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Janumet XR 50 mg/500 mg Tablets (56's)
✅ Active Ingredients:
- Sitagliptin Phosphate 50 mg (DPP-4 Inhibitor)
- Metformin Hydrochloride (Extended-Release) 500 mg (Biguanide class)
✅ Therapeutic Class:
- Antidiabetic agent (Combination of DPP-4 inhibitor and biguanide)
✅ Indication:
- Janumet XR is used to improve glycemic control in type 2 diabetes mellitus in adults.
- It is used as an adjunct to diet and exercise in patients whose blood glucose is not controlled adequately with metformin or sitagliptin alone.
- Helps lower blood glucose levels by improving insulin sensitivity and reducing glucose production in the liver.
✅ Mechanism of Action:
-
Sitagliptin (DPP-4 Inhibitor):
- Inhibits DPP-4 (dipeptidyl peptidase-4) enzyme, which breaks down incretin hormones.
- Incretins enhance insulin secretion and reduce glucagon release in a glucose-dependent manner, helping to control blood sugar levels.
-
Metformin (Biguanide):
- Reduces hepatic glucose production.
- Increases insulin sensitivity in muscle and fat tissues, improving glucose uptake.
- Delays the absorption of glucose from the gastrointestinal tract.
✅ Dosage & Administration:
- Taken once daily with food to minimize gastrointestinal side effects (preferably with the evening meal).
- Do not crush or chew the tablet; it should be swallowed whole.
- The dose is individualized based on blood glucose levels and patient tolerance.
✅ Contraindications:
- Severe renal impairment (eGFR < 30 mL/min/1.73m²)
- Metabolic acidosis (including diabetic ketoacidosis)
- Hypersensitivity to sitagliptin, metformin, or any excipients
- Pregnancy and breastfeeding (unless prescribed by a doctor)
✅ Warnings & Precautions:
- Renal function must be monitored before and during treatment.
- Risk of lactic acidosis in patients with renal or hepatic impairment, especially if metformin is used inappropriately.
- Hypoglycemia may occur when combined with other antihyperglycemic agents like insulin or sulfonylureas.
- Avoid alcohol consumption, as it increases the risk of lactic acidosis and hypoglycemia.
✅ Common Side Effects:
- Gastrointestinal discomfort (nausea, diarrhea, abdominal pain, bloating)
- Headache
- Upper respiratory tract infections
- Dizziness
- Fatigue
✅ Storage Conditions:
- Store at room temperature (15-30°C).
- Keep in a dry place, away from direct sunlight.
- Keep out of reach of children.
✅ Manufacturer:
- MSD
✅ Country of Manufacture:
- USA

Janumet XR 50/500mg 56 Tablets
14.990 KD