Tagipmet

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Tagipmet Product Information Leaflets
Brand Name:
Tagipmet
Generic Name:
Sitagliptin+Metformin HCl

DESCRIPTION:

Tagipmet tablets contain two oral antihyperglycemic drugs used in the management of type 2 diabetes: sitagliptin and metformin hydrochloride. Sitagliptin is an orally-active inhibitor of the dipeptidyl peptidase-4 (DPP-4) enzyme, while Metformin is a biguanide with antihyperglycaemic effects, lowering both basal and postprandial plasma glucose. It does not stimulate insulin secretion and therefore does not produce hypoglycaemia

COMPOSITION:

Tagipmet 50mg/500mg Tablets:Each film coated tablet contains:
Sitagliptin (as phosphate) .......... 50 mg
Metformin HCl B.P. .....................500 mg
Tagipmet 50mg/1000mg Tablets:Each film coated tablet contains:
Sitagliptin (as phosphate) .......... 50 mg
Metformin HCl B.P. ....................1000 mg

INDICATIONS:

Tagipmet is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus when treatment with both sitagliptin and metformin is appropriate.
Tagipmet should not be used in patients with type 1 diabetes or for the treatment of diabetic ketoacidosis.

DOSAGE & ADMINISTRATION:

The dosage of Tagipmet should be individualized on the basis of the patient's current regimen, effectiveness, and tolerability while not exceeding the maximum recommended daily dose of 100 mg sitagliptin and 2000 mg metformin. Initial combination therapy or maintenance of combination therapy should be individualized and left to the discretion of the health care provider. Tagipmet should generally be given twice daily with meals, with gradual dose escalation, to reduce the gastrointestinal (GI) side effects due to metformin. Tagipmet must not be split or divided before swallowing. The starting dose of Tagipmet should be based on the patient's current regimen and should be given twice daily with meals. The recommended starting dose in patients not currently treated with metformin is 50 mg Sitagliptin / 500 mg metformin hydrochloride twice daily, with gradual dose escalation recommended to reduce gastrointestinal side effects associated with metformin. The starting dose in patients already treated with metformin should provide sitagliptin dosed as 50 mg twice daily (100 mg total daily dose) and the dose of metformin already being taken. For patients taking metformin 850 mg twice daily, the recommended starting dose of Tagipmet is 50 mg Sitagliptin / 1000 mg metformin hydrochloride twice daily. Co-administration of Tagipmet with an insulin secretagogue (e.g., sulfonylurea) or insulin may require lower doses of the insulin secretagogue or insulin to reduce the risk of hypoglycemia.

CONTRAINDICATIONS:

Tagipmet (Sitagliptin and Metformin Hydrochloride) is contraindicated in patients nwith: Renal impairment or renal dysfunction (e.g., serum creatinine levels greater than or equal to 1.5 mg/dL for men, greater than or equal to 1.4 mg/dL for women or abnormal creatinine clearance), which may also result from conditions such as cardiovascular collapse (shock), acute nsepticemia. Acute or chronic metabolic acidosis, including diabetic ketoacidosis. History of a serious hypersensitivity reaction to Tagipmet (or any of its components), such as anaphylaxis or angioedema

PRESENTATION:

Tagipmet 50mg/500mg tablets: Blister pack of 2 x 7's tablet.
Tagipmet 50mg/1000mg tablets: Blister pack of 2 x 7's tablet

Patients should consult with their physician before taking any medicine.