Vildagliptin
Hypoglycaemic excluding Insulin · Dipeptidyl peptidase-4 inhibitor
Indications
Type 2 diabetes mellitus (in combination with metformin or with a sulfonylurea or with pioglitazone).
Dosage
Adults: In combination with metformin or pioglitazone, 50 mg twice daily; in combination with a sulfonylurea, 50 mg daily in the morning. Children: Not recommended.
Adverse Effects
Bullous and exfoliative skin lesions. Monotherapy: Dizziness. With metformin: Tremor, headache, dizziness, nausea, hypoglycaemia. With a sulfonylurea: Tremor, headache, dizziness, asthaenia, hypoglycaemia. With a glitazone: Wt gain, peripheral oedema. With insulin: Headache, hypoglycaemia, chills, GI upset.
Risk Factor (Pregnancy/Lactation)
Pregnancy: Contraindicated in pregnancy. Lactation: Contraindicated or not recommended. Contraindications: Diabetic ketoacidosis, hepatic impairment, CHF. Precautions: Elderly; monitor liver function; heart failure (avoid if moderate or severe). Moderate to severe renal impairment. Risk of pancreatitis; advise patient of symptoms, discontinue if suspected.
Interactions
ACE inhibitors.
Advice to Patient
Take with or without meals.
Pharmacokinetics
Absorption: Rapidly absorbed from the GI tract. Metabolism: Renal. Bioavailability: 85%. Half-life elimination: Oral: 3 hrs. IV inj: 2 hrs. Time to peak, plasma: 1.7 hrs. Excretion: Urine (85%). Faeces (15%).
Brands with this active ingredient
Compiled by Healify Pharmacy from published drug references. How we compile it →
Always consult a pharmacist or doctor.