Improvement of blood sugar control in type 2 diabetes
Who takes it
Adults
Adult dose
The daily maximum recommended dosage for each component is determined within the range of sitagliptin 100 mg and metformin 2000 mg.
Generally taken twice a day with meals, the dosage should be gradually increased to reduce gastrointestinal adverse reactions attributed to metformin.
1. Patients not treated with metformin:
The initial dosage is this medication 50/500 mg taken twice a day, 1 tablet per dose, with the possible increase to 50/1000 mg, 1 tablet twice a day.
Improvement of blood sugar control in type 2 diabetes
Type 2 diabetes
difficulties in blood sugar control
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This medication is used in conjunction with diet and exercise to help control blood sugar in patients with type 2 diabetes. It is effective for patients who have not previously taken diabetes medications or who find it difficult to control blood sugar through monotherapy. Additionally, it can be used when blood sugar control is inadequate with either metformin or sitagliptin monotherapy or when transitioning therapy that combines both medications. Furthermore, it is used alongside metformin when patients already taking it along with sulfonylureas or thiazolidinediones are not achieving sufficient blood sugar control. Lastly, when control is difficult with insulin and metformin combination therapy, this medication may be added to improve blood sugar control. Thus, it is used effectively in various treatment situations to improve blood sugar control.
How to take
Adult dose
The daily maximum recommended dosage for each component is determined within the range of sitagliptin 100 mg and metformin 2000 mg.
Generally taken twice a day with meals, the dosage should be gradually increased to reduce gastrointestinal adverse reactions attributed to metformin.
1. Patients not treated with metformin:
The initial dosage is this medication 50/500 mg taken twice a day, 1 tablet per dose, with the possible increase to 50/1000 mg, 1 tablet twice a day.
Precautions
This medication can cause severe allergic reactions; therefore, if symptoms such as skin rashes or shortness of breath occur within 3 months of administration, immediately stop use and consult a physician.
This medication may induce pancreatitis, so notify healthcare providers if symptoms such as abdominal pain, vomiting, or fever occur.
This medication should not be used in patients with severely impaired kidney function or acute illness.
Before undergoing surgery or tests involving iodine contrast, temporary cessation of this medication is necessary, and it should be resumed only after confirming normal kidney function.
Women who are pregnant or may become pregnant, as well as nursing mothers, are advised not to take this medication.
Maintain regular meals and exercise while taking this medication, and have regular checks of blood sugar and kidney function.
Hypoglycemia may occur, particularly when used with insulin or other antidiabetic agents, so extra caution is advised.
This medication is not recommended for patients with liver dysfunction, and alcohol consumption should be avoided due to the increased risk of lactic acidosis.
If severe joint pain or blisters on the skin develop during treatment, promptly consult a healthcare provider.
Consult healthcare providers immediately if sudden muscle pain, fatigue, or shortness of breath occurs during treatment.
In case of overdose, immediate treatment is necessary, as some components may be removed through hemodialysis.
Elderly patients may have decreased kidney function; thus, dose adjustments and regular kidney function monitoring are necessary.
This medication may interact with other drugs, so inform your doctor or pharmacist about any other medications being taken.
Side effects and when to seek care immediately
Serious side effects
Hives, severe swelling (angioedema), anaphylaxis, rash, exfoliative skin diseases such as Stevens-Johnson syndrome, acute pancreatitis (hemorrhagic or necrotizing), acute renal failure, shortness of breath, severe and disabling joint pain, blistering dermatosis, elevated liver enzymes, thrombocytopenia, severe hypoglycemia, dyspnea, unstable angina, acute renal failure, severe lactic acidosis, hypoglycemia, acute and severe hypersensitivity reactions (anaphylaxis
Mild side effects
Diarrhea
nausea
vomiting
abdominal pain
upper respiratory infection
nasopharyngitis
headache
hypoglycemia
constipation
muscle pain
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limb pain
back pain
itching
thrombocytopenia
decreased appetite
pruritus
dizziness
dermatitis
weight loss
Not everyone experiences these, and they can vary from person to person.
Storage
Store this medication in a tightly sealed container to prevent air or moisture exposure, preferably at room temperature between 1 and 30 degrees Celsius. Proper storage will help maintain the medication's effectiveness for a longer period.
Appearance and packaging
Appearance
Pink oval film-coated tablet
Package unit
30 tablets/box [(10 tablets/PTP x 3)]
Same-ingredient medicines
Even with the same ingredient, strength, dosage form and how it is taken can differ.
Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.
Questions about this medicine
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For anything that needs medical judgment, consult a doctor or pharmacist.
This drug information is based on data provided by the Korea Ministry of Food and Drug Safety. Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.