemia in combination with sulfonylurea and insulin
Pregnancy & Lactation
- Pregnancy Category B
- Reproduction studies performed in rats and rabbits
- Should be used during pregnancy only if clearly needed
- Caution advised during lactation
Precautions & Warnings
- Prompt discontinuation if pancreatitis is suspected
- Dosage adjustment in patients with renal insufficiency
- Caution with medications known to cause hypoglycemia
- Hypersensitivity reactions reported
- No established safety in pediatric patients
- Careful dose selection in elderly patients
Use in Special Populations
- No established safety in pediatric patients
- Careful dose selection in elderly based on renal function
- Specific dosage adjustments for patients with varying degrees of renal insufficiency
Overdose Effects
- Maximal mean increase in QTc observed with high dose
- No dose-related clinical adverse reactions observed in multiple-dose studies
- Modestly dialyzable
Therapeutic Class
- Dipeptidyl Peptidase-4 (DPP-4) inhibitor
Storage Conditions
- Store below 25°C
- Keep away from light and out of the reach of children
- Do not use beyond expiry date
- Dispensed only on prescription