GNH USA

Europe — EMA

Metformina + Sitagliptina Teva

GNH USA supplies Metformina + Sitagliptina Teva (Metformin hydrochloride and sitagliptin), a biguanide/DPP‑4 inhibitor for type 2 diabetes mellitus.

Metformin Hydrochloride, Sitagliptin

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What is Metformin Hydrochloride, Sitagliptin?

Metformin hydrochloride and sitagliptin, the active ingredient in Metformina + Sitagliptina Teva, is a biguanide/DPP‑4 inhibitor presented as an oral tablet for oral use. It is indicated for the management of type 2 diabetes mellitus in adults, helping to control blood glucose levels when used with diet and exercise.

GNH USA supplies Metformina + Sitagliptina Teva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring consistent quality and regulatory compliance across markets, and reliable delivery timelines.

What is Metformin Hydrochloride, Sitagliptin used for?

Metformina + Sitagliptina Teva is used in the treatment of type 2 diabetes mellitus, an endocrine disorder characterized by insulin resistance and impaired glucose regulation.

- Type 2 diabetes mellitus: improves overall glycemic control, reducing HbA1c levels. - Inadequate control on metformin alone: adds an additional glucose‑lowering effect. - Combined with lifestyle modifications: helps patients achieve target blood‑glucose goals.

What are the side effects of Metformin Hydrochloride, Sitagliptin?

Metformina + Sitagliptina Teva may cause a range of adverse reactions. Patients should be aware of both frequent and less common events.

Common Side Effects: - Nausea: mild to moderate gastrointestinal upset. - Diarrhea: loose stools, usually transient. - Abdominal discomfort: cramping or pain. - Headache: mild tension‑type headache.

Serious or Rare Side Effects: - Lactic acidosis: rare but life‑threatening metabolic disturbance. - Severe hypoglycemia: especially when combined with insulin or sulfonylureas. - Pancreatitis: acute inflammation of the pancreas requiring immediate medical attention.

What precautions apply to Metformin Hydrochloride, Sitagliptin?

Before initiating therapy, clinicians should consider several safety factors.

- Renal function: assess creatinine clearance and adjust dose if needed. - Hepatic impairment: use with caution in patients with liver disease. - Risk of lactic acidosis: avoid in conditions predisposing to hypoxia or severe infection. - Pregnancy and lactation: evaluate risk‑benefit; data are limited. - Drug interactions: review concomitant medications for potential interactions. - Store at ambient temperature: keep below 25 °C, protect from moisture and light.

What does Metformin Hydrochloride, Sitagliptin interact with?

Metformina + Sitagliptina Teva can interact with several medicines; some combinations should be avoided while others require monitoring.

Major Interactions (Avoid): - Phenformin or other contraindicated biguanides: risk of severe lactic acidosis. - Insulin or sulfonylureas: may cause severe hypoglycemia. - Renal dialysis: metformin accumulation risk.

Moderate Interactions (Monitor Closely): - Cimetidine: may increase metformin plasma concentrations. - Thiazide diuretics: can affect glucose control. - Iodinated contrast media: temporary discontinuation of metformin is recommended before and after imaging.

Frequently asked questions

What is Metformina + Sitagliptina Teva used for?+
Metformina + Sitagliptina Teva is prescribed for adults with type 2 diabetes mellitus to improve blood‑glucose control when diet, exercise, and other therapies are insufficient. It combines metformin, which lowers hepatic glucose output, with sitagliptin, which enhances incretin activity, providing a complementary approach to managing hyperglycaemia.
How does the combination of metformin and sitagliptin work?+
Metformin acts primarily by decreasing hepatic glucose production and increasing peripheral insulin sensitivity. Sitagliptin inhibits the enzyme dipeptidyl peptidase‑4, leading to higher levels of incretin hormones (GLP‑1 and GIP) that stimulate insulin release and suppress glucagon in a glucose‑dependent manner. Together they lower fasting and post‑prandial glucose.
What is the usual dose of Metformina + Sitagliptina Teva?+
The specific dose and dosing schedule are determined by the prescribing healthcare professional based on individual patient factors such as renal function, glycaemic targets, and concomitant medications. Patients should follow the prescriber’s instructions and not adjust the dose without medical guidance.
Is Metformina + Sitagliptina Teva safe during pregnancy or breastfeeding?+
Safety data for the combination in pregnancy and lactation are limited. The prescriber must weigh potential benefits against possible risks to the fetus or infant. Generally, metformin may be continued if clearly needed, while sitagliptin is usually avoided unless the benefit justifies potential exposure.
How do I order Metformina + Sitagliptina Teva from GNH USA?+
To place an order, submit an enquiry on the product page at gnh-usa.com, specifying the required quantity. GNH USA works with 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 Metformina + Sitagliptina Teva compare with other antidiabetic options?+
Compared with metformin monotherapy, the addition of sitagliptin offers greater HbA1c reduction and better post‑prandial glucose control. Unlike sulfonylureas, the combination has a lower intrinsic risk of hypoglycaemia. It also provides an oral alternative to injectable GLP‑1 receptor agonists, though efficacy may be modest in patients with very high baseline glucose.
What are the storage and handling requirements for this product?+
Metformina + Sitagliptina Teva should be stored at ambient temperature, preferably below 25 °C, in its original packaging to protect it from moisture and light. Keep the container tightly closed and out of reach of children. No refrigeration is required for this oral tablet formulation.
How is Metformina + Sitagliptina Teva administered?+
The medication is taken orally, usually with meals to reduce gastrointestinal discomfort. Tablets should be swallowed whole with a full glass of water. Patients should follow the dosing schedule prescribed by their healthcare provider and should not crush or chew the tablets unless specifically instructed.
What are the most serious risks associated with Metformina + Sitagliptina Teva?+
The most serious adverse events include lactic acidosis (primarily linked to metformin) and severe hypoglycaemia when used with insulin or sulfonylureas. Pancreatitis has also been reported with sitagliptin. Patients should seek immediate medical attention if they experience unexplained muscle pain, rapid breathing, severe abdominal pain, or signs of low blood sugar.
Who should not use Metformina + Sitagliptina Teva?+
The combination is contraindicated in patients with severe renal impairment (eGFR <30 mL/min/1.73 m²), known hypersensitivity to metformin, sitagliptin, or any excipients, and those with a history of lactic acidosis. Caution is also advised for individuals with significant hepatic disease, heart failure, or chronic alcohol abuse.
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
Teva Pharma – Produtos Farmacêuticos Lda
Origin
EU

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