Janumet XR 50/500 mg Prolonged-Release Tablets
Active Ingredients: Sitagliptin 50 mg, Metformin Hydrochloride 500 mg
Pack Size: 56 Tablets
Therapeutic Class: Oral Antidiabetic – DPP-4 Inhibitor + Biguanide
Description:
Janumet XR combines two oral antihyperglycemic agents: sitagliptin, a DPP-4 inhibitor, and metformin, a biguanide. Sitagliptin improves glycemic control by enhancing the effects of incretin hormones, promoting insulin release, and reducing glucagon levels. Metformin works by decreasing hepatic glucose production and improving insulin sensitivity.
Indications:
For adults with type 2 diabetes mellitus to improve blood glucose control when diet and exercise alone are inadequate.
Suitable as monotherapy or in combination with other antidiabetic agents.
Dosage and Administration:
Usual starting dose: one tablet once daily with the evening meal.
Dosage should be individualized according to the patient’s clinical profile and kidney function.
Do not crush, split, or chew the tablets.
Maximum daily dose: sitagliptin 100 mg and metformin 2000 mg.
Contraindications:
Type 1 diabetes mellitus
Diabetic ketoacidosis
Moderate to severe renal impairment
Known hypersensitivity to sitagliptin, metformin, or tablet components
Warnings and Precautions:
Monitor kidney function regularly
Risk of lactic acidosis, particularly in renal impairment
Not recommended during pregnancy or breastfeeding
Caution with alcohol intake and liver disease
Possible Side Effects:
Nausea
Diarrhea
Headache
Hypoglycemia (especially with insulin or sulfonylureas)
Respiratory infections
Storage:
Store below 30°C in a dry place, away from light and moisture.