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NRA-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: NRA-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: NRA-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 NRA-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) Product Monograph - NRA-SITAGLIPTIN Page 5 of 57 When NRA-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 NRA-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 NRA-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 NRA-SITAGLIPTIN is 25 mg once daily. NRA-SITAGLIPTIN may be administered without regard to the timing of dialysis.
73 m2, the dose of NRA-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 NRA-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.
, 4 DOSAGE AND ADMINISTRATION and 10 CLINICAL PHARMACOLOGY). 2 CONTRAINDICATIONS • Patients with a history of a hypersensitive reaction to NRA-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 NRA-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.
Pediatrics (<18 years of age):
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 NRA-SITAGLIPTIN can be taken with or without food. 5 Missed Dose If a dose of NRA-SITAGLIPTIN is missed, it should be taken as soon as the patient remembers. A double dose of NRA-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. 6 DOSAGE FORMS, STRENGTHS, COMPOSITION AND PACKAGING Table 1 – Dosage Forms, Strengths, Composition and Packaging.
Route of Administration Dosage Form / Strength/Composition Non-medicinal Ingredients Oral Tablets: sitagliptin (as sitagliptin phosphate anhydrous) 25 mg§ 50 mg§§ 100 mg§§§ anhydrous dibasic calcium phosphate (calcium hydrogen phosphate, anhydrous), croscarmellose sodium, magnesium stearate, microcrystalline cellulose, polyethylene glycol (macrogol), polyvinyl alcohol, red iron oxide, sodium stearyl fumarate, talc, titanium dioxide, and yellow iron oxide.
056 mg of sitagliptin phosphate anhydrous NRA-SITAGLIPTIN Tablets, 25 mg, are pink, round, biconvex, film-coated tablets debossed with “II1” on one side and plain on other side. They are supplied in bottles of 30, 90 and 500. NRA-SITAGLIPTIN Tablets, 50 mg, are light beige, round, biconvex, film-coated tablets debossed with “II4” on one side and plain on other side.
They are supplied in bottles of 30, 90 and 1000. NRA-SITAGLIPTIN Tablets, 100 mg, are beige, round, biconvex, film-coated tablets debossed with “II3” on one side and plain on other side. They are supplied in bottles of 30, 90 and 1000.
For management of a suspected drug overdose, contact your regional poison control centre. Product Monograph - NRA-SITAGLIPTIN Page 7 of 57 7 WARNINGS AND PRECAUTIONS General NRA-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 NRA-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 that of placebo used in combination […]
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