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Illustration of Sitagliptin 100 mg Tablet

Sitagliptin 100 mg Tablet

Prescription requiredSchedule HGenericDiabetes

Salt composition
Sitagliptin 100 mg
Form
Tablet
Storage
Store below 30°C, away from light and moisture, out of children's reach

Schedule H drug — Warning: To be sold by retail on the prescription of a Registered Medical Practitioner only.

About Sitagliptin 100 mg Tablet

Sitagliptin 100 mg Tablet contains Sitagliptin 100 mg. Sitagliptin is a medicine used to control blood sugar in adults with type 2 diabetes. It is a DPP-4 inhibitor (a 'gliptin'). It is used along with diet and exercise, alone or with other diabetes medicines such as metformin. On its own, it does not usually cause low blood sugar. It is usually taken once a day.

Uses of Sitagliptin 100 mg Tablet

  • Type 2 diabetes mellitus in adults, alone or with other diabetes medicines

Benefits

In type 2 diabetes

It helps keep blood sugar in a healthy range, especially after meals. Good sugar control over time lowers the risk of diabetes problems in the eyes, kidneys, nerves and heart.

Side effects

Most side effects are mild. Talk to your doctor if any of them bother you or do not go away.

Common

  • Headache
  • Stuffy or runny nose and sore throat
  • Upper respiratory infection
  • Low blood sugar when used with a sulfonylurea or insulin

Get medical help if you notice

  • Severe, lasting stomach pain that may spread to the back, with or without vomiting — may be pancreatitis; stop and seek medical help straight away
  • Signs of low blood sugar (when used with insulin or sulfonylureas): sweating, shaking, fast heartbeat, hunger, confusion — take sugar or a sweet drink at once and tell your doctor
  • Allergic reaction: rash, hives, swelling of the face, lips or throat, difficulty breathing — stop and seek emergency care
  • Blisters or breakdown of the skin — contact your doctor
  • Severe joint pain — contact your doctor

How to use

Take it exactly as your doctor prescribed, usually once a day, with or without food. Swallow the tablet whole with water.

How it works

Sitagliptin blocks an enzyme called DPP-4. This keeps the body's own 'incretin' hormones active for longer, so the pancreas releases more insulin after meals and the liver makes less sugar.

Safety advice

Alcohol Caution

Alcohol can affect blood sugar and may raise the risk of pancreatitis. Limit alcohol and ask your doctor.

Pregnancy Unsafe

It should not be used in pregnancy. Your doctor will usually switch you to insulin.

Breastfeeding Consult your doctor

It is not known whether it passes into breast milk, and it is generally not recommended. Ask your doctor.

Driving Caution

Low blood sugar can occur when it is used with sulfonylureas or insulin, and dizziness has been reported. Do not drive if you feel unwell.

Kidney Caution

Tell your doctor if you have kidney disease; the dose will need to be adjusted.

Liver Consult your doctor

It has not been studied in severe liver disease. Tell your doctor if you have liver problems.

If you miss a dose

If you miss a dose, take it when you remember. If it is nearly time for the next dose, skip the missed one. Do not take two doses together.

Quick tips

  • Take it at the same time every day.
  • Stop and see a doctor if you get severe, lasting stomach pain.
  • If you also take insulin or a sulfonylurea, learn the signs of low blood sugar and carry sugar with you.
  • Keep up your diet, exercise and regular blood sugar checks.

Substitutes

Same salts in the same strength from other makers. Only switch brands on your doctor's or pharmacist's advice; our pharmacist checks every order against the prescription.

Fact box

Chemical class
Triazolopyrazine derivative
Therapeutic class
Anti-diabetic
Action class
Dipeptidyl peptidase-4 (DPP-4) inhibitor
Habit forming
No
Prescription
Required

Interactions with other medicines

Tell your doctor and pharmacist about every medicine, vitamin and herbal product you take.

MedicineWhat can happen
Sulfonylureas (e.g. glimepiride, gliclazide) and insulinHigher risk of low blood sugar; the dose of these may need lowering
DigoxinIts level may rise slightly; your doctor may monitor you
Steroid tablets and some water tabletsCan raise blood sugar

This page is general information to help you understand your medicine. It is not a substitute for advice from your doctor or pharmacist. Do not start, stop or change a medicine on your own.

Written by the Asthra Health Care team from the approved prescribing information (Sitagliptin prescribing information (CDSCO-approved labelling); NICE BNF: sitagliptin). Pharmacist review pending.

Questions

Frequently asked

Does sitagliptin cause weight gain?

It does not usually cause weight gain.

Can it be used in type 1 diabetes?

No. It is only for type 2 diabetes.

Can I take it with metformin?

Yes, they are often used together, and combined tablets are available. Follow your doctor's advice.

Does it cause low blood sugar?

On its own it rarely does. The risk is higher when it is used with insulin or a sulfonylurea.

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