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NB-SITAGLIPTIN is a brand name for Sitagliptin, supplied as a tablet. The medicine, its uses, side effects and dosage are the same regardless of brand.
Used for: • Monotherapy: NB-Sitagliptin (sitagliptin) is indicated for use as an adjunct to diet and exercise to improve glycemic control in adult patients with type 2 diabetes mellitus for whom metformin is inappropriate due to contraindications or intolerance. • Add-on combination: NB-Sitagliptin is indicated in adult…
Verbatim from this product's HC label. Tap a section to expand.
and 10 CLINICAL PHARMACOLOGY). 2 CONTRAINDICATIONS • Patients with a history of a hypersensitive reaction to NB-Sitagliptin or to any ingredient in the formulation, including any non-medicinal ingredient or component of the container (see 7 WARNINGS AND PRECAUTIONS and 8 ADVERSE REACTIONS).
For a complete listing, see the
). For a complete listing, see the 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING section). , Sulfonylurea) When NB-Sitagliptin is used in combination with metformin and a sulfonylurea or with insulin (with or without metformin), a lower dose of the insulin secretagogue or insulin may be considered to reduce the risk of hypoglycemia (see 7 WARNINGS AND PRECAUTIONS and 8 ADVERSE REACTIONS).
2 Recommended Dose and Dosage Adjustment The recommended dose of NB-Sitagliptin is 100 mg once daily as monotherapy or as combination therapy with metformin, with metformin and a sulfonylurea, with insulin (with or without metformin), or with pioglitazone (with or without metformin).
Renal Impairment:
Sitagliptin is renally excreted. Renal function must be assessed prior to initiation of NB-Sitagliptin and periodically thereafter because, there is a dosage adjustment based upon renal function (see 7 WARNINGS AND PRECAUTIONS, Monitoring and Laboratory Tests).
73 m2) or with end-stage renal disease (ESRD) including those requiring hemodialysis or peritoneal dialysis, the dose of NB-Sitagliptin is 25 mg once daily. NB-Sitagliptin may be administered without regard to the timing of dialysis.
73 m2, the dose of NB-Sitagliptin is 50 mg once daily. 73 m2. 73 m2). When considering the use of sitagliptin in combination with another anti-diabetic product, its conditions for use in patients with renal impairment should be followed.
Hepatic Impairment:
No dosage adjustment of NB-Sitagliptin is necessary in patients with mild or moderate hepatic impairment. Sitagliptin has not been studied in patients with severe hepatic impairment and is not recommended for use in this population.
Pediatrics (<18 years of age):
, 4 DOSAGE AND ADMINISTRATION and 10 CLINICAL PHARMACOLOGY). 2 CONTRAINDICATIONS • Patients with a history of a hypersensitive reaction to NB-Sitagliptin or to any ingredient in the formulation, including any non-medicinal ingredient or component of the container (see 7 WARNINGS AND PRECAUTIONS and
• Patients with a history of a hypersensitive reaction to NB-Sitagliptin or to any ingredient in the formulation, including any non-medicinal ingredient or component of the container (see 7 WARNINGS AND PRECAUTIONS and 8 ADVERSE REACTIONS).
For a complete listing, see the 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING section).
Not medical advice. Always read the patient information leaflet and follow your prescriber or pharmacist.
Other brands of Sitagliptin in Canada.
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Brand names are compiled from public regulatory records for active-ingredient mapping only. Drugvu is not affiliated with any manufacturer. This is not medical advice.
Health Canada has not authorized an indication for pediatric use.
Geriatrics (≥65 years of age):
No dosage adjustment is necessary for geriatric patients. However, because sitagliptin is substantially excreted by the kidney, and because aging can be associated with reduced renal function, renal function should be assessed more frequently in elderly patients (see 7 WARNINGS AND PRECAUTIONS, Special Populations).
4 Administration NB-Sitagliptin can be taken with or without food. 5 Missed Dose If a dose of NB-Sitagliptin is missed, it should be taken as soon as the patient remembers. A double dose of NB-Sitagliptin should not be taken on the same day.
, remove unabsorbed material from the gastrointestinal tract, employ clinical monitoring (including obtaining an electrocardiogram), and institute supportive therapy if required. Sitagliptin is modestly dialyzable. 5% of the dose was removed over a 3- to 4-hour hemodialysis session.
Prolonged hemodialysis may be considered if clinically appropriate. It is not known if sitagliptin is dialyzable by peritoneal dialysis. For management of a suspected drug overdose, contact your regional poison control centre. 5 mg of sitagliptin phosphate monohydrate NB-Sitagliptin tablets, 25 mg, are dark pink, round, biconvex film coated tablet debossed with “SN” on one side and “25” on the other side.
They are supplied in HDPE bottles of 100 tablets. NB-Sitagliptin tablets, 50 mg, are pink, round, biconvex film coated tablet debossed with “SN” on one side and “50” on the other side. They are supplied in HDPE bottles of 100 and 500 tablets.
NB-Sitagliptin tablets, 100 mg, are brown, round, biconvex film coated tablet debossed with “SN” on one side and “100” on the other side. They are supplied in HDPE bottles of 100 and 500 tablets. NB-Sitagliptin Page 7 of 58 7 WARNINGS AND PRECAUTIONS General NB-Sitagliptin should not be used in patients with type 1 diabetes or for the treatment of diabetic ketoacidosis.
Driving and Operating Machinery Patients should be warned about driving or operating a vehicle or potentially dangerous machinery under conditions where a risk of hypoglycemia is present. When sitagliptin is used in combination with metformin and a sulfonylurea, or in combination with insulin (with or without metformin), patients should be advised to take precautions to avoid hypoglycemia while driving or operating a vehicle or potentially dangerous machinery.
Endocrine and Metabolism Hypoglycemia:
When sitagliptin was used in combination with metformin and a sulfonylurea, or with a stable dose of insulin (with or without metformin), the incidence of hypoglycemia was increased over […]
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