Product image of Ipinzan (Metformin Hydrochloride, Vildagliptin) supplied by GNH India

Ipinzan

Active Ingredient:
Metformin Hydrochloride, Vildagliptin
Origin:
EU

Ipinzan (Metformin Hydrochloride, Vildagliptin)

Metformin Hydrochloride / Vildagliptin, the active ingredient in Ipinzan, is a Biguanide / DPP‑4 inhibitor presented as an oral tablet for oral use. It treats type 2 diabetes mellitus in adults by improving glycaemic control.
GNH India supplies Ipinzan as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Zentiva, K.S.

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Indications & Clinical Uses

Ipinzan combines metformin and vildagliptin to manage hyperglycaemia in type 2 diabetes mellitus.

  • Type 2 diabetes mellitus: lowers fasting and post‑prandial glucose levels.
  • Adjunct to diet and exercise: improves overall glycaemic control when lifestyle measures are insufficient.
  • Combination therapy: provides additional HbA1c reduction when added to other antidiabetic agents.

How It Works

  • Metformin reduces hepatic gluconeogenesis and enhances peripheral insulin sensitivity, while vildagliptin inhibits the enzyme dipeptidyl peptidase‑4 (DPP‑4). This inhibition raises endogenous incretin hormones (GLP‑1 and GIP), which increase glucose‑dependent insulin secretion and suppress glucagon release, together producing better blood‑glucose regulation.

Side Effects

Ipinzan may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Gastrointestinal upset: nausea, abdominal discomfort, or diarrhoea.
  • Headache: mild to moderate intensity.
  • Hypoglycaemia: especially when combined with sulfonylureas or insulin.
  • Metallic taste: transient alteration in taste perception.
  • Weight gain: modest increase in body weight.

Serious or Rare Side Effects

  • Lactic acidosis: a rare but life‑threatening metabolic complication.
  • Severe skin reactions: such as Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Pancreatitis: inflammation of the pancreas presenting with abdominal pain.
  • Hepatic dysfunction: elevated liver enzymes or hepatitis.
  • Anaphylaxis: acute allergic reaction requiring immediate medical attention.
  • Severe hypoglycaemia: profound low blood glucose requiring assistance.

Precautions & Warnings

Before prescribing Ipinzan, clinicians should consider several safety aspects.

  • Renal function: assess eGFR and avoid use in severe renal impairment.
  • Hepatic disease: contraindicated in patients with significant liver dysfunction.
  • Risk of lactic acidosis: discontinue if symptoms of metabolic acidosis develop.
  • Pregnancy: use only if potential benefit justifies potential risk to the fetus.
  • Drug interactions: review concomitant medications that may affect metformin or vildagliptin levels.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Ipinzan can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Renal replacement therapy: metformin accumulation can lead to lactic acidosis.
  • Iodinated contrast agents: temporary discontinuation of metformin is recommended.
  • Co‑administration with other DPP‑4 inhibitors: may increase risk of adverse effects.

Moderate Interactions (Monitor Closely)

  • Cimetidine: may raise metformin plasma concentrations.
  • Beta‑blockers: can mask typical symptoms of hypoglycaemia.
  • Alcohol: potentiates risk of lactic acidosis, especially with impaired renal function.

Frequently Asked Questions

Ipinzan is indicated for the treatment of type 2 diabetes mellitus in adults. It combines metformin, a biguanide that lowers hepatic glucose output, with vildagliptin, a DPP‑4 inhibitor that enhances incretin activity, to improve overall glycaemic control when diet, exercise, or monotherapy are insufficient.

Metformin decreases the liver’s production of glucose and improves insulin sensitivity in muscle and fat tissue. Vildagliptin blocks the DPP‑4 enzyme, preventing the breakdown of incretin hormones (GLP‑1 and GIP). This results in increased insulin release and reduced glucagon secretion in a glucose‑dependent manner, together lowering blood sugar levels.

The specific dose of Ipinzan is determined by the prescribing healthcare professional based on the patient’s clinical condition, renal function, and response to therapy. Dosage adjustments are made individually, and patients should follow the prescriber’s instructions without altering the regimen on their own.

The safety of Ipinzan in pregnancy and lactation has not been fully established. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives with their healthcare provider.

To request Ipinzan, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any required temperature control), and import documentation.

Ipinzan offers a fixed‑dose combination of metformin and a DPP‑4 inhibitor, providing complementary mechanisms in a single tablet. Compared with metformin alone, it adds incretin‑mediated glucose control, potentially achieving greater HbA1c reduction. Relative to sulfonylureas, it carries a lower risk of hypoglycaemia, while offering a convenient oral regimen.

Ipinzan tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container. Protect them from moisture, excessive heat, and direct sunlight. Keep out of reach of children and do not use if the packaging is damaged.

Ipinzan is taken orally, usually with meals to minimise gastrointestinal discomfort. The tablet should be swallowed whole with a full glass of water. Patients should follow the dosing schedule prescribed by their clinician and should not crush or split the tablet unless instructed.

The most serious adverse events include lactic acidosis, which can be life‑threatening, and severe hypersensitivity reactions such as Stevens‑Johnson syndrome. Pancreatitis and significant hepatic dysfunction are also rare but serious. Patients should seek immediate medical attention if they experience unexplained muscle pain, rapid breathing, or severe skin reactions.

Ipinzan is contraindicated in patients with severe renal impairment (eGFR < 30 mL/min/1.73 m²), known hypersensitivity to metformin, vildagliptin, or any component of the formulation, and in those with a history of lactic acidosis. Caution is also advised for individuals with significant liver disease or acute heart failure.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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