Product image of Maymetsi (Metformin Hydrochloride, Sitagliptin) supplied by GNH India

Maymetsi

Active Ingredient:
Metformin Hydrochloride, Sitagliptin
Origin:
EU

Maymetsi (Metformin Hydrochloride, Sitagliptin)

Metformin Hydrochloride and Sitagliptin, the active ingredient in Maymetsi, is a biguanide and DPP‑4 inhibitor presented as an oral tablet for oral use. It treats type 2 diabetes mellitus in adults.
GNH India supplies Maymetsi as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Maymetsi, a combination of metformin and sitagliptin, is used in the management of type 2 diabetes mellitus.

  • Type 2 diabetes mellitus: improves glycaemic control as part of a comprehensive treatment plan.
  • Inadequate control on metformin alone: provides additional glucose‑lowering effect when combined with lifestyle measures.
  • Adults with high cardiovascular risk: may offer modest benefit when added to standard therapy.

How It Works

  • Metformin decreases hepatic gluconeogenesis and enhances peripheral insulin sensitivity, while sitagliptin inhibits dipeptidyl‑peptidase‑4 (DPP‑4), leading to increased endogenous incretin levels that promote glucose‑dependent insulin secretion and suppress glucagon release, together improving overall glycaemic control.

Side Effects

Maymetsi may cause a range of adverse reactions, which are generally categorized by frequency and severity.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Diarrhoea: loose stools, usually transient.
  • Headache: mild cranial discomfort.
  • Upper respiratory tract infection: nasopharyngitis symptoms.

Serious or Rare Side Effects

  • Lactic acidosis: rare but potentially fatal metabolic disturbance.
  • Severe hypoglycaemia: especially when combined with insulin or sulfonylureas.
  • Pancreatitis: acute inflammation of the pancreas.
  • Anaphylactic reaction: rare severe allergic response.

Precautions & Warnings

Before initiating Maymetsi, several safety considerations should be reviewed.

  • Renal function assessment: evaluate creatinine clearance prior to therapy.
  • Risk of lactic acidosis: avoid in patients with severe renal impairment.
  • Monitor for hypoglycaemia: especially when used with insulin or sulfonylureas.
  • Pregnancy and lactation: use only if benefits outweigh potential risks.
  • Drug interactions: review concomitant medications for possible interactions.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture.

Avoid Interactions

Maymetsi can interact with several medicines; understanding the level of risk helps guide safe use.

Major Interactions (Avoid)

  • Iodinated contrast agents: increase risk of renal impairment; discontinue metformin before imaging.
  • Insulin or sulfonylureas: may cause severe hypoglycaemia.
  • Strong CYP3A4 inducers (e.g., rifampin): may reduce sitagliptin exposure.

Moderate Interactions (Monitor Closely)

  • Diuretics (e.g., furosemide): may affect renal clearance of metformin.
  • ACE inhibitors or ARBs: monitor renal function and potassium levels.
  • Corticosteroids: can raise blood glucose, requiring dose adjustment.

Frequently Asked Questions

Maymetsi is a fixed‑dose oral combination of metformin hydrochloride and sitagliptin indicated for the treatment of type 2 diabetes mellitus in adults, used when diet, exercise, and monotherapy are insufficient to achieve glycaemic targets.

Metformin reduces hepatic glucose production and enhances peripheral insulin sensitivity, while sitagliptin blocks the enzyme dipeptidyl‑peptidase‑4, prolonging the activity of incretin hormones that stimulate insulin release and suppress glucagon in a glucose‑dependent manner.

The prescribed dose of Maymetsi is determined by the treating physician based on individual patient factors such as renal function, current glycaemic control, and concomitant medications. The prescriber will select the appropriate strength and dosing schedule.

Safety of Maymetsi in pregnancy or lactation has not been established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the Maymetsi product page at gnhindia.com, providing the required quantity and your institutional credentials. GNH India works with hospitals, pharmacies and procurement teams worldwide, then replies with pricing, availability, shipping details and any necessary import documentation.

Compared with metformin monotherapy, Maymetsi adds sitagliptin to provide additional glucose‑lowering effect without the weight gain associated with some sulfonylureas. Unlike insulin, it is administered orally and carries a lower risk of hypoglycaemia when used alone.

Maymetsi tablets should be stored at ambient temperature, preferably below 25 °C, in the original container to protect from moisture and light. Keep the product out of reach of children and do not use after the expiry date.

Maymetsi is taken orally, usually once daily with or without food, as directed by the prescribing clinician. The tablet should be swallowed whole with a glass of water; it should not be crushed, chewed, or split unless specifically advised.

The most serious adverse events include lactic acidosis related to metformin, especially in patients with renal impairment, and rare cases of pancreatitis or severe hypersensitivity reactions linked to sitagliptin. Prompt medical attention is required if symptoms such as unexplained abdominal pain, rapid breathing, or swelling occur.

Maymetsi is contraindicated in patients with severe renal impairment (eGFR <30 mL/min/1.73 m²), known hypersensitivity to metformin, sitagliptin, or any component of the formulation, and in individuals with a history of lactic acidosis. It should also be avoided in patients receiving iodinated contrast agents until renal function is reassessed.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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