Type 2 diabetes mellitus (as an adjunct to diet and exercise) to improve glycaemic control when triple therapy is appropriate.
How It Works
Metformin reduces glucose production by the liver and improves insulin sensitivity. Sitagliptin (a DPP-4 inhibitor) increases incretin levels, enhancing insulin release and reducing glucagon after meals. Dapagliflozin (an SGLT2 inhibitor) increases urinary glucose excretion by blocking glucose reabsorption in the kidneys.
Directions for Use
Oral tablet; take exactly as prescribed. Usually taken once daily with food (preferably with the main meal) and swallowed whole (do not crush/chew) if extended-release. Maintain adequate hydration and follow diet/exercise advice; monitor blood glucose as advised.
Not for type 1 diabetes or diabetic ketoacidosis. Risk of lactic acidosis with metformin (higher in kidney impairment, dehydration, severe infection, alcohol excess); assess renal function before and during therapy. Dapagliflozin may cause volume depletion/low BP, genital/urinary infections, and rare ketoacidosis (may occur even with near-normal glucose); stop and seek care if nausea/vomiting, abdominal pain, rapid breathing occur. Sitagliptin has rare risk of pancreatitis and severe joint pain; seek care for severe abdominal pain. Use caution in elderly, patients on diuretics, low BP, or with renal/hepatic impairment; hold around major surgery/acute illness and before iodinated contrast as per clinician advice. Monitor for hypoglycaemia if used with insulin/sulfonylurea.
Drug Interactions
Insulin or sulfonylureas (increased hypoglycaemia risk),diuretics (increased dehydration/hypotension risk),ACE inhibitors/ARBs and NSAIDs (renal function effects),iodinated contrast media (lactic acidosis risk—temporary stoppage may be needed),cimetidine and other OCT2/MATE inhibitors (increase metformin levels),digoxin (sitagliptin may increase levels),rifampicin (may reduce sitagliptin exposure),carbonic anhydrase inhibitors e.g., topiramate (metabolic acidosis risk),alcohol (increases lactic acidosis risk)
Storage Instructions
Store below 25°C in a dry place, protected from moisture and direct light. Keep out of reach of children.
Metformin reduces glucose production by the liver and improves insulin sensitivity. Sitagliptin (a DPP-4 inhibitor) increases incretin levels, enhancing insulin release and reducing glucagon after meals. Dapagliflozin (an SGLT2 inhibitor) increases urinary glucose excretion by blocking glucose reabsorption in the kidneys.
How should I use this medicine?
Oral tablet; take exactly as prescribed. Usually taken once daily with food (preferably with the main meal) and swallowed whole (do not crush/chew) if extended-release. Maintain adequate hydration and follow diet/exercise advice; monitor blood glucose as advised.
How should I store this medicine?
Store below 25°C in a dry place, protected from moisture and direct light. Keep out of reach of children.
Do I need a prescription for this product?
Yes, this product requires a valid prescription (Rx). Upload it during checkout when prompted.
Can prices or availability change?
Yes. Prices and availability can change based on inventory and serviceability. The latest details are shown at checkout.
How do I place an order?
Select a variant, add to cart, enter delivery address, upload prescription if required, and pay securely.
Manufacturer & Brand
Brand:Zuventus Healthcare Ltd
Manufacturer:ZUVENTUS HEALTHCARE LTD`
HSN Code:30049099
Alternatives
Alternatives are suggested by pharmacists after reviewing your order and prescription.
Disclaimer: Product information is for awareness only and does not replace medical advice. For Rx medicines, a valid prescription is required. Consult your doctor or pharmacist for personalized guidance.
Sources: Manufacturer labeling,CDSCO/Indian prescribing information for metformin/sitagliptin/dapagliflozin,established medical literature (drug monographs, clinical guidelines)
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