Metformin + Sitagliptin

Dosage Forms Available

• Metformin + Sitagliptin is available for use via the oral route (tablets).

Age and Dose Restrictions

• This combination is meant for use in adults and children above 18 years of age.

Contraindications

• Metformin + Sitagliptin is contraindicated in patients with allergy to metformin, sitagliptin, severe renal or hepatic dysfunction, heart problems, and infection.

Other Medications To Avoid With This Medicine

• It is not recommended to use any antidepressants (bupropion), glaucoma medications, antibiotics (cephalexin, ciprofloxacin), antacids (cimetidine), heart medications (digoxin), anti-HIV medications (dolutegravir), alcoholic drinks, saliva-thinning medications (glycopyrrolate), iodinated X-ray contrast agents, anti-epileptic medications (topiramate, lamotrigine), and chest pain medications (ranolazine). Sex hormones (androgens), anti-oxidants (alpha-lipoic acid), pain relievers (aspirin), anti-tuberculosis medicines (prothionamide), growth hormones (pegvisomant), and other antidiabetic medications. Before using any prescription or over-the-counter medications, you must consult your doctor.

Overdose and Missed Dose

• An overdose of Metformin + Sitagliptin can lead to a rare but serious condition called lactic acidosis. Symptoms may include feeling unusually cold or uncomfortable, severe nausea or vomiting, stomach pain, severe weakness or tiredness, muscle cramps, or rapid breathing. If you experience any of these symptoms, inform your doctor immediately and seek urgent medical attention.
• If you forget to take a dose of this combination, take it as soon as you remember. If it is nearly time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to compensate for the missed one.

Use In Driving And Operating Machinery

• Metformin + Sitagliptin itself does not directly impact your ability to drive or operate machinery. However, it may lead to hypoglycemia which can cause dizziness. Taking precautions to prevent low blood sugar while driving or handling machinery is essential.

Use in Pregnancy and Lactation

• Metformin + Sitagliptin is not recommended in pregnant and breastfeeding women.

Special Dietary & Lifestyle Recommendation

• Making lifestyle changes, including dietary modifications and regular exercise, is essential when taking Metformin + Sitagliptin to control blood sugar levels properly.
• After initiating treatment with Metformin + Sitagliptin, it's recommended to have your blood sugar levels reassessed after 15 days and, subsequently, at regular intervals every 3-6 months. This monitoring helps track the progress of the disease and allows for dose adjustments as needed.
• If hypoglycemia occurs, it's essential to have a quick source of sugar readily available. Carry sugar candies, glucose tablets, or sugary foods and drinks without fat or protein, such as fruit juice, to promptly address low blood sugar episodes.