This page contains brief details about the drug , it's indication, dosage & administaration, mechanism of action, related brands with strength, warnings and common side effects.
Background and Date of Approval
Dapagliflozin and Linagliptin combination is an antidiabetic medication approved by the US FDA to improve glycemic control in adults with type 2 diabetes. Dapagliflozin was approved on January 13, 2014, and Linagliptin on May 2, 2011. The combination works by enhancing insulin secretion and reducing glucose reabsorption.
Mechanism of Action of undefined
Dapagliflozin works by inhibiting SGLT2 in the kidneys, reducing glucose reabsorption and promoting glucose excretion in urine. Linagliptin blocks the DPP-4 enzyme, which increases the levels of incretin hormones, enhancing insulin secretion and reducing glucagon production. Together, they help regulate blood sugar levels in people with type 2 diabetes.
Uses of undefined
Dapagliflozin and Linagliptin are used together to manage blood sugar levels in adults with type 2 diabetes. Dapagliflozin helps the kidneys remove excess glucose, while Linagliptin increases insulin production and reduces glucose production.
undefined Drug administaration and Dosage available
Dapagliflozin and Linagliptin combination is typically administered orally once daily, with or without food. It is important to follow the prescribed dosage and timing recommended by a healthcare provider. The tablet should be swallowed whole and not crushed or chewed.
Warnings, Precautions and Side Effects of undefined
Warnings
- Risk of Diabetic Ketoacidosis (DKA): Use with caution in patients with type 1 diabetes or those with significantly high blood sugar, as they may be at higher risk of DKA.
- Kidney Impairment: Dapagliflozin may impair kidney function, and the combination should be used with caution in patients with reduced kidney function.
- Volume Depletion: Dapagliflozin can cause dehydration and low blood pressure, potentially leading to dizziness, fainting, or kidney issues. Use cautiously in patients with dehydration or heart conditions.
- Urinary Tract Infections (UTIs): Patients may be at increased risk of UTIs due to increased glucose in the urine. Monitor for symptoms such as burning or pain during urination.
- Pancreatitis: Linagliptin may increase the risk of pancreatitis (inflammation of the pancreas). Monitor for symptoms such as severe abdominal pain, nausea, or vomiting.
- Allergic Reactions: Serious allergic reactions, such as rash, swelling, and difficulty breathing, may occur and require immediate medical attention.
- Bladder Cancer Risk: Long-term use of dapagliflozin may increase the risk of bladder cancer. Exercise caution in patients with a history of bladder cancer or those at higher risk.
- Pregnancy and Breastfeeding: The safety of the combination during pregnancy and breastfeeding has not been established. Avoid unless clearly necessary, and consult a healthcare provider.
Precautions
Take precautions when using Dapagliflozin and Linagliptin by regularly monitoring kidney function, as the medication can impact renal health. Stay cautious if you have a history of urinary tract infections, dehydration, or heart conditions. Ensure proper hydration and report any unusual symptoms, such as abdominal pain or breathing difficulties, to your healthcare provider.
Side Effects
Side effects are unwanted symptoms caused by medicines. Although all drugs can cause side effects, not everyone experiences them.
Common side effects of Dapagliflozin and Linagliptin:
- Urinary tract infections
- Increased urination
- Nasopharyngitis (cold symptoms)
- Headache
- Back pain
Serious side effects of Dapagliflozin and Linagliptin:
- Diabetic ketoacidosis
- Severe allergic reactions (rash, swelling, difficulty breathing)
- Kidney problems (decreased kidney function)
- Low blood pressure (dizziness, fainting)
Word Of Advice
It is important to follow your healthcare provider's instructions when taking Dapagliflozin and Linagliptin, ensuring the correct dosage and timing. Stay well-hydrated and monitor for any signs of side effects, such as urinary tract infections or dizziness. Regular check-ups are essential to assess kidney function and overall health. Always inform your doctor of any other medications or conditions you have to avoid potential interactions.
Frequently Asked Question
References
1. Jain A, Vispute A, Dange A, Naskar A, Mondal A, Vivekanand B, Sharma B, Varade D, Shukla D, Bhatia G, Chaudhari H, Ram Babu K, Gavali O, Sorate S, Bhanushali S, Kothari V, Khandelwal V, Sharma A, Pawar R, Mayabhate M, Shahavi V, Rajput A, Jaiswal M. A Randomized, Double-Blind, Parallel-Group Phase III Trial Investigating the Glycemic Efficacy and Safety Profile of Fixed-Dose Combination Dapagliflozin and Linagliptin Over Linagliptin Monotherapy in Patients with Inadequately Controlled Type 2 Diabetes with Metformin. https://pubmed.ncbi.nlm.nih.gov/37957465/
2. Hong JH, Kim MJ, Min KW, Won JC, Kim TN, Lee BW, Kang JG, Kim JH, Park JH, Ku BJ, Lee CB, Kim SY, Shon HS, Lee WJ, Park JY. Efficacy and safety of a fixed-dose combination of dapagliflozin and linagliptin (AJU-A51) in patients with type 2 diabetes mellitus: A multicentre, randomized, double-blind, parallel-group, placebo-controlled phase III study. https://pubmed.ncbi.nlm.nih.gov/39375869/
3. Dharmalingam M, Kumar Sharma S, Prakash V, Maiti A, Kumar R, Murthy LSS, Ramanathan B, Maheshwari S, Naik Kethavath S, Ogale D, Bachubhai PVK, Sonawane AB, Shah V, Suresh M, Chakraborty S, Kumar Manjunath K. Evaluating the Efficacy, Safety, and Tolerability of Combination Therapy of Dapagliflozin and Linagliptin Over Dapagliflozin and Vildagliptin in Patients With Type 2 Diabetes Mellitus Inadequately Controlled With Metformin.
Disclaimer
The drug information on this page is not a substitute for medical advice. It is meant for educational purposes only. For further details, consult your doctor about your medical condition to know if you can receive this treatment.