Dapagliflozin + Sitagliptin

Find more information about this combination medication at the webpages for Dapagliflozin and Sitagliptin

Type 2 Diabetes Mellitus

Advisory

  • This medicine contains a combination of 2 drugs Dapagliflozin and Sitagliptin.
  • Dapagliflozin and Sitagliptin 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 Sodium-Glucose Cotransporter 2 Inhibitor

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Controlled Drug Substance

NO

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Drug Ingredient

Dapagliflozin + Sitagliptin

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Summary

  • Sitagliptin and Dapagliflozin are both used to manage type 2 diabetes, a condition that affects the way your body processes blood sugar. Additionally, Dapagliflozin is used to reduce the risk of cardiovascular death and slow kidney disease progression in patients with chronic kidney disease or heart failure.

  • Sitagliptin works by increasing the levels of certain natural substances that lower blood sugar when it is high. Dapagliflozin works by helping the kidneys get rid of glucose from your bloodstream, thus lowering blood sugar levels.

  • The usual adult daily dose for Dapagliflozin is 10 mg and for Sitagliptin is 100 mg. Both are taken orally, once a day, with or without food.

  • Common side effects of Dapagliflozin include urinary tract infections, increased urination, and genital infections. Sitagliptin's common side effects include upper respiratory tract infections, headache, and nasopharyngitis (the common cold). Both medicines can cause low blood sugar.

  • Sitagliptin is not recommended for people with a history of serious allergic reactions to the drug. Dapagliflozin is not recommended for people with severe kidney problems. Both medicines should be used with caution in patients with a history of pancreatitis, which is inflammation of the pancreas.

Indications and Purpose

What is combination of Dapagliflozin and Sitagliptin used for?

The combination of Dapagliflozin and Sitagliptin is used to help control blood sugar levels in adults with type 2 diabetes. Dapagliflozin works by helping the kidneys remove glucose from the bloodstream, while Sitagliptin helps increase the levels of insulin produced after meals and decreases the amount of sugar made by the body. Together, they help improve blood sugar control in people with type 2 diabetes.

What is combination of Sitagliptin and Dapagliflozin used for?

Sitagliptin and Dapagliflozin are both indicated for the management of type 2 diabetes mellitus. Sitagliptin is used to improve glycemic control in adults by enhancing insulin secretion and reducing glucagon levels. Dapagliflozin is also used to lower blood sugar levels and has additional indications for reducing the risk of hospitalization for heart failure and managing chronic kidney disease in adults. Both medications are part of a comprehensive treatment plan that includes diet and exercise to effectively manage diabetes and its associated risks.

How does combination of Dapagliflozin and Sitagliptin work?

Dapagliflozin and Sitagliptin are medications used to help control blood sugar levels in people with type 2 diabetes. Dapagliflozin works by helping the kidneys remove glucose (sugar) from the bloodstream through urine. This process helps lower blood sugar levels. Sitagliptin, on the other hand, works by increasing the levels of certain natural substances called incretins. Incretins help to control blood sugar by increasing insulin release, especially after meals, and by decreasing the amount of sugar the liver makes. When used together, these medications can provide a more effective way to manage blood sugar levels than when used alone, as they target different mechanisms in the body to control glucose levels.

How does combination of Sitagliptin and Dapagliflozin work?

Sitagliptin works by inhibiting the enzyme dipeptidyl peptidase-4 (DPP-4), which results in increased levels of incretin hormones. These hormones help to increase insulin release and decrease glucagon levels, thereby lowering blood sugar levels. Dapagliflozin, on the other hand, is a sodium-glucose co-transporter 2 (SGLT2) inhibitor that reduces blood sugar by preventing glucose reabsorption in the kidneys, leading to increased glucose excretion in the urine. Both medications help manage blood sugar levels in type 2 diabetes but do so through different mechanisms.

How effective is combination of Dapagliflozin and Sitagliptin?

The combination of Dapagliflozin and Sitagliptin is used to manage type 2 diabetes by helping to control blood sugar levels. Dapagliflozin works by helping the kidneys remove glucose from the bloodstream, while Sitagliptin increases the levels of incretin hormones, which help to regulate insulin and decrease blood sugar levels. According to the NHS and other trusted sources, this combination can be effective in improving blood sugar control when diet and exercise alone are not sufficient. However, the effectiveness can vary among individuals, and it is important to follow a healthcare provider's guidance to ensure it is the right treatment option for you.

How effective is combination of Sitagliptin and Dapagliflozin?

Clinical trials have demonstrated the effectiveness of both Sitagliptin and Dapagliflozin in managing type 2 diabetes. Sitagliptin has been shown to significantly reduce HbA1c levels and improve glycemic control when used alone or in combination with other antidiabetic medications. Dapagliflozin has also been proven to lower blood sugar levels, with additional benefits such as weight loss and reduced blood pressure. It has shown efficacy in reducing the risk of hospitalization for heart failure and progression of kidney disease. Both medications have been well-studied and are supported by evidence from numerous clinical trials, confirming their roles in comprehensive diabetes management.

How does one know if combination of Dapagliflozin and Sitagliptin is working?

To determine if the combination of Dapagliflozin and Sitagliptin is effective, you should monitor your blood sugar levels regularly. These medications are used to help control blood sugar in people with type 2 diabetes. If the combination is working, you should see a reduction in your blood sugar levels towards your target range, as advised by your healthcare provider. Additionally, you may notice improvements in symptoms associated with high blood sugar, such as increased energy levels and reduced thirst or urination frequency. It's important to have regular check-ups with your healthcare provider to assess your overall health and the effectiveness of the treatment. They may perform blood tests, such as HbA1c, which gives an average blood sugar level over the past 2-3 months, to evaluate how well the medication is working. Always follow your healthcare provider's instructions and report any side effects or concerns you may have while taking these medications.

How does one know if combination of Sitagliptin and Dapagliflozin is working?

The benefits of Sitagliptin and Dapagliflozin are primarily assessed through regular monitoring of blood sugar levels, including fasting blood glucose and HbA1c tests. These tests help determine how well the medications are controlling blood sugar over time. Additionally, improvements in symptoms of diabetes, such as reduced thirst and urination, can indicate effectiveness. For Dapagliflozin, additional benefits may include weight loss and reduced blood pressure, which are also monitored. Regular follow-ups with a healthcare provider are essential to evaluate the overall health benefits and adjust treatment as needed.

Directions for Use

What is the usual dose of combination of Dapagliflozin and Sitagliptin?

The usual dose of the combination of Dapagliflozin and Sitagliptin can vary based on individual health needs and the specific formulation prescribed by a healthcare provider. Typically, Dapagliflozin is taken at a dose of 10 mg once daily, and Sitagliptin is taken at a dose of 100 mg once daily. However, it is important to follow the specific dosing instructions provided by your healthcare provider or the prescription label. Always consult with a healthcare professional before starting or adjusting any medication.

What is the usual dose of combination of Sitagliptin and Dapagliflozin?

For Sitagliptin, the usual adult daily dose is 100 mg taken orally once a day. For Dapagliflozin, the typical starting dose is 5 mg once daily, which can be increased to 10 mg if additional glycemic control is needed. Both medications are taken orally and can be administered with or without food. The dosing for each medication may be adjusted based on individual patient needs, renal function, and the presence of other medical conditions. It is important to follow the prescribing doctor's instructions and not to adjust the dose without medical advice.

How does one take combination of Dapagliflozin and Sitagliptin?

Dapagliflozin and Sitagliptin are medications used to manage blood sugar levels in people with type 2 diabetes. When taking these medications together, it's important to follow your healthcare provider's instructions. Typically, they are taken orally, with or without food. It's crucial to take them at the same time each day to maintain consistent blood levels. Always check with your doctor or pharmacist for the specific dosage and timing that is right for you, as it can vary based on individual health needs. Additionally, ensure you stay hydrated, as Dapagliflozin can increase urination, and monitor your blood sugar levels regularly to avoid hypoglycemia (low blood sugar). For more detailed information, you can refer to trusted sources like the NHS or DailyMeds.

How does one take combination of Sitagliptin and Dapagliflozin?

Both Sitagliptin and Dapagliflozin 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 recommendations, which typically include a balanced diet to help manage diabetes. There are no specific food restrictions associated with these medications, but patients should avoid excessive alcohol consumption, as it can affect blood sugar levels and increase the risk of side effects. Staying hydrated is also important, especially when taking Dapagliflozin, due to its diuretic effect.

For how long is combination of Dapagliflozin and Sitagliptin taken?

The duration for taking a combination of Dapagliflozin and Sitagliptin can vary based on individual health needs and the advice of a healthcare provider. Typically, these medications are taken long-term to help manage blood sugar levels in people with type 2 diabetes. It's important to follow the guidance of a healthcare professional who can tailor the treatment plan to your specific condition. Regular check-ups will help determine the effectiveness and any necessary adjustments to the treatment.

For how long is combination of Sitagliptin and Dapagliflozin taken?

Sitagliptin and Dapagliflozin are typically used as long-term treatments for managing type 2 diabetes. They are intended to be taken daily and continuously to maintain blood sugar control. The duration of use is generally indefinite, as long as the medications are effective and well-tolerated by the patient. Regular monitoring by a healthcare provider is necessary to assess the ongoing effectiveness and safety of the treatment, and adjustments may be made based on the patient's response and any side effects experienced.

How long does it take for combination of Dapagliflozin and Sitagliptin to work?

The combination of Dapagliflozin and Sitagliptin is used to help control blood sugar levels in people with type 2 diabetes. According to the NHS and other trusted sources, these medications can start to lower blood sugar levels within a few days of starting treatment. However, it may take several weeks to see the full effect on blood sugar control. It's important to follow your healthcare provider's instructions and continue monitoring your blood sugar levels regularly.

How long does it take for combination of Sitagliptin and Dapagliflozin to work?

Sitagliptin and Dapagliflozin both work to lower blood sugar levels, but they do so through different mechanisms. Sitagliptin, a DPP-4 inhibitor, increases insulin release and decreases glucagon levels, which can start to show effects within a few days of starting the medication. Dapagliflozin, an SGLT2 inhibitor, works by promoting glucose excretion through urine, and its effects can also be observed within a few days. Both medications are typically taken once daily, and while individual responses can vary, patients may begin to notice improvements in blood sugar control within the first week of treatment. However, full therapeutic effects may take several weeks to manifest.

How does one store combination of Dapagliflozin and Sitagliptin?

The combination of Dapagliflozin and Sitagliptin should be stored at room temperature, away from excess heat and moisture. It is important to keep the medication in its original container, tightly closed, and out of reach of children. Avoid storing it in the bathroom to prevent exposure to humidity. Always check the packaging for specific storage instructions and do not use the medication past its expiration date.

How does one store combination of Sitagliptin and Dapagliflozin?

Sitagliptin and Dapagliflozin do not require refrigeration. Both medications should be stored at room temperature, between 20°C to 25°C (68°F to 77°F), and protected from excess heat and moisture. It is important to keep them in their original containers, tightly closed, and out of reach of children. Proper storage ensures the medications maintain their effectiveness and safety throughout their shelf life. Patients should also follow any additional storage instructions provided by their pharmacist or healthcare provider.

Warnings and Precautions

Are there harms and risks from taking combination of Dapagliflozin and Sitagliptin?

Taking Dapagliflozin and Sitagliptin together can have potential risks and side effects. Dapagliflozin is a medication that helps lower blood sugar by causing the kidneys to remove sugar from the body through urine. Sitagliptin works by regulating insulin levels after eating. When used together, these medications can increase the risk of low blood sugar (hypoglycemia), especially if you are also taking other diabetes medications like insulin. Symptoms of low blood sugar include dizziness, sweating, confusion, and shakiness. Additionally, Dapagliflozin can increase the risk of urinary tract infections and dehydration, while Sitagliptin may cause side effects like headaches and upper respiratory infections. It's important to consult with a healthcare provider to ensure these medications are safe for you, especially if you have other health conditions or are taking other medications. They can help monitor for side effects and adjust your treatment as needed.

Are there harms and risks from taking combination of Sitagliptin and Dapagliflozin?

Common side effects of Sitagliptin include headache, sore throat, and runny nose, while Dapagliflozin may cause increased urination, urinary tract infections, and genital infections. Both medications can lead to serious side effects, such as pancreatitis for Sitagliptin and ketoacidosis for Dapagliflozin. Additionally, both drugs may cause allergic reactions, including rash and swelling. Patients should be aware of these potential side effects and consult their healthcare provider if they experience any severe or persistent symptoms. Monitoring and regular follow-ups are essential to manage and mitigate these risks effectively.

Can I take combination of Dapagliflozin and Sitagliptin with other prescription drugs?

Dapagliflozin and Sitagliptin are medications used to manage blood sugar levels in people with type 2 diabetes. When considering taking these drugs with other prescription medications, it is important to consult with a healthcare provider. This is because combining medications can sometimes lead to interactions that may affect how well the drugs work or increase the risk of side effects. According to the NHS, Dapagliflozin can interact with diuretics (water pills) and other medications that lower blood sugar, potentially increasing the risk of dehydration or low blood sugar levels. Sitagliptin may also interact with other diabetes medications, which could lead to low blood sugar. The NLM advises that before starting any new medication, including over-the-counter drugs or supplements, you should inform your healthcare provider about all the medications you are currently taking. This helps ensure that any potential interactions are identified and managed appropriately. In summary, while it is possible to take Dapagliflozin and Sitagliptin with other prescription drugs, it should be done under the guidance of a healthcare professional to ensure safety and effectiveness.

Can I take combination of Sitagliptin and Dapagliflozin with other prescription drugs?

Sitagliptin may interact with medications that affect blood sugar levels, such as insulin or sulfonylureas, increasing the risk of hypoglycemia. Dapagliflozin can also increase the risk of hypoglycemia when used with insulin or insulin secretagogues. Additionally, Dapagliflozin may interact with diuretics, potentially leading to dehydration or low blood pressure. Both medications require careful monitoring when used with other drugs that affect kidney function. Patients should inform their healthcare provider of all medications they are taking to manage potential interactions effectively and adjust dosages as necessary.

Can I take combination of Dapagliflozin and Sitagliptin with vitamins or supplements?

Dapagliflozin and Sitagliptin are medications used to manage blood sugar levels in people with type 2 diabetes. Generally, taking vitamins or supplements with these medications is considered safe, but there are a few things to keep in mind: 1. **Consult Your Doctor:** Before adding any vitamins or supplements to your routine, it's important to talk to your healthcare provider. They can provide personalized advice based on your health needs. 2. **Potential Interactions:** While most vitamins and supplements do not interact with Dapagliflozin and Sitagliptin, some might. For example, certain supplements could affect blood sugar levels or interact with other medications you might be taking. 3. **Monitor Blood Sugar Levels:** If you start taking new supplements, keep an eye on your blood sugar levels to ensure they remain stable. 4. **Balanced Diet:** A well-balanced diet often provides all the necessary vitamins and minerals, so supplements might not be needed unless recommended by a healthcare professional. For more detailed information, you can refer to trusted sources like the NHS or NLM.

Can I take combination of Sitagliptin and Dapagliflozin with vitamins or supplements?

There are no specific interactions between Sitagliptin or Dapagliflozin and vitamins or dietary supplements that are widely recognized. However, patients should always inform their healthcare provider about all the supplements and vitamins they are taking, as these can sometimes affect blood sugar levels or interact with other medications. It's important to maintain open communication with healthcare providers to ensure safe and effective use of all medications and supplements. Regular monitoring of blood sugar levels can help identify any unexpected changes that might be related to supplement use.

Can I take combination of Dapagliflozin and Sitagliptin if I am pregnant?

It is generally not recommended to take Dapagliflozin and Sitagliptin during pregnancy. According to the NHS, medications like Dapagliflozin, which belong to a class of drugs called SGLT2 inhibitors, are not advised for use during pregnancy due to potential risks to the developing baby. Similarly, Sitagliptin, a DPP-4 inhibitor, should be used with caution and only if the potential benefits justify the potential risks to the fetus. It is crucial to consult with a healthcare provider to discuss any medications you are taking or considering during pregnancy.

Can I take combination of Sitagliptin and Dapagliflozin if I am pregnant?

The safety of Sitagliptin and Dapagliflozin during pregnancy is not well-established. Sitagliptin has limited data on its use in pregnant women, and its effects on fetal development are not fully known. Dapagliflozin is not recommended during the second and third trimesters due to potential adverse effects on fetal kidney development, as observed in animal studies. Pregnant women should discuss the potential risks and benefits with their healthcare provider, and alternative treatments may be considered to manage diabetes during pregnancy. Close monitoring and consultation with a healthcare provider are essential for pregnant women taking these medications.

Can I take combination of Dapagliflozin and Sitagliptin while breastfeeding?

When considering the use of Dapagliflozin and Sitagliptin while breastfeeding, it's important to consult with a healthcare professional. According to the NHS, medications can pass into breast milk and potentially affect the baby. Dapagliflozin is a medication used to lower blood sugar levels in adults with type 2 diabetes, and Sitagliptin is another medication used for the same purpose. However, there is limited information on the safety of these drugs during breastfeeding. The NLM advises that healthcare providers weigh the benefits of treatment against any potential risks to the infant. Always discuss with your doctor or a healthcare provider to ensure the safety of both you and your baby.

Can I take combination of Sitagliptin and Dapagliflozin while breastfeeding?

There is limited information on the safety of Sitagliptin and Dapagliflozin during lactation and breastfeeding. Sitagliptin's presence in human milk is unknown, and caution is advised when administering to breastfeeding mothers. Dapagliflozin is present in the milk of lactating rats, and its effects on human milk are not well-studied, but due to potential risks to the developing kidney in infants, it is not recommended during breastfeeding. Healthcare providers should weigh the benefits and risks when considering these medications for breastfeeding mothers, and alternative treatments may be considered.

Who should avoid taking combination of Dapagliflozin and Sitagliptin?

People who should avoid taking the combination of Dapagliflozin and Sitagliptin include those with certain medical conditions or risk factors. According to the NHS and NLM, individuals with severe kidney problems or those on dialysis should not take Dapagliflozin, as it can worsen kidney function. Additionally, people with a history of serious allergic reactions to either Dapagliflozin or Sitagliptin should avoid this combination. Pregnant or breastfeeding women should also avoid these medications unless specifically advised by a healthcare provider, as the effects on the baby are not well understood. Furthermore, those with a history of pancreatitis (inflammation of the pancreas) should be cautious, as Sitagliptin has been associated with this condition. Always consult a healthcare professional before starting or stopping any medication.

Who should avoid taking combination of Sitagliptin and Dapagliflozin?

Sitagliptin is contraindicated in patients with a history of serious hypersensitivity reactions, such as anaphylaxis or angioedema. It also carries a warning for the risk of pancreatitis. Dapagliflozin is contraindicated in patients with severe renal impairment and has warnings for ketoacidosis, dehydration, and urinary tract infections. Both medications should be used with caution in patients with a history of heart failure or kidney disease. Patients should be aware of the signs of serious side effects and seek medical attention if they experience symptoms such as severe abdominal pain, difficulty breathing, or signs of infection.