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At a glance

Trelagliptin is indicated for type 2 diabetes mellitus when the first line treatment of metformin is not achieving the expected glycemic goals.

Indications
  • Type 2 diabetes mellitus
Pharmacology

Trelagliptin selectively inhibits human plasma DPP-4 activity (IC50: 4.2 nmol/l). It inactivates GLP-1, increasing active GLP-1 concentration, which promotes glucose-dependent insulin secretion and improves glucose tolerance.

Dosage

Adult Dose (Oral):

  • 100 mg tablet once weekly
  • Moderate renal impairment (CrCl 30-<50): 50 mg once weekly
Side effects

Common Side Effects:

  • Hypoglycemia
  • Nasopharyngitis
  • Elevated lipase
  • Acute pancreatitis
  • Intestinal obstruction
  • Atrial fibrillation
  • Elevated liver enzymes
Use in pregnancy

Use in Pregnancy: Safety not established; use only after risk-benefit evaluation.

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

Precautions & warnings
  • Caution in moderate kidney function disease
  • Caution in hypoadrenalism or hypopituitarism
  • Caution in malnutrition, irregular eating patterns, starvation, vigorous exercise
  • May cause hypoglycemia when used with other diabetes medication
  • Consider reducing dose of sulfonylurea or insulin when used in combination
Overdose effects

Symptoms: Hypoglycemia, QT elongation (at 800 mg dose).

Treatment: Supportive; correct hypoglycemia with sucrose.

Storage conditions

Store at 25°C; excursions permitted to 15-30°C. Dispense in original container to protect from high humidity and light; keep out of reach of children.

Trelagliptin — 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.