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Sitagliptin/metformin , sold under the brand name Janumet among others, is a fixed-dose combination anti-diabetic medication used to treat type 2 diabetes .[8] It may be used in those whose blood sugar is not controlled with metformin and a sulfonylurea .[8] [9] It is taken by mouth .[8]
Common side effects include diarrhea, headache, and upper respiratory tract infections.[5] Serious side effects may include lactic acidosis , pancreatitis , low blood sugar , heart failure , joint pain, and allergic reactions .[5] It has not been properly studied in women who are pregnant or breastfeeding .[1] It contains sitagliptin (a dipeptidyl peptidase-4 inhibitor ) and metformin (a biguanide ).[5]
The combination was approved for medical use in the United States in 2007.[5] In 2021, it was the 154th most commonly prescribed medication in the United States, with more than 3 million prescriptions.[10] [11] It is available as a generic medication.[12] [13]
Medical uses
[ edit ]
In the United States, sitagliptin/metformin is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes .[5] [6]
In the European Union, sitagliptin/metformin is indicated as an adjunct to diet and exercise to improve glycemic control in people with type 2 diabetes; in combination with a sulfonylurea as an adjunct to diet and exercise "in people inadequately controlled on their maximal tolerated dose of metformin and a sulfonylurea; as triple combination therapy with a peroxisome proliferator-activated receptor (PPAR) agonist (i.e., a thiazolidinedione ) as an adjunct to diet and exercise in people inadequately controlled on their maximal tolerated dose of metformin and a PPAR agonist; and as add-on to insulin as an adjunct to diet and exercise to improve glycemic control in people when stable dosage of insulin and metformin alone do not provide adequate glycemic control."[7]
In December 2020, the U.S. Food and Drug Administration (FDA) approved labeling changes stating that Januvia (sitagliptin), Janumet (sitagliptin and metformin hydrochloride), and Janumet XR (sitagliptin and metformin hydrochloride extended-release) are not proven to improve glycemic (blood sugar) control in children aged 10 to 17 with type 2 diabetes.[14] The drugs are approved to improve blood sugar control in adults aged 18 and older with type 2 diabetes.[14]
Society and culture
[ edit ]
Brand names
[ edit ]
As of 2018, the combination is marketed under several brand names, including Efficib, Janmet, Januet, Janumet, Jznumet, Ristaben Met, Ristfor, Siglimet, Sitamet, Sitar-M, Sliptin-M, Treviamet, Velmetia, Istamet, Emsita, Sitaglyn, Sitazit-M and Zaxoran.[15]
References
[ edit ]
^ "Product monograph brand safety updates" . Health Canada . February 2024. Retrieved 24 March 2024 .
^ "Janumet 50 mg/1000 mg film-coated tablets - Summary of Product Characteristics (SmPC)" . (emc) . 25 November 2020. Archived from the original on 26 October 2020. Retrieved 5 December 2020 .
^ a b c d e f "Janumet- sitagliptin and metformin hydrochloride tablet, film coated" . DailyMed . 12 August 2019. Archived from the original on 9 June 2021. Retrieved 5 December 2020 .
^ a b "Janumet XR- sitagliptin and metformin hydrochloride tablet, film coated, extended release" . DailyMed . Archived from the original on 29 October 2020. Retrieved 5 December 2020 .
^ a b "Janumet EPAR" . European Medicines Agency (EMA) . Archived from the original on 9 June 2021. Retrieved 5 December 2020 .
^ a b c British national formulary : BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 682. ISBN 9780857113382 .
^ Hayes J, Anderson R, Stephens JW (2016). "Sitagliptin/metformin fixed-dose combination in type 2 diabetes mellitus: an evidence-based review of its place in therapy" . Drug Design, Development and Therapy . 10 : 2263–70. doi :10.2147/DDDT.S93076 . PMC 4958358 . PMID 27486305 .
^ "The Top 300 of 2021" . ClinCalc . Archived from the original on 15 January 2024. Retrieved 14 January 2024 .
^ "Metformin; Sitagliptin - Drug Usage Statistics" . ClinCalc . Retrieved 14 January 2024 .
^ "Sitagliptin / Metformin hydrochloride Accord EPAR" . European Medicines Agency (EMA) . 17 May 2022. Archived from the original on 3 August 2022. Retrieved 3 August 2022 .
^ "Sitagliptin / Metformin hydrochloride Sun: Pending EC decision" . European Medicines Agency (EMA) . 26 January 2023. Archived from the original on 27 January 2023. Retrieved 28 January 2023 .
^ a b "New studies show diabetes drug not proven to improve blood sugar control in pediatric patients" . U.S. Food and Drug Administration . 4 December 2020. Archived from the original on 4 December 2020. Retrieved 5 December 2020 . This article incorporates text from this source, which is in the public domain .
^ "International brands for Sitagliptin/metformin" . Drugs.com. Archived from the original on 23 August 2019. Retrieved 3 September 2018 .
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R e t r i e v e d f r o m " https://en.wikipedia.org/w/index.php?title=Sitagliptin/metformin&oldid=1215289361 "
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