Glipita is prescribed to help control blood sugar levels in adults with type 2 diabetes, in combination with diet and exercise.
It can be used alone (monotherapy) or with other diabetes medications.
⚠️ Not suitable for:
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Sitagliptin works by inhibiting DPP-4, an enzyme that breaks down incretin hormones (GLP-1 & GIP). These hormones:
Stimulate insulin release when blood sugar is high
Suppress glucagon secretion, reducing glucose production by the liver
By preserving incretin levels, Sitagliptin enhances glucose-dependent insulin release and glucagon suppression—helping regulate blood sugar more effectively.
It selectively inhibits DPP-4 and does not affect DPP-8 or DPP-9 at therapeutic doses.
Most common:
Standard dose: 100 mg once daily OR 50 mg twice daily
Can be taken with or without food
Renal Function | Creatinine Clearance (CrCl) | Dose |
---|---|---|
Mild | ≥50 mL/min | 100 mg once daily |
Moderate | 30–50 mL/min | 50 mg once daily |
Severe/ESRD | <30 mL/min or on dialysis | 25 mg once daily |
Not recommended for children under 18 (safety not established)
Kidney function may decline with age → assess renal function before starting and adjust dose if needed.
Doses up to 800 mg caused minor QTc changes; no serious adverse effects were observed
Category B: Animal studies show no harm, but human data is lacking.
Sitagliptin is found in rat milk; it is unknown if it is present in human breast milk — use cautiously in nursing mothers.
Known hypersensitivity to Sitagliptin (e.g., anaphylaxis, angioedema)
⚠️Disclaimer:
At ePharma, we’re committed to providing accurate and accessible health information. However, all content is intended for informational purposes only and should not replace medical advice from a qualified physician. Please consult your healthcare provider for personalized guidance. We aim to support, not substitute, the doctor-patient relationship.