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Sitagliptin+metformin+glimepiride

About Sitagliptin+metformin+glimepiride

Sitagliptin+metformin+glimepiride is an antidiabetic medicine used to treat type II diabetes. Type II Diabetes Mellitus is a serious condition wherein the body doesn’t use insulin effectively, which causes unusual blood glucose levels.

Sitagliptin+metformin+glimepiride contains Metformin (biguanides), which works by reducing the sugar production by cells in the liver and delays sugar absorption from the intestine; Sitagliptin (dipeptidyl peptidase-4 inhibitor), which works by increasing the amounts of certain natural substances that lower blood sugar when it is high and Glimepiride (sulfonylureas) works by stimulating beta cells in the pancreas that produce insulin. Thus, insulin helps to remove sugar from the blood.

Sitagliptin+metformin+glimepiride may cause certain side effects, such as vomiting, nausea, abdominal pain, headache, frequent urination, and allergic reactions. If these side effects persist or worsen, please consult your doctor. Sitagliptin+metformin+glimepiride should be taken as prescribed by your doctor.

Sitagliptin+metformin+glimepiride should be avoided if you are allergic to any of the medicines or the components in it. Inform your doctor about the medical and complete medication history you are taking, including herbs and supplements, before starting the treatment with Sitagliptin+metformin+glimepiride. Let your doctor know if you are pregnant or breastfeeding before taking Sitagliptin+metformin+glimepiride.

Uses of Sitagliptin+metformin+glimepiride

Treatment of Type II Diabetes Mellitus

Medicinal Benefits

Sitagliptin+metformin+glimepiride is a combination of three drugs: Sitagliptin, Metformin and Glimepiride. Sitagliptin+metformin+glimepiride belongs to the group of anti-diabetic medicines used to treat type-2 diabetes mellitus adjunct to diet and exercise. It removes excess sugar from the body via urine, increases the amounts of certain natural substances that lower blood sugar when it is high, reduces sugar production by cells in the liver and delays sugar absorption from the intestines. 

Directions for Use

Sitagliptin+metformin+glimepiride should be taken as advised by your doctor. It is advised not to take more than the recommended dose. Swallow the medicine as a whole with a glass of water. Do not chew, crush, or break the medicine.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Sitagliptin+metformin+glimepiride

  • Headache
  • Nausea
  • Stomach upset
  • Vomiting
  • Abdominal pain
  • Frequent urination

Drug Warnings

Sitagliptin+metformin+glimepiride should be avoided if you are allergic to any of the medicines or the components in it. Before starting the treatment, inform your doctor about your medical history and the medications you take, including herbs and supplements. This can help prevent unwanted effects. Sitagliptin+metformin+glimepiride is not recommended for use in patients with severe liver or kidney disease. It is unknown whether Sitagliptin+metformin+glimepiride can be given to pregnant women or breastfeeding mothers. Hence, inform your doctor if you are pregnant or breastfeeding. It is not recommended for use in children below 18 years of age. Avoid drinking alcohol while on Sitagliptin+metformin+glimepiride as it increases the risk of hypoglycemia and lactic acidosis (when the lactic acid increases in the body, which impacts the functioning of various organs in the body).

Drug Interactions

Drug-Drug Interactions: Sitagliptin+metformin+glimepiride interacts with an anti-depressant (bupropion), drugs used to treat glaucoma, antibiotics (cephalexin, ciprofloxacin), anti-acidity drugs (cimetidine), heart condition drugs (digoxin), anti-epileptic drugs (topiramate, lamotrigine)

Drug-Food Interactions: Intake of excessive alcoholic beverages may increase the chance of a life-threatening condition known as Lactic Acidosis. So, avoid intake of alcoholic beverages with Sitagliptin+metformin+glimepiride.

Drug-Disease Interactions: Inform your doctor if you have any kidney or liver disease or heart problems.

Drug-Drug Interactions Checker List:

  • BUPROPION
  • CEPHALEXIN
  • DIGOXIN
  • CIMETIDINE
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Alcohol increases the impact of metformin on lactate metabolism. Hence, you should not consume excessive amounts of alcohol, either temporarily or permanently, while taking Sitagliptin+metformin+glimepiride.

    • Safety Warning

      Pregnancy

      caution

      There are no adequate studies on the effect of Sitagliptin+metformin+glimepiride in pregnancy. If you are pregnant or planning pregnancy, inform your doctor before taking Sitagliptin+metformin+glimepiride.

    • Safety Warning

      Breast Feeding

      caution

      Sitagliptin+metformin+glimepiride is generally not recommended in breastfeeding. Hence, if you are breastfeeding, inform your doctor before using Sitagliptin+metformin+glimepiride.

    • Safety Warning

      Driving

      safe

      Sitagliptin+metformin+glimepiride usually does not affect your ability to drive or operate machinery.

    • Safety Warning

      Liver

      caution

      Sitagliptin+metformin+glimepiride may cause lactic acidosis due to metformin accumulation. The risk increases with hepatic insufficiency. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

    • Safety Warning

      Kidney

      caution

      Renal impairment also increases the risk of lactic acidosis. Hence, Sitagliptin+metformin+glimepiride should be used cautiously if you have kidney problems. Your doctor may adjust the dose of this medicine or prescribe a suitable alternative based on your condition.

    • Safety Warning

      Children

      unsafe

      Sitagliptin+metformin+glimepiride is not recommended for children below 18 years as the safety and effectiveness were not established.

    Habit Forming

    No

    Special Advise

    • Sitagliptin+metformin+glimepiride may sometimes cause hypoglycemia (low blood sugar levels) as a side effect. Try to carry candies or sugar biscuits in your pocket every time you feel symptoms such as sweating, dizziness, palpitations, shivering, intense thirst, dry mouth, dry skin, frequent urination, etc.
    • Lifestyle modifications are the most important step in controlling blood sugar levels.
    • Your doctor may advise frequent blood tests to check your blood sugar levels.

    Patients Concern

    Disease/Condition Glossary

    Type II Diabetes Mellitus: It is a chronic and lifelong condition wherein the body doesn’t use insulin effectively, which causes unusual blood glucose levels. Therefore, people affected with type 2 diabetes either do not produce enough insulin or there is resistance to the action of insulin. Symptoms of type 2 diabetes include increased thirst, frequent urination at night, slow wound healing, increased hunger, fatigue, weight gain, and blurred vision. 

    FAQs

    Sitagliptin+metformin+glimepiride is an antidiabetic medicine used to treat type II diabetes.

    Sitagliptin+metformin+glimepiride is a combination medicine containing Sitagliptin that enhances glucose-mediated insulin secretion, thereby reducing fasting and post-prandial blood sugar concentrations. Metformin helps reduce the sugar production by cells in the liver and delays sugar absorption from the intestines. Glimepiride works by stimulating beta cells in the pancreas that produce insulin.

    If you forget to take Sitagliptin+metformin+glimepiride, take it as soon as you remember. However, if it's time for the next dose, avoid taking it and do not double dose to make up the missed dose. Taking an overdose might cause your sugar level to fall down rapidly.

    Available Medicines for

    Sitagliptin+metformin+glimepiride

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