Alogliptin + Pioglitazone

Find more information about this combination medication at the webpages for Alogliptin and Pioglitazone

Diabetes Mellitus, Type 2, Type 2 Diabetes Mellitus

Advisory

  • This medicine contains a combination of 2 drugs Alogliptin and Pioglitazone.
  • Alogliptin and Pioglitazone are both used to treat the same disease or symptom but work in different ways in the body.
  • Most doctors will advise making sure that each individual medicine is safe and effective before using a combination form.

Drug Status

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Government Approvals

None

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WHO Essential Medicine

NO

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Known Teratogen

NO

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Pharmaceutical Class

Dipeptidyl Peptidase 4 Inhibitor and Peroxisome Proliferator Receptor alpha Agonist and Peroxisome Proliferator Receptor gamma Agonist

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Controlled Drug Substance

NO

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Summary

  • Alogliptin and Pioglitazone are used to treat type 2 diabetes. This is a condition where the body doesn't use insulin properly, leading to high blood sugar levels.

  • Pioglitazone makes the body more sensitive to insulin, helping to lower blood sugar levels. Alogliptin increases insulin production by stopping the enzyme DPP4, which helps control blood sugar.

  • The usual daily dose for Alogliptin is 25 mg and for Pioglitazone, it's 15 mg or 30 mg. Both are taken orally, with or without food.

  • Common side effects include headache, sore throat, and upper respiratory tract infections. Pioglitazone can cause weight gain and edema, and Alogliptin can lead to joint pain and pancreatitis.

  • Pioglitazone can increase the risk of heart failure and is not recommended for patients with severe heart failure or bladder cancer. Alogliptin can cause pancreatitis, a serious condition that inflames the pancreas.

Indications and Purpose

What is combination of Alogliptin and Pioglitazone used for?

Alogliptin and Pioglitazone are indicated for the treatment of type 2 diabetes mellitus. They are used to improve glycemic control in adults when diet and exercise alone are insufficient. These medications are not suitable for type 1 diabetes or diabetic ketoacidosis. They are often used in combination with other diabetes medications to achieve better blood sugar control.

What is combination of Pioglitazone and Alogliptin used for?

Pioglitazone and alogliptin are indicated for the treatment of type 2 diabetes mellitus. They are used to improve glycemic control in adults when diet and exercise alone are insufficient. These medications are not suitable for type 1 diabetes or diabetic ketoacidosis. By addressing insulin resistance and enhancing insulin secretion, they help manage blood sugar levels and reduce the risk of diabetes-related complications.

How does combination of Alogliptin and Pioglitazone work?

Alogliptin works by inhibiting the enzyme DPP-4, which increases the levels of incretin hormones, leading to increased insulin release and decreased glucagon levels. This helps lower blood sugar levels. Pioglitazone, on the other hand, enhances the body's sensitivity to insulin by acting on PPAR-gamma receptors, reducing insulin resistance in the liver and peripheral tissues. Together, they help improve blood sugar control in patients with type 2 diabetes.

How does combination of Pioglitazone and Alogliptin work?

Pioglitazone works by increasing the body's sensitivity to insulin, which helps lower blood sugar levels by improving the uptake of glucose into cells. Alogliptin, on the other hand, inhibits the enzyme DPP-4, which increases the levels of incretin hormones that stimulate insulin release and decrease glucagon levels, further aiding in blood sugar control. Together, they provide a dual mechanism to enhance insulin action and reduce blood sugar levels in patients with type 2 diabetes.

How effective is combination of Alogliptin and Pioglitazone?

Clinical trials have demonstrated that Alogliptin effectively lowers blood sugar levels by increasing insulin secretion and decreasing glucagon levels. Pioglitazone has been shown to improve insulin sensitivity, leading to better blood sugar control. Both medications have been proven to reduce HbA1c levels, a key marker of long-term blood sugar control, in patients with type 2 diabetes. They are often used together or with other diabetes medications to enhance their effectiveness.

How effective is combination of Pioglitazone and Alogliptin?

Clinical trials have demonstrated that pioglitazone and alogliptin effectively lower blood sugar levels in patients with type 2 diabetes. Pioglitazone has been shown to improve insulin sensitivity, while alogliptin increases insulin secretion by inhibiting DPP-4. Studies indicate that the combination of these medications results in significant reductions in HbA1c levels, a key marker of long-term blood sugar control. The dual action of these drugs provides a comprehensive approach to managing diabetes, reducing the risk of complications associated with high blood sugar.

How does one know if combination of Alogliptin and Pioglitazone is working?

The benefits of Alogliptin and Pioglitazone are assessed by monitoring blood sugar levels and glycosylated hemoglobin (HbA1c) levels. Regular blood tests are conducted to evaluate how well the medications are controlling blood sugar. Additionally, patients may be advised to monitor their blood sugar levels at home. The goal is to achieve and maintain target blood sugar levels to prevent diabetes-related complications.

How does one know if combination of Pioglitazone and Alogliptin is working?

The benefits of pioglitazone and alogliptin are assessed by monitoring blood sugar levels, specifically fasting blood glucose and HbA1c levels, which reflect average blood sugar over the past 2 to 3 months. Regular blood tests are conducted to evaluate the effectiveness of the treatment. Additionally, improvements in symptoms of diabetes, such as reduced thirst and urination, can indicate the medications are working. Healthcare providers may also assess the risk of diabetes-related complications, such as heart disease and nerve damage, to ensure comprehensive management.

Directions for Use

What is the usual dose of combination of Alogliptin and Pioglitazone?

The usual adult daily dose for Alogliptin is 25 mg taken orally once daily, with or without food. For Pioglitazone, the starting dose is typically 15 mg or 30 mg once daily, which can be increased up to a maximum of 45 mg daily based on the patient's response and tolerance. Both medications are taken once daily and can be adjusted based on individual needs and medical advice.

What is the usual dose of combination of Pioglitazone and Alogliptin?

The usual adult daily dose for alogliptin is 25 mg, taken once daily. For pioglitazone, the starting dose is typically 15 mg or 30 mg once daily, which may be adjusted based on the patient's response and tolerance. Both medications are taken orally and can be consumed with or without food. The combination of these medications in a single tablet is designed to simplify the treatment regimen for type 2 diabetes, ensuring consistent dosing and improving adherence to the treatment plan.

How does one take combination of Alogliptin and Pioglitazone?

Alogliptin and Pioglitazone can both be taken with or without food, making them convenient for daily use. Patients are advised to take these medications at the same time each day to maintain consistent blood levels. It's important to follow dietary recommendations provided by healthcare providers, which typically include a balanced diet and regular exercise. Alcohol consumption should be discussed with a doctor, as it can affect blood sugar levels.

How does one take combination of Pioglitazone and Alogliptin?

Pioglitazone and alogliptin can be taken with or without food, making them convenient for daily use. It is important to take them at the same time each day to maintain consistent blood levels. Patients should follow their healthcare provider's dietary and exercise recommendations to enhance the effectiveness of the medications. While there are no specific food restrictions, maintaining a balanced diet and regular exercise is crucial for managing type 2 diabetes effectively.

For how long is combination of Alogliptin and Pioglitazone taken?

Alogliptin and Pioglitazone are typically used as long-term treatments for managing type 2 diabetes. They are not cures for diabetes but are intended to help control blood sugar levels over time. Patients are advised to continue taking these medications as prescribed by their healthcare provider, even if they feel well, to maintain effective blood sugar management and reduce the risk of complications.

For how long is combination of Pioglitazone and Alogliptin taken?

Pioglitazone and alogliptin are typically used as long-term treatments for managing type 2 diabetes. They are not cures for diabetes but help control blood sugar levels over time. Patients are advised to continue taking these medications even if they feel well, as stopping them without medical advice can lead to uncontrolled blood sugar levels. Regular monitoring and consultations with a healthcare provider are essential to adjust dosages and ensure effective management of diabetes.

How long does it take for combination of Alogliptin and Pioglitazone to work?

Alogliptin and Pioglitazone are both used to manage type 2 diabetes by improving blood sugar control. Alogliptin works by increasing insulin levels, while Pioglitazone enhances the body's sensitivity to insulin. Alogliptin may start to lower blood sugar levels relatively quickly, but Pioglitazone may take about 2 weeks to begin lowering blood sugar, with full effects seen in 2 to 3 months. Both medications require consistent use along with diet and exercise to achieve optimal results.

How long does it take for combination of Pioglitazone and Alogliptin to work?

Pioglitazone and alogliptin are used to manage type 2 diabetes by improving blood sugar control. Pioglitazone may take 2 weeks to start lowering blood sugar levels, with full effects seen in 2 to 3 months. Alogliptin works by increasing insulin levels and can start to lower blood sugar levels relatively quickly, often within a few days. Both medications require consistent use alongside diet and exercise for optimal results. The combination of these medicines aims to provide a more comprehensive approach to managing blood sugar levels over time.

How does one store combination of Alogliptin and Pioglitazone?

Alogliptin and Pioglitazone do not require refrigeration. They should be stored at room temperature, away from excess heat and moisture, and kept in their original containers with the lids tightly closed. It's important to keep these medications out of reach of children and to dispose of them properly if they are no longer needed or expired.

How does one store combination of Pioglitazone and Alogliptin?

Pioglitazone and alogliptin do not require refrigeration. They should be stored at room temperature, away from excess heat and moisture, and kept in their original container with the lid tightly closed. It is important to keep these medications out of reach of children and pets to prevent accidental ingestion. Proper storage ensures the medications maintain their effectiveness throughout their shelf life.

Warnings and Precautions

Are there harms and risks from taking combination of Alogliptin and Pioglitazone?

Common side effects of Alogliptin include headache, stuffy or runny nose, and sore throat. Pioglitazone may cause weight gain, edema, and muscle pain. Both medications can lead to changes in blood sugar levels, and patients should be aware of symptoms of high or low blood sugar. Serious adverse effects include heart failure, liver problems, and an increased risk of bladder cancer with Pioglitazone. Patients should report any unusual symptoms to their healthcare provider.

Are there harms and risks from taking combination of Pioglitazone and Alogliptin?

Common side effects of pioglitazone and alogliptin include headache, sore throat, and upper respiratory tract infections. Pioglitazone may cause weight gain, edema, and an increased risk of heart failure, while alogliptin can lead to joint pain and pancreatitis. Serious adverse effects include liver problems, bladder cancer risk with pioglitazone, and severe allergic reactions with alogliptin. Patients should be monitored for these side effects, and any unusual symptoms should be reported to a healthcare provider immediately.

Can I take combination of Alogliptin and Pioglitazone with other prescription drugs?

Alogliptin may interact with other DPP-4 inhibitors, potentially increasing the risk of side effects. Pioglitazone can interact with insulin and insulin secretagogues, increasing the risk of hypoglycemia. It also interacts with CYP2C8 inhibitors like gemfibrozil, which can increase Pioglitazone levels. Both medications should be used cautiously with other diabetes drugs to avoid excessive blood sugar lowering. Patients should inform their healthcare provider of all medications they are taking.

Can I take combination of Pioglitazone and Alogliptin with other prescription drugs?

Pioglitazone and alogliptin can interact with several prescription drugs. Pioglitazone's effectiveness can be affected by CYP2C8 inhibitors like gemfibrozil, which increase its levels, and inducers like rifampin, which decrease its levels. Alogliptin may interact with other DPP-4 inhibitors, increasing the risk of side effects. Both medications can increase the risk of hypoglycemia when used with insulin or sulfonylureas. Patients should inform their healthcare provider of all medications they are taking to manage potential interactions effectively.

Can I take combination of Alogliptin and Pioglitazone with vitamins or supplements?

There is limited specific information on interactions between Alogliptin, Pioglitazone, and vitamins or supplements. However, patients should inform their healthcare provider about all supplements they are taking, as some may affect blood sugar levels or interact with diabetes medications. It's important to monitor blood sugar levels regularly and consult a healthcare provider before starting any new supplements.

Can I take combination of Pioglitazone and Alogliptin with vitamins or supplements?

There are no specific interactions between pioglitazone and alogliptin with vitamins or supplements mentioned in the provided information. However, patients should inform their healthcare provider about all supplements they are taking, as some may affect blood sugar levels or interact with diabetes medications. It's important to monitor blood sugar levels regularly and consult with a healthcare provider before starting any new supplements to ensure they do not interfere with diabetes management.

Can I take combination of Alogliptin and Pioglitazone if I am pregnant?

Limited data are available on the use of Alogliptin and Pioglitazone during pregnancy. Alogliptin's effects on pregnancy are not well-studied, while Pioglitazone has shown adverse effects in animal studies at high doses. Both medications should be used during pregnancy only if the potential benefits justify the potential risks to the fetus. Pregnant women should discuss their treatment options with their healthcare provider to ensure optimal blood sugar control while minimizing risks.

Can I take combination of Pioglitazone and Alogliptin if I am pregnant?

The safety of pioglitazone and alogliptin during pregnancy is not well established. There is limited data on their effects on pregnant women and the developing fetus. Poorly controlled diabetes during pregnancy can lead to complications, so managing blood sugar is crucial. However, the potential risks of these medications should be weighed against the benefits. Pregnant women or those planning to become pregnant should discuss their treatment options with their healthcare provider to ensure the best outcomes for both mother and child.

Can I take combination of Alogliptin and Pioglitazone while breastfeeding?

There is limited information on the safety of Alogliptin and Pioglitazone during lactation. Alogliptin's presence in human milk is unknown, and Pioglitazone is present in rat milk, but its effects on human milk are unclear. Due to potential risks to the infant, breastfeeding mothers should consult their healthcare provider to weigh the benefits and risks of continuing these medications while breastfeeding.

Can I take combination of Pioglitazone and Alogliptin while breastfeeding?

There is limited information on the safety of pioglitazone and alogliptin during lactation and breastfeeding. It is not known if these medications pass into human milk or what effects they may have on a breastfed infant. Due to the potential for adverse effects, healthcare providers typically recommend caution and may suggest alternative treatments for managing diabetes in breastfeeding mothers. It is important for mothers to discuss the risks and benefits with their healthcare provider to make an informed decision.

Who should avoid taking combination of Alogliptin and Pioglitazone?

Alogliptin and Pioglitazone are contraindicated in patients with type 1 diabetes and diabetic ketoacidosis. Pioglitazone is not recommended for patients with heart failure due to the risk of fluid retention and worsening heart failure. Both medications require caution in patients with liver disease. Pioglitazone has an additional warning for an increased risk of bladder cancer. Patients should be monitored for signs of heart failure, liver dysfunction, and changes in vision.

Who should avoid taking combination of Pioglitazone and Alogliptin?

Important warnings for pioglitazone and alogliptin include the risk of heart failure, especially with pioglitazone, and pancreatitis with alogliptin. Pioglitazone is contraindicated in patients with severe heart failure and active bladder cancer. Both medications should be used cautiously in patients with liver disease. Patients should be aware of symptoms like rapid weight gain, shortness of breath, or severe abdominal pain, and seek medical attention if these occur. Regular monitoring and communication with healthcare providers are essential to manage these risks.