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 / DPP‑4 inhibitor presented as an oral tablet for oral use. It is indicated for the management of 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 combines metformin and sitagliptin to improve glycaemic control in patients with type 2 diabetes mellitus.

  • Type 2 diabetes mellitus: lowers fasting and post‑prandial blood glucose levels and improves overall glycaemic control.

How It Works

  • Metformin reduces hepatic gluconeogenesis and enhances peripheral insulin sensitivity, while sitagliptin inhibits the dipeptidyl peptidase‑4 (DPP‑4) enzyme, increasing endogenous incretin levels and promoting glucose‑dependent insulin secretion, together providing complementary glucose‑lowering effects.

Side Effects

Maymetsi may cause a range of adverse reactions.

Common Side Effects

  • Nausea: mild to moderate stomach upset.
  • Diarrhoea: loose stools, often transient.
  • Abdominal discomfort: cramping or pain.
  • Headache: mild tension‑type headaches.
  • Mild hypoglycaemia: especially when combined with other glucose‑lowering agents.

Serious or Rare Side Effects

  • Lactic acidosis: a rare but life‑threatening metabolic disturbance.
  • Severe hypoglycaemia: marked low blood glucose requiring assistance.
  • Pancreatitis: inflammation of the pancreas presenting with abdominal pain.
  • Allergic reactions: rash, itching, or swelling.
  • Hepatic dysfunction: abnormal liver enzymes or liver injury.

Precautions & Warnings

Before initiating Maymetsi, several safety considerations should be reviewed.

  • Renal function monitoring: assess creatinine clearance to avoid accumulation.
  • Hepatic function assessment: evaluate liver enzymes for potential impairment.
  • Hypoglycaemia risk: educate patients on signs, especially when used with sulfonylureas.
  • Elderly patients: start at lower doses and monitor tolerance.
  • Concomitant medications: review for drugs affecting renal clearance or glucose metabolism.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Maymetsi can interact with various medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Severe renal impairment: contraindicates metformin use due to lactic acidosis risk.
  • Iodinated contrast agents: may precipitate acute kidney injury, requiring temporary discontinuation.
  • Alcohol abuse: increases risk of metformin‑associated lactic acidosis.

Moderate Interactions (Monitor Closely)

  • Sulfonylureas or insulin: may potentiate hypoglycaemia; dose adjustments may be needed.
  • Diuretics (e.g., thiazides): can affect renal function and electrolyte balance.
  • ACE inhibitors or ARBs: monitor renal function as combined effect may reduce clearance.

Frequently Asked Questions

Maymetsi is prescribed to improve blood glucose control in adults with type 2 diabetes mellitus. It combines two agents that act on different pathways to lower fasting and post‑prandial glucose levels, helping patients achieve target HbA1c values as part of a comprehensive diabetes management plan.

Metformin decreases hepatic glucose production and enhances peripheral insulin sensitivity, while sitagliptin blocks the DPP‑4 enzyme, raising incretin hormone levels that stimulate insulin release only when blood glucose is elevated. The dual mechanism provides additive glucose‑lowering effects without causing excess insulin secretion.

The specific dose of Maymetsi is determined by the prescribing healthcare professional based on the individual’s clinical condition, renal function, and response to therapy. Patients should follow the dosage instructions provided by their prescriber and not adjust the dose without medical guidance.

Safety of Maymetsi in pregnancy and lactation has not been fully established. Metformin is sometimes used during pregnancy under specialist supervision, whereas sitagliptin lacks sufficient data. Women who are pregnant, planning pregnancy, or breastfeeding should discuss potential risks and benefits with their healthcare provider.

To request Maymetsi, 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 and any necessary import documentation.

Maymetsi offers a fixed‑dose combination of metformin and sitagliptin, providing both insulin‑sensitising and incretin‑enhancing actions in a single tablet. Compared with metformin alone, it adds greater post‑prandial glucose control; compared with DPP‑4 inhibitor monotherapy, it includes the well‑established benefits of metformin on fasting glucose and weight neutrality.

Maymetsi tablets should be stored at room temperature, below 25 °C, in the original blister pack or bottle. Protect them from moisture, excessive heat and direct sunlight to maintain potency throughout the shelf life.

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

The most serious risks include lactic acidosis from metformin, which is rare but life‑threatening, and severe hypoglycaemia, especially when used with other glucose‑lowering agents. Pancreatitis and allergic reactions are also rare but require immediate medical attention if symptoms arise.

Maymetsi is contraindicated in patients with severe renal impairment (eGFR < 30 mL/min/1.73 m²), known hypersensitivity to metformin or sitagliptin, acute or chronic metabolic acidosis, and those receiving iodinated contrast media without appropriate renal monitoring. Clinicians should evaluate each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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