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At a glance

Saxagliptin is a DPP-4 inhibitor used for the treatment of type 2 diabetes mellitus. It slows the inactivation of incretin hormones, increasing insulin secretion and reducing glucose production.

Indications
  • Type 2 diabetes mellitus (as an adjunct to diet and exercise)
Pharmacology

Saxagliptin competitively inhibits DPP-4 enzyme, slowing the breakdown of incretin hormones (GLP-1 and GIP). This increases glucose-dependent insulin secretion from the pancreas and reduces hepatic glucose production, lowering both fasting and postprandial blood glucose levels.

Dosage

Adult Dose (Oral):

  • Recommended: 2.5 mg or 5 mg once daily
  • With strong CYP3A4/5 inhibitors: Do not exceed 2.5 mg/day
  • Renal impairment (CrCl <50): 2.5 mg/day (post-dialysis)
Side effects

Common Side Effects (>5%):

  • Upper respiratory tract infection
  • Urinary tract infection
  • Headache
  • Hypoglycemia (with sulfonylurea)
  • Peripheral edema (with TZD)
Use in pregnancy

Use in Pregnancy: Generally safe; animal studies show low or no adverse effects; limited human data; consult your doctor.

Pregnancy Category: B — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Not effective in type 1 diabetes or diabetic ketoacidosis
  • Be aware of hypoglycemia symptoms
  • Caution in severe liver disease
  • Avoid alcohol consumption
Overdose effects

Overdose up to 400 mg/day (80 times MRHD) showed no dose-related adverse reactions; 23% removed by hemodialysis; provide symptomatic treatment.

Storage conditions

Store at 20-25°C, protected from light and moisture; keep out of reach of children.

Saxagliptin — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.