GNH USA

Europe — EMA

Maymetsi

GNH USA supplies Maymetsi (Metformin Hydrochloride and Sitagliptin), a biguanide/DPP‑4 inhibitor for type 2 diabetes mellitus. Request a quote for supply.

Metformin Hydrochloride, Sitagliptin

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What is Metformin Hydrochloride, Sitagliptin?

Metformin Hydrochloride and Sitagliptin, the active ingredients in Maymetsi, are a biguanide and DPP‑4 inhibitor presented as a fixed‑dose oral tablet for oral use. They treat type 2 diabetes mellitus in adult patients by improving blood glucose control.

GNH USA supplies Maymetsi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards, provides regulatory documentation for global distribution, and manufactures the product under EU GMP guidelines for bulk or unit‑dose shipments to meet diverse market needs.

What is Metformin Hydrochloride, Sitagliptin used for?

Maymetsi, a fixed‑dose combination of metformin and sitagliptin, is indicated for the management of type 2 diabetes mellitus.

- Type 2 diabetes mellitus: lowers fasting and post‑prandial glucose levels and reduces HbA1c. - Monotherapy in metformin‑naïve patients: provides effective glycemic control as initial oral therapy. - Combination therapy with other antidiabetics: enhances glucose control when added to sulfonylureas, insulin or thiazolidinediones.

What are the side effects of Metformin Hydrochloride, Sitagliptin?

Maymetsi may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects: - Nausea - Diarrhea - Upper respiratory tract infection - Headache

Serious or Rare Side Effects: - Lactic acidosis - Severe hypoglycemia, especially when combined with insulin or sulfonylureas - Pancreatitis

What precautions apply to Metformin Hydrochloride, Sitagliptin?

When prescribing Maymetsi, clinicians should consider several precautionary measures to ensure patient safety.

- Renal function: assess eGFR before initiation and monitor periodically. - Hepatic impairment: use with caution in patients with liver disease. - Cardiovascular disease: monitor for signs of heart failure exacerbation. - Concomitant medications: review for drugs that may increase risk of hypoglycemia. - Pregnancy and lactation: avoid use unless benefits outweigh potential risks. - Store at ambient temperature: keep below 25 °C, protect from moisture and light in original packaging.

What does Metformin Hydrochloride, Sitagliptin interact with?

Maymetsi interacts with several medicines; understanding the interaction level guides safe co‑administration.

Major Interactions (Avoid): - Insulin or sulfonylureas: may cause severe hypoglycemia. - Iodinated contrast agents: increase risk of metformin‑associated lactic acidosis. - Cimetidine: can raise sitagliptin plasma concentrations.

Moderate Interactions (Monitor Closely): - Diuretics (especially loop diuretics): may affect renal clearance of metformin. - Rifampin: may reduce sitagliptin effectiveness. - ACE inhibitors or ARBs: monitor renal function when combined with metformin.

Frequently asked questions

What is Maymetsi used for?+
Maymetsi is a prescription oral medication that combines metformin hydrochloride and sitagliptin. It is used to improve blood glucose control in adults with type 2 diabetes mellitus, either as initial therapy or as part of a combination regimen with other antidiabetic agents.
How does Metformin Hydrochloride work?+
Metformin hydrochloride lowers blood glucose primarily by decreasing hepatic glucose production and enhancing peripheral insulin sensitivity. Sitagliptin, the second component, blocks the DPP‑4 enzyme, which raises endogenous incretin levels and promotes glucose‑dependent insulin secretion. Together, they provide complementary mechanisms to reduce hyperglycaemia.
What is the usual dose of Maymetsi?+
The appropriate dose of Maymetsi is determined by the prescribing healthcare professional based on individual patient factors such as renal function, glycaemic targets, and concomitant therapies. Patients should follow the dosage instructions provided by their prescriber and not adjust the dose without medical guidance.
Is Maymetsi safe during pregnancy or breastfeeding?+
Maymetsi is generally not recommended during pregnancy or lactation unless the potential benefits outweigh the risks. Metformin is sometimes continued in pregnancy under specialist supervision, while sitagliptin lacks sufficient safety data. Clinicians should evaluate each case individually and discuss alternatives when appropriate.
How do I order Maymetsi from GNH USA?+
To place an order, submit an enquiry on the Maymetsi product page at gnh-usa.com, specifying the required quantity. GNH USA supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.
How does Maymetsi compare with other antidiabetic options?+
Maymetsi offers a fixed‑dose combination of a biguanide and a DPP‑4 inhibitor, providing dual mechanisms in a single tablet. Compared with metformin alone, it adds the incretin‑enhancing effect of sitagliptin, which can improve glycaemic control without the weight gain associated with some other agents. It is an alternative to separate tablets or to other combination products such as metformin‑sulfonylurea blends.
How should Maymetsi be stored and handled?+
Maymetsi tablets should be stored at ambient temperature, preferably below 25 °C, in their original container to protect from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged or the tablets appear discoloured.
How is Maymetsi administered?+
Maymetsi is taken orally, usually once daily with or without food, as directed by the prescriber. The tablet should be swallowed whole with a glass of water. Patients should not crush, chew, or split the tablet unless specifically instructed by a healthcare professional.
What are the most serious risks associated with Maymetsi?+
The most serious adverse events include lactic acidosis, which is rare but potentially fatal, severe hypoglycaemia especially when combined with insulin or sulfonylureas, and acute pancreatitis. Patients should be educated to recognize symptoms such as unexplained muscle pain, rapid breathing, severe abdominal pain, or persistent nausea and seek immediate medical attention.
Who should not use Maymetsi?+
Maymetsi is contraindicated in patients with known hypersensitivity to metformin, sitagliptin, or any excipients, as well as those with severe renal impairment (eGFR < 30 mL/min/1.73 m²), acute or chronic metabolic acidosis, and certain hepatic conditions. It should also be avoided in individuals with a history of pancreatitis until the cause is clarified.
Information provided on this page is for educational use by procurement and clinical professionals. Always consult a licensed healthcare provider for medical advice and prescribing decisions. GNH USA supplies this product subject to applicable regulatory and licensing requirements.

Product details

Drug
Metformin Hydrochloride, Sitagliptin
Route
Oral Use
Manufacturer
Krka, D.D., Novo Mesto
Origin
EU

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