Adjuvanex-D
Anthem Biopharma - 10 S
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Sitagliptin + Metformin (strengths not specified)
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Sitaglip M Tablet is used for treatment of type 2 diabetes mellitus to improve blood sugar control along with diet and exercise; used when metformin alone is insufficient or as combination therapy.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Sitaglip M Tablet contains Sitagliptin + Metformin (strengths not specified). It belongs to the DPP-4 inhibitor + Biguanide class of medicines.
Treatment of type 2 diabetes mellitus to improve blood sugar control along with diet and exercise; used when metformin alone is insufficient or as combination therapy.
Sitagliptin is a DPP-4 inhibitor that increases incretin hormones, leading to increased insulin release and decreased glucagon secretion in a glucose-dependent manner. Metformin decreases hepatic glucose production and improves insulin sensitivity, helping cells use glucose better.
Tablet for oral use. Take exactly as prescribed by your doctor, usually with meals to reduce stomach upset. Swallow whole with water; do not crush/chew if it is an extended-release formulation (verify pack). Regularly monitor blood glucose/HbA1c.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine may cause low blood sugar, particularly if you also take other diabetes medicines. It can cause a dangerous build-up of acid in the blood, with vomiting, severe weakness and laboured breathing. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Sitaglip M are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Consult doctor |
|---|---|
| Breastfeeding | Consult your doctor before using this while breastfeeding. |
| Alcohol | Avoid |
| Driving | Not expected to affect your ability to drive. |
| Kidney | Consult your doctor if you have kidney disease. |
| Liver | Consult your doctor if you have liver disease. |
| Habit forming | No |
Type 2 diabetes only (not for type 1 diabetes or diabetic ketoacidosis). Metformin may rarely cause lactic acidosis—risk increases with kidney disease, severe dehydration, sepsis, heavy alcohol use, or hypoxia; kidney function should be checked before and during treatment. Sitagliptin has been associated rarely with pancreatitis and severe joint pain; seek medical help for severe abdominal pain. Use caution in renal impairment; dose adjustment/avoidance may be required depending on kidney function. Stop temporarily before iodinated contrast imaging and major surgery as advised by doctor.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for type 1 diabetes or for diabetic ketoacidosis. Not for people with severe kidney disease, severe liver disease, or an acute illness causing dehydration. Not for people who have had diabetic ketoacidosis.
Alcohol (increases lactic acidosis risk), iodinated contrast media, carbonic anhydrase inhibitors (e.g., topiramate, acetazolamide), cimetidine, diuretics and ACE inhibitors/ARBs (may affect renal function), insulin and sulfonylureas (increased hypoglycaemia risk), digoxin (sitagliptin may increase levels)
Store below 25°C in a cool, dry place. Protect from moisture and direct light. Keep out of reach of children.
It can be taken with or without food, at the same time each day. Keep up your diet and activity — this medicine supports them. Take it with or just after food to reduce stomach upset. Keep taking it even when your sugar readings look normal — that is the medicine working. Continue your diet and physical activity; this medicine works alongside them, not instead of them.
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The information on Sitaglip M Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.